Experience

Mainstay Medical
• United States
• Medical Equipment Manufacturing
• 1 - 100 Employee
• Prior Authorization Specialist

  • Jul 2022 - Present

Freelance
• Egypt
• Human Resources
• 1 - 100 Employee
• Sports Writer

  • Aug 2021 - Present


UC San Diego Health

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Authorizations Specialist

  • Mar 2022 - Jun 2022

  Determine patient eligibility and benefits-Verified patient registration via EPI C-Authorization procurement for medical services-Navigate online portals to accurately obtain authorizations-Interact with federal, state, commercial and third-part y payers

• Patient Access Registrar

  • Dec 2021 - Mar 2022

  Verified patient registration via EPIC ( Labs and emergency department)-Patient check in ( Labs and emergency department)-Collect copays-Determine patient eligibility and benefit s-Provide and articulate detailed explanations of patient financial responsibilities-Navigate online portals to accurately obtain authorizations-Interact with federal, state, and commercial third-part y payers.



Covance

• United States
• Research Services
• 700 & Above Employee

• Patient Access Advocate

  • Nov 2016 - Nov 2020

  Receives processes, analyzes, and reviews prior authorizations, appeals, copayment assistance claims, reimbursement cases, and external reviews. § Works closely with physicians, medical assistants, specialty pharmacies, and insurance companies to ensure efficient and quality outcomes are produced while maintaining the highest patient and client satisfaction and customer service. § Answers at 97% of incoming calls in less than 30 seconds from inbound queue. § Builds relationships with patients, providers, or other key stakeholders to best meet their needs. Proactively keep them informed of progress, issues, and other important updates so they know the status. § Assists with training new case managers by serving as a data checker, administering critiques, and test material § Works closely with physicians, medical assistants, specialty pharmacies, and insurance companies to ensure efficient and quality outcomes are produced while maintaining the highest patient and client satisfaction and customer service. Show less



General Dynamics Information Technology

• IT Services and IT Consulting
• 700 & Above Employee

• Training Specialist

  • Jun 2013 - Nov 2014

  Provided training to over 1,000 United States Navy personnel on more than 20 Navy ships. Participated in training Phases, including Phase I: Self-Assessment Groom Training, Phase II: Operator Training and Phase III: Team Training. Candidate develops, organizes, and conducts training and educational programs for Customer personnel§ Assisted in curriculum utilization and operations of ships weapons systems resulting in a 97% success and certification rate§ Developed, tested, maintained, and delivered training programs and related materials in support of customer training objectives§ Lead classroom and shipboard instruction and training§ Established course content and objectives§ Conducted training sessions and developed criteria for evaluating the effectiveness of training activities Show less

• Training Specialist

  • Jun 2013 - Nov 2014

  Provided training to over 1,000 United States Navy personnel on more than 20 Navy ships. Participated in training Phases, including Phase I: Self-Assessment Groom Training, Phase II: Operator Training and Phase III: Team Training. Candidate develops, organizes, and conducts training and educational programs for Customer personnel§ Assisted in curriculum utilization and operations of ships weapons systems resulting in a 97% success and certification rate§ Developed, tested, maintained, and delivered training programs and related materials in support of customer training objectives§ Lead classroom and shipboard instruction and training§ Established course content and objectives§ Conducted training sessions and developed criteria for evaluating the effectiveness of training activities Show less



US Navy

• United States
• Armed Forces
• 700 & Above Employee

• Petty Officer Second Class

  • Jan 1997 - Jan 2011

  Supervised 68 personnel to include the daily tasks of the division.  Comprised divisional watch bills and coordinated divisional training exercises.  Served as liaison between department head and division officer on mentorship/leadership to ensure the division maintained the highest level of professionalism.  Counseled all personnel on code of conduct discrepancies and documented performance disciplinary actions taken to correct deficiencies.  Assisted in the development of the budget and budget analysis. Planned, directed, or coordinated supportive base-wide services such as recordkeeping, mail distribution, telephone operator and other office support services  Prepared and reviewed more 500 operational reports, perspective gains and losses, and schedules to ensure accuracy and efficiency  Analyzed internal processes recommend and implemented procedural policy changes to improve operations, such as supply modifications and the disposal of records Developed a comprehensive training plan, and provided feedback reports to supervisors and senior management for monitoring of training  Developed and supervised a detailed bi-weekly training program that increased professional knowledge within the department. Because of detailed training and mentorship, 461 junior personnel quickly grasped the knowledge to advance to the next stage of their careers  Trained and qualified approximately 600 personnel as Enlisted Surface Warfare Specialist Show less