Summary
Overview
Work History
Education
Skills
Hobbies and Interests
Languages
References
Timeline
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Veronica Morales

Adelanto,California

Summary

Skilled Specialist with expertise in project management, problem-solving, and team leadership. Strengths lie in ability to efficiently manage multiple tasks, develop strategic plans and ensure successful execution of operational goals. Previous experience led to significant improvement in workflow processes and overall performance efficiencies. Demonstrated skills include adaptability, case management and strong communication abilities.

Overview

5
5
years of professional experience

Work History

Medical Case Specialist I

Leidos QTC Health Services
San Dimas, CA
09.2020 - Current
  • Work with veterans to get all medical compensation exams scheduled on time.
  • Handle inbound/outbound calls through the call distribution center.
  • Prepare cases with proper CLIN and CPT codes, as listed on CAS.
  • Communicate with claimants and providers.
  • Review medical records to obtain valuable information, such as previous.
  • Help determine additional required tests needed to complete each case.
  • Reschedule any appointments as requested by the examinee or provider due to unavailability or no-shows.
  • Ensure that all necessary documents are sent to claimants and providers to ensure appointments.
  • Work closely with OSA, QA, and MRE team to deliver claims accordingly.
  • Use DRG, or Diagnostic Reference Guide, for prepping to ensure all adequate diagnostics are being used.
  • Ensure all case notes are entered into the case accordingly.
  • Assist in resolving issues and concerns for claimants and providers, and help find solutions for workflow concerns as they arise.
  • Mentor and monitor new employee productivity and give constructive feedback through coaching, with the assistance of management.
  • Create and maintain a positive work environment through open communication, establish team goals, deadlines, performance, productivity, and motivation.
  • As a mentor, my goal is to coach and guide new CS Trainees on achieving goals and tasks, and develop new skills used to accomplish workflow and results.

Account Manager

AMVI / KNIT GENERATION
Los Angeles
06.2019 - 03.2020
  • Meet with clients to discuss upcoming seasons and new styles to source new fabrics and colors accordingly
  • Develop new fabric colors according to style and submit fabric lab dips for approval
  • Build and update WIP reports for every customer to provide detailed information on the status of fabric for each work order
  • Process photo shoot samples for each season
  • Process fit / SMS samples for approval before bulk production
  • Work with the pattern making department to create all new patterns for styles using garment specs
  • Conduct fit meetings with customers and their models to help correct and or approve patterns based on fittings to proceed with bulk production.

Education

MASTERS - BUSINESS ADMINISTATION

University of Arizona Global Campus
Chandler, AZ
05-2024

BACHELOR OF ARTS - SOCIOLOGY

California State University Los Angeles
Los Angeles, CA
05.2018

ASSOCIATE OF ARTS - ADMINISTRATION OF JUSTICE

Cerritos College
Norwalk, CA
05.2016

Skills

  • Highly Effective Verbal / Written Communication
  • Organization
  • Medical Documentation
  • Customer Service
  • Medical Terminology / Records
  • Multitasking
  • Detail Oriented
  • MS Office
  • Records Management
  • Schedule Coordination
  • Problem-Solving
  • Telephone Etiquette
  • Attention to Detail
  • Critical Thinking
  • Data Entry

Hobbies and Interests

  • Creating an Impact
  • Growth Opportunities in the Workplace
  • Completion of Tasks
  • Human Resources
  • Leadership
  • Innovation
  • Networking
  • Teambuilding
  • Deadline / Project Completion

Languages

English
Professional
Spanish
Professional

References

References available upon request.

Timeline

Medical Case Specialist I

Leidos QTC Health Services
09.2020 - Current

Account Manager

AMVI / KNIT GENERATION
06.2019 - 03.2020

MASTERS - BUSINESS ADMINISTATION

University of Arizona Global Campus

BACHELOR OF ARTS - SOCIOLOGY

California State University Los Angeles

ASSOCIATE OF ARTS - ADMINISTRATION OF JUSTICE

Cerritos College

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Veronica Morales