Experienced with managing appeals and dispute resolution processes effectively. Utilizes analytical skills to assess and resolve complex cases while ensuring compliance with regulatory standards. Track record of collaborating with teams to deliver timely and accurate outcomes, adapting to changing needs and requirements.
Overview
9
9
years of professional experience
Work History
Senior Appeals Specialists/Lead Trainer
National Breathe Free Sinus and Allergy Centers
12.2022 - Current
Collaborated with cross-functional teams to gather necessary documentation and evidence to support the appeals process.
Managed high-stress situations with professionalism, ensuring that appeals were handled promptly and accurately even under tight deadlines or heavy caseloads.
Consistently met or exceeded performance metrics, demonstrating a strong understanding of the claims review process and an unwavering commitment to achieving positive results for clients.
Achieved successful appeal outcomes by meticulously reviewing and analyzing claim denials, identifying errors, and presenting persuasive arguments.
Delivery Driver - Food Delivery
DoorDash
01.2022 - 11.2022
Deliver food and other items in a timely manner.
Maintaining the highest customer service standards.
Followed all safety procedures.
Load/unload deliveries from vehicle and during delivery route travel.
Communicated with customers about any delays/issues that would arise.
Worked scheduled hours as required and took on available shifts during holidays and busy periods.
Completed on-time deliveries by choosing best and most efficient routes.
Server
54th Street Bar and Grill
03.2018 - 01.2019
Performing cleaning duties such as the service station and dining area.
Demonstrated strong multitasking skills by managing multiple tables simultaneously without compromising service quality.
Served food and beverages promptly with focused attention to customer needs.
Worked with POS system to place orders, manage bills, and handle complimentary items.
Store Closer
Payless Shoe Company
11.2016 - 10.2017
Maintained and organized presentable merchandise to drive sales.
Handled customers orders and money.
Responsible for store shut down and closing.
Coordinated with other department leads to ensure all tasks were completed in a timely manner before closing time arrived.
Promoted a positive work environment by fostering teamwork, open communication, and employee recognition initiatives.
Operations/Office Manager at Columbia Breathe Free Sinus and Allergy CentersOperations/Office Manager at Columbia Breathe Free Sinus and Allergy Centers
Medical Data Analyst/ Medical Coding/Inspector in Quality Assurance and Quality Control at National Breathe Free Sinus & Allergy CenterMedical Data Analyst/ Medical Coding/Inspector in Quality Assurance and Quality Control at National Breathe Free Sinus & Allergy Center