Experience

• 

  Daybreak Venture, LLP

  • Hospitals and Health Care
  • 200 - 300 Employee

  • Utilization Management Analyst

    • Jun 2016 - Present

    Coordinate cases for pre-certification, prior authorization review, and medical review. Manage incoming calls for new cases, responses to old cases, and obtaining authorization for skilled services. Assist the case management nurse in correspondence to assisting callers with issues concerning contract, eligibility and benefits, and prior authorization/pre-certification. Track and trend information received and the efficiency of our processes.

  • AR Coordinator/ Registrar

    • Dec 2013 - May 2016

    I verify and set up payers for all of our incoming residents in our 80+ nursing facilities. This includes Medicare, Medicaid, Insurance, and other relavant payers that cover SNF benefits.

• 

  Taco Bell

  • Denton, Texas

  • Shift Lead

    • Jun 2011 - Aug 2013
    • Denton, Texas

    I was in charge of closing and opening the store, closing out cash drawers, managing shifts of up to seven people, inventory of food product, managing breaks and overtime hours, and maintaining a positive experience for customers.