Experience

Optum

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

• Clinical Admin Coordinator

  • Nov 2021 - Present

  * Take inbound calls from providers in a call center environment* Work with hospitals, clinics, facilities and the clinical team to manage request for services from members and / or providers* Manage the referrals process, processing incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles* Provide appropriate triage and care coordination notification cases for non - clinical assessment / intervention* Process notification requirements* Assist the clinical staff with setting up documents / triage cases for Clinical Coverage Review* Handle resolution / inquiries from members and / or providers that may include:* Benefit and Eligibility information* Billing and Payment issues* Customer material requests* Physician assignments* Authorization for treatment* Explanation of Benefits (EOB)* Verifying appropriate ICD - 10 and CPT coding usage



Robert Wood Johnson University Hospital

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

• Coordinator

  • Jan 2020 - Jan 2022



The Park Medical Group

• Receptionist

  • Jan 2018 - Jan 2020



Englewood Hospital

• Hospitals and Health Care
• 700 & Above Employee

• DIetary Worker

  • May 2017 - Jan 2018

  Assist in setting trays and delivering trays to patientsAssist in cleaning and stocking stations Assist in setting trays and delivering trays to patientsAssist in cleaning and stocking stations



Certified Demostration Services

• Shift Supervisor

  • Jul 2014 - May 2017