Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic and effective communication skills. Eager to contribute to a dynamic team and support organizational goals.
Overview
8
8
years of professional experience
Work History
Provider Services Specialist
United Healthcare
Sugar Land, TX
11.2019 - 05.2024
Investigated appeals from providers regarding payment denials or underpayments.
Developed relationships with providers and acted as liaison between provider and payer.
Processed provider claims, verifying billing information for accuracy.
Maintained detailed documentation of provider inquiries, complaints, and disputes.
Provided customer service to clients, including answering phone calls and emails in a timely manner.
Behavioral Health Technician
Cenikor
Paedena, TX
09.2016 - 10.2019
Assessed patient behavior, reactions and responses to treatment plans.
Observed patients' behaviors during recreational activities and outings.
Monitored patient safety in all areas of the facility.
Maintained accurate documentation of patient progress and treatments received.
Participated in weekly case management meetings to discuss individualized treatment plans for each client and patient.