To obtain a position where I can effectively utilize my expertise in leadership and communication skills, project management, and work ethic while making a positive contribution to the organization
Overview
21
21
years of professional experience
Work History
Business Analyst
Conifer Health Solutions
01.2025 - Current
Sr. Client Services Representative
Conifer Health Solutions
01.2017 - 12.2024
Claims investigation and root cause analysis
Customer Service Representative
Conifer Health Solutions
01.2013 - 12.2017
Assisting patients with questions and concerns on their accounts
Providing great customer services to upset or frustrated patients who need assistance in understanding their claims, services rendered and balance owed
Lead day-to-day management and assist in strategy development for growth of hospital programs and campaigns
Able to research, resolve and respond to queries and concerns in a timely fashion
Prepare Monthly Account Status Report for management on a monthly basis
Receive and prepare Data Entry relating to hospital programs for processing by appropriate resources
Supervisor Prior Authorization
United Health Care/Optum Rx
01.2008 - 12.2012
Managed over 40 Customer Service Pharmacy Technicians while maintaining top quality and overall performance in the department
Review Metrics with agents and coached how to improve their performance
Proven ability to obtain high performance levels from employees while maintaining a pleasant working atmosphere
Conducted monthly staff and one-on-one meetings
Performed monthly call monitoring evaluations
Modified time lines and work schedules according to company needs
Create and monitor department and team monthly reports
Interviewed and evaluated job applicants and handled human resource issues
Worked efficiently with customer service/prior authorization Supervisors and Client Relation Managers/Implementation department to update information in web applications
Lead Prior Authorization
United Health Care/Optum Rx
01.2006 - 12.2008
Assisted in creating forecasting/planning staffing needs based on trends and workload to manage the call center service level
Created new policies and procedures based on client's needs
Customer Service Representative
United Health Care/Optum Rx
01.2004 - 12.2006
Repeatedly promoted during 8-year tenure with Prescription Solutions, culminating in responsibility for coordinating Customer Service functions and supervising multiple teams of Prior Authorization professionals
Education
Northwest Career College
West Covina, CA
01-1998
Skills
Creative team player with strong leadership and staff development skills, focusing on quality, productivity, and customer service
Clear, effective, and accurate verbal and written communication skills
Organizational and prioritization skills are sufficient to effectively manage multiple concurrent initiatives in a deadline-driven environment
Self-discipline, troubleshooting expert, with strong project management, root cause analysis, problem-solving, and time management skills
A goal-oriented individual with integrity, with over 14 years of experience as a Pharmacy Technician, 18 years in the customer service call center, 5 years in Revenue Cycle, and 4 years as a Supervisor
Proficient in Microsoft Outlook, Word, and Excel, with experience in PowerPoint and Visio
Proficient in ACE Systems, EPIC, VI WEB, PAS 54, Rx Web, CMS Systems, and other web applications