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Candidate's Name  - GARLAND TX  PHONE NUMBER AVAILABLEEMAIL AVAILABLEAn accomplished and energetic individual with a solid 37-year history of working in the Health Care Industry is now interested in a work-from-home position. My objective is to continue my extraordinary work ethic, dependability, and willingness to learn or take on a new challenge while working from home.October 2023  CurrentCustomer Service Advocate, OptumRX-United Health GroupAnswer 50-70 incoming phone calls per day from customers and identify the type of assistance the customer needsAsk appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systemsContact care providers (doctors offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance when neededAssist customers in navigating UnitedHealth Group websites while encouraging and reassuring them to become self-sufficient in using our toolsResearch complex issues across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issuesDecember 2020  October 2023Care GiverProvide home health care and assistance to individuals with cancerMake sure the patient received medication at appropriate times as prescribed by his physicianPrepare meals, change linens, do laundry, and other items as needed.JULY. 2018  DEC. 2020SR. SUPERVISOR, Health Care Service Corporation (HCSC)Hired, appraised, trained, and disciplined the Performance Guarantees Audit Departments for TX, OK, MT, and NM offering constructive feedback to improve performance.Developed yearly goals, directed staff on meeting production goals, and conducted performance reviews.Created a culture of continuous improvement to inspire employees to take action on solving problems.Report on the findings of the monthly audit reports via presentations, and detailed written reports to Management.FEB. 2018- JUNE 2018SR. AUDIT SPECIALIST, (HCSC)Prepared, reviewed, and examined financial monthly and quarterly reports, and records to identify and correct discrepancies.Produced current information to help managers make decisions based on relevant data rather than historical trends.Kept clients in full compliance with payment, reporting, and other financial requirements.Prepared training material and trained new employees on the audit process.Feb. 1997- Jan 2018AUDIT SPECIALIST II, (HCSC)Complete monthly audits to identify and document potential claims processing and financial errors for the HCSC Performance Guarantees Dept.Provided detailed analysis, documentation, and explanations for all recorded transactions.Determined optimal courses of action to reduce risk and boost error finding rate, analyzing and identifying inefficiencies and internal control issues.Develop audit procedures to evaluate the effectiveness of the Performance Client Guarantees contracts.Jan. 1995- Jan. 1997AUDIT SPECIALIST I, (HCSC)Prepared and audited Performance Guarantee Clients claims for financial and processing accuracy, and reported inaccurate findings to the appropriate internal areas.Prepared monthly audit summary reports for internal personnel for year-end analysis.Secured sensitive and confidential information against unauthorized access by carefully following information protection protocols.EDUCATIONMAY 2008CERTIFICATE OF COMPLETION IN MANAGEMENT- RICHLAND COMMUNITY COLLEGEGPA: 3.9MAY 1977HIGH SCHOOL GRADUATE, Rockport Fulton High SchoolSKILLSProcess ImprovementTraining and DevelopmentPerformance ReviewingCertificates: Beginner Excel, Intermediate ExcelMacros and VBA, Intermediate Pivot formulas, Excel Formatting and Excel ChartsPlan projectsReporting and documentationTeam BuildingICD9, ICD 10, Medical TerminologyACTIVITIESCommunity volunteering for church activities, food bank volunteer, assisting neighbors in need, and giving and distributing gifts for nursing homes and other facilities.