Experience

Hillcrest Elementary School

• United States
• Financial Services
• 1 - 100 Employee

• Paraeducator

  • Sep 2021 - Present



Lake Stevens School District

• United States
• Education Administration Programs
• 100 - 200 Employee

• Paraprofessional

  • Sep 2018 - Present



Bank of America

• United States
• Banking
• 700 & Above Employee

• Customer Service Representative, Payment Research

  • Jun 2009 - Oct 2010

  Research payment issues within the mortgage industry. Reassign and allocate funds to appropriate place within the loan. Solve disputes associated with home loans. Up sell additional loan products. Research payment issues within the mortgage industry. Reassign and allocate funds to appropriate place within the loan. Solve disputes associated with home loans. Up sell additional loan products.



Health Choice

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Network Service Representative

  • Mar 2004 - Jan 2008

  Success in the areas of provider education, network evaluation and management, negotiation and maintenance of contractual agreements. Train new network service colleagues. Act as initial point of contact for interdepartmental communication. Serve as primary contact for Health Choice subcontractors in the East Valley Maricopa and Gila counties regarding claims, quality issues and concerns. Appraise network needs based upon patient population, geographic, and financial factors. Act as a catalyst for open communication between health plan and providers. Show less



Coventry Health Care, an Aetna Company

• Member Services Representative

  • Feb 2003 - Mar 2004

  Respond and research all inquiries;providing callers with a single source of assistance for healthcare issues, including claims, precertifications, network providers, benefits, eligibility, pharmacy, dental and vision. Follow up on issues presented in phone calls by pursuing issues to full resolution. Adjust claims. Attend meetings and ongoing training classes, review audit results and mentor trainees.

• Provider Relations Lead

  • Jul 2000 - Feb 2003

  Work closely with supervisor and management to ensure team is running smoothly. Train new colleagues as needed. Audit team members’ work and report on it biweekly. Give departmental demonstrations to insurance companies and sales colleagues on the workings of Provider Relations. Disseminate information within department and to other departments on updates or changes within the company. Assist Provider Networks with escalated issues dues to system problems/changes. Facilitate appeals on claims and Workers Compensation bills in order to get them paid correctly. Establish and maintain relationships with contracted providers within the PPO network. Show less

• Provider Relations Administrator

  • Nov 1998 - Jul 2000

  Establish and maintain relationships with healthcare providers nationwide. Research various provider issues such as Workers Compensation bill reductions or contract information. Extensive knowledge of WC state mandated fee schedules. Responsible for 1-800 line incoming calls at a goal of 60+ calls per day while achieving world-class customer service.

• Service Coordinator

  • Nov 1997 - Nov 1998

  Responsible for educating members, insurance companies, and medical providers. Receive over 100 calls per day. Knowledge of Electronic directory, CodeMaster, and Referral Management. Train new colleagues for Electronic Directory. Head of Provider Information Negotiation System (PINS), which includes processing of member and provider nominations a swell as maintaining written and verbal communication with the involved parties. Utilizing IMPACT system for hospital pre-certification. Show less

• PPO Info-line Representative

  • Mar 1997 - Nov 1997

  Receive 100+ incoming calls per day. Assist members of insurance companies, healthcare professionals, and clients with locating contracted providers within their regions. Train new colleagues. Quality observes representatives by using Centrevue Call Supervisor application.



CHUYS MESQUITE BROILER

• United States
• Food and Beverage Services
• 1 - 100 Employee

• Server, Bartender

  • Oct 2000 - Oct 2003