Experienced customer service employee with excellent communication and typing abilities. Efficiently deliver high-quality service and aim to promote customer loyalty and trust. Committed to success and growth within the business and within the team. Proactive worker committed to helping the clinic provide top-notch patient care. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Prior Authorization Specialist
Regional West Physicians Clinic
03.2023 - Current
Streamlined prior authorization processes by implementing efficient tracking systems.
Improved patient satisfaction with timely and accurate processing of prior authorizations for medications and procedures.
Reduced turnaround time for prior authorization requests by utilizing electronic submission methods.
Enhanced communication between healthcare providers and insurance companies, ensuring prompt resolution of issues related to prior authorizations.
Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
Monitored pending cases closely, proactively following up on outstanding documentation needed for successful approval outcomes.
Achieved high success rate in obtaining authorizations by effectively demonstrating medical necessity through comprehensive documentation and clear communication with insurance companies.
Input all patient data regarding prior authorizations into system accurately.
Certified Nursing Assistant, Outpatient Surgery
Regional West Medical Center
04.2022 - 09.2022
Maintained a clean, safe environment by sanitizing surfaces, changing linens, and disposing of waste properly.
Assisted nursing staff in prepping all patients for surgery
Increased patient satisfaction scores by providing compassionate and empathetic care during pre-and post-operative periods.
Streamlined communication among surgical team members, leading to smoother operations and improved overall teamwork.
Stocked all pre-op rooms with proper supplies to ensure smoothe work flow for nurses
Call Center Representative
Regional West Medical Center
11.2021 - 04.2022
Enhanced customer satisfaction by efficiently addressing and resolving inquiries in a timely manner.
Streamlined call flow processes for more efficient response times and increased productivity.
Reduced average call handling time, ensuring prompt service to customers while maintaining quality interactions.
Managed high call volumes while providing exceptional customer support and maintaining professional composure.
Handled escalated calls professionally, effectively resolving complex issues and ensuring client satisfaction at all times.
Delivered consistent top-notch performance under pressure during peak calling hours or challenging situations.
Insurance Verifer
Regional West Medical Center
06.2021 - 10.2021
Enhanced client satisfaction by accurately verifying insurance coverage.
Collaborated with healthcare providers to obtain required patient information for accurate insurance verification.
Streamlined the verification process with meticulous attention to detail, ensuring accurate data entry and documentation.
Improved team efficiency by providing training and guidance to new employees on insurance verification processes.
Certified Medication Aide
Heritage Estates
02.2020 - 05.2021
Improved patient care quality by monitoring and recording vital signs, fluid intake, and output.
Assisted patients with daily living activities for enhanced comfort and wellbeing.
Maintained a clean, safe environment by sanitizing surfaces, changing linens, and disposing of waste properly.
Collaborated with nursing staff to create individualized care plans tailored to each patient''s needs.
Enhanced patient care by administering medications according to prescribed schedules and dosages.
Reduced medication errors by maintaining accurate documentation of administered medications.
Supported nursing staff by monitoring patients for side effects or adverse reactions to medications.
Improved patient satisfaction through clear communication and compassionate bedside manner during medication administration.
Restaurant Crew Member
Kentucky Fried Chicken
03.2018 - 12.2019
Maintained clean, sanitized and well-organized food preparation zones.
Checked completed orders for accuracy and bagged meals for easy carrying.
Promoted customer loyalty by efficiently handling food and service complaints.
Operated as full-service food provider in KFC establishment by taking orders, preparing meals and collecting payments.
Arranged food items on serving trays and placed in take-out packaging to best accommodate traveling situations.
Processed payments and counted change to complete transactions.
Shelf Stocker
U-Save
08.2016 - 02.2018
Regularly assessed sales floor stock levels to replenish with back stock merchandise before product was unavailable to customers.
Checked and pulled defective or expired products from shelves.
Unloaded arriving product stock and moved to store display areas.
Education
High School Diploma -
Morrill High School
Morrill, NE
Skills
Excellent with handling customer complaints or concerns
Efficient typer
Quick learner
Willing to experience new tasks and be given new objectives
Compassion and Empathy
Compassionate communication
Certification
Earned my CNA certification my senior year of high school and passed with flying colors.