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Click here or scroll down to respond to this candidateCandidate's Name
Colorado Springs, CO Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLEWilling to relocate to: Colorado Springs, COAuthorized to work in the US for any employerWork ExperienceBehavioral health authorizations IIElevance Health - Colorado Springs, COJanuary 2023 to November 2023Communicate with provider regarding authorizations for treatment for inpatient, outpatient, detox, and residential care for psych and substance abuse.Build authorizationFax providers Auth formsAssist providers with availityAssist member that have medi-cal California medicaid Stabilization, mobile crisis authorizations and crisis line. Claims Adjuster IIAnthem Blue Cross BlueShield - Colorado Springs, CO October 2021 to January 2023Verify membersAdjust claimsReprint and resend EOBVerify pharmacy claimsPrior authorizations for medical proceduresResend member ID cardsCommunicate with pharmacies, providers and members Experience with teams,excel, outlook, Word, workday, WDE, Gen. Cloud. Logistics SpecialistDHL Express Tempe - Tempe, AZAugust 2020 to January 2021Track customer shipments book pick ups, create shipping label and help customers create shipments, also handle complaints and global accounts. Also handle international shipments, proficient in excel, outlook (email) dual monitors, multi-task, phenomenal customer service and great typing and computer ethicsLogistics SpecialistGLOBAL LOGISTICS - Broomfield, COSeptember 2018 to March 2020Track air travel of kidney and cornea for transplant along with air trays. Communicate with couriers, for pick up and delivery time. As well as commutation with airlines for departure, onboard and arrival status, as well as complications of freight being removed from flight, Book flights. Make shipping labels if being dropped off to FedEx. Log times of drop off and pick up times make sure human specimens labels are properly on package and dryice fall under proper TSA regulations and guidelines. Inbound and outbound communication high call volume atmosphere. Dual monitors, email, chat, outlook, excel and sales force knowledge Bartender LeadBuffalo Rose - Golden, COSeptember 2018Open the bar in the mornings, count the banks. Make sure that the events for the day are correct and they everything is still on track, control liquor and beer inventory and orders. Closing the bar, wash all the glasses and make sure the closing duties are complete stock the beer and liquor backup, close bank and lock down building.Bar Manager/BartenderJhonny Z Casino - Central City, COSeptember 2013 to March 2018Open the bar and do all the opening duties count the bank, set up the bar, walk around and take drink orders, make the drinks, and deliver the guests with there beverages. Give great Customer Service skills and make sure that the guests are pleased. and that you keep the bar and all the coffee stations cleaned and fully stocked.Home Health Aide (HHA)Hospice Advantage - Lakewood, CONovember 2013 to June 2015Go to the Patients House, Clock in and look over there daily duties. make sure that they are comfortable, give daily dosage of meds, help to the bathroom or change patient, dress patient, feed, and do house work if needed or any errands that may needed.EducationPsychology- CPR and First Aid CertificationCollege America-Denver - Lakewood, COJuly 2013 to February 2015DiplomaGolden High School - Golden, COAugust 2004 to May 2008Skills Hospice Care Home Care Bartending Logistics Supply Chain Hospital Experience Shipping & Receiving E-Commerce (2 years) Customer support CRM software Salesforce Behavioral health (2 years) Insurance verification (3 years) HIPAA (4 years) Case Management Medical coding Customer service Managed care Intake Medical terminology CPT coding ICD coding Medicare Medical billing ICD-10 Microsoft Excel Windows Microsoft Office Computer skills Medical office experienceCertifications and LicensesTSA security clearancePresentGaming licenseCPR CertificationDriver's License |
