Thelma Finch
Sacramento,CA
Summary
Hardworking employee with customer service, multitasking, and time management abilities. Devoted to giving every customer a positive and memorable experience. Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
13
13
years of professional experience
Work History
Daycare Owner/Operator
Self-employeed
Sacramento
10.2013 - 05.2024
- Oversaw budgeting and financial management.
- Reviewed legal documents related to business operations.
- Ensured compliance with local, state, and federal regulations.
Authorization Specialist
River City Pharmacy
Sacramento, CA
04.2011 - 09.2013
- Monitored daily workflow queues within the department ensuring all tasks are completed accurately and timely.
- Researched patient eligibility, coverage information, and benefit levels.
- Ensured timely submission of accurate documentation to support payment of services rendered by providers.
- Processed prior authorization requests in accordance with departmental guidelines.
- Performed data entry into various computer systems including but not limited to EMRs and CRMs.
- Analyzed denials received from third party payers to identify trends in denials and develop proactive measures for resolution.
- Verified insurance authorizations with payers via telephone or web-based systems.
- Reviewed authorization requests for accuracy and completeness.
Education
Vocational - Medical Secretary
Carrington College California - Sacramento
Sacramento, CA06-1994
GED -
Elk Grove High School
Elk Grove, CA06-1992
Skills
- Licensing Knowledge
- Special Needs Care
- Financial Oversight
- Staff recruitment
Timeline
Daycare Owner/Operator
Self-employeed
10.2013 - 05.2024
Authorization Specialist
River City Pharmacy
04.2011 - 09.2013
Vocational - Medical Secretary
Carrington College California - Sacramento
GED -
Elk Grove High School
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