Billing / PA Specialist

• Nov 2022 - Present

• Verify Patients Insurance eligibility and coverage for infusion specialty medications and procedures. • Review orders and start prior authorization process by answering clinical questions • Assemble clinical supporting document packages and submit for review • Appeal denied prior authorizations and organize Peer to Peer meetings when necessary • Enroll eligible Patients for payment assistance programs • Ensure scheduled infusions have all documentation, correct medication and dosing per PA details - Review and submit claim for billing • Respond to Patients questions and concerns Show less

Cosmetic Tattoo Artist

• Jan 2018 - Present

• Market and promote business • Communicate with potential clients, answer questions, schedule appointments • Listen to clients’ needs and make recommendations based on desired look, skin, and achievable result • Use creative and artistic skills to apply brow design onto client's skin • Maintain clean and sanitized work environment • Manage all business finances, records, and inventory • Ensure all permitting is current • Market and promote business • Communicate with potential clients, answer questions, schedule appointments • Listen to clients’ needs and make recommendations based on desired look, skin, and achievable result • Use creative and artistic skills to apply brow design onto client's skin • Maintain clean and sanitized work environment • Manage all business finances, records, and inventory • Ensure all permitting is current

Process Delivery Specialist – Lead / Insurance Verification (Cigna)

• Sep 2021 - Mar 2023

• Create an inspiring Team environment with an open communication culture • Enhance Team performance through monitoring KPI metrics and reviewing with Senior Management • Assist with development and coaching opportunities through Checkpoint • Utilize RxHome, CareCentral, ESD for Clearance and Insurance Entry queues • Implemented digital training packets for new onboarding Teams using Mural and Trello • Provided training, implementation, and assessment of new Okta VPN Software • Verify pharmacy and medical insurance coverage for specialty medications • Process prescription orders while staying in compliance with HIPAA • Coordinate prior authorization process with prescriber, insurance, and customer. • Determine if medication is eligible mail order shipments • Performs data entry, including patient demographic, billing, medical history, and prescription information. Show less

Real Estate Agent License#286279 Inactive

• Mar 2016 - Dec 2019

• Determined clients’ needs and financials abilities to propose solutions that suit them • Provided guidance and assist sellers/buyers in marketing/purchasing property • Intermediate negotiation processes, consult clients on market conditions, prices, mortgages, legal requirements, and related matters to their benefit and ensure a fair and honest dealing • Prepared necessary paperwork such as contracts, leases, deeds, closing statements etc. • Developed networks and cooperate with attorneys, appraisers, mortgage lenders, inspectors, and contractors Show less

Environmental Health & Safety Administrator

• Nov 2016 - Dec 2017

• Maintained records to comply with OSHA, local, state, and federal EPA regulations. • Prepared site for Safety/Emergency Preparedness and evacuations • Conducted preliminary Safety audits • Coordinated and tracked Employee/Contractor safety training and for over 400 employees • Verified and update NC Environmental Related License/Certifications • Accident/Incident/Near Miss Management – recording, reporting, investigation, corrective measures, and analysis • Establish and Maintain Vendor Contracts, Bids and Negotiations • Requisitions, budget planning & billing/invoicing exceeding $1,000,000.00 for Vendors, Licenses, and U Utility expenses Show less

Maintenance Dispatch Supervisor at the Kangaroo Corporate Support Center

• Nov 2012 - Sep 2015

• Collectively maintained incoming call service level of 95% with over 1 million calls annually• Actively listened and assisted District/Store Managers with store maintenance for over 1,700 Stores• First point of contact to de-escalate and lead the resolution of emergency situations • Facilitated landing and signing on contracted Vendors, verify license and insurance coverage• Search and Dispatch Work orders to best suitable Vendor based on area code, urgency level and cost• Followed up on open work orders to ensure completion in a timely cost-effective manner• Received, review and approve proposals from Contractors ensuring accuracy and competitive pricing• Provided timely updates to Operations Customers, Field Personnel, and Facilities Dept• Collaborate with cross-functional partners such as Construction, Store Planning, Environmental, Helpdesk, Real Estate• Assist with CapX projects for ADA Compliance, C-Store Acquisitions, Re-brand and QSR implementation • Participated in an on-call and after-hour support rotation as assigned and during emergency situations Show less

Maintenance Dispatcher

• Oct 2010 - Nov 2012

Credit Card/ Cash Audit Associate

• Aug 2006 - Oct 2010

• Audit stores Daily Reports in comparison with data entry edits • Communicate with the Store, District, and Division Managers of any corrections/discrepancies• Verify, correct and process any variances • Review all voids, refunds, invoices, and credit card transactions • Conduct weekly research and assist Credit Card companies concerning fraud investigations

Property Manager

• Mar 2005 - Aug 2006

• Strategically planned innovative and creative marketing for rental property • Perform credit checks, criminal background checks and verify qualifying information • Inventory control, implement and file work orders, maintenance and vendor management • Organized monthly management reports, planned budget and processed all AP/AR • Provided supportive services to tenants through monthly newsletters, meetings and tenant events • Strategically planned innovative and creative marketing for rental property • Perform credit checks, criminal background checks and verify qualifying information • Inventory control, implement and file work orders, maintenance and vendor management • Organized monthly management reports, planned budget and processed all AP/AR • Provided supportive services to tenants through monthly newsletters, meetings and tenant events

Office Manager

• Jul 2004 - Mar 2005

• Verify all applicants information for accuracy such as identity, employment, and credit history • Process loan applications, approve/deny loans and establish credit lines • Audit loan dockets to ensure compliance with established regulations • Organized monthly management reports and processed all AP/AR • Reconcile bank balances and record general ledger entries • Verify all applicants information for accuracy such as identity, employment, and credit history • Process loan applications, approve/deny loans and establish credit lines • Audit loan dockets to ensure compliance with established regulations • Organized monthly management reports and processed all AP/AR • Reconcile bank balances and record general ledger entries