Details
Skills
● Ten key by touch; wpm 55;
● Advanced working knowledge of Windows, Google Office,
and Apple OS systems, and their associated main
softwares;
● Strong understanding & ability to use systems associated
with financial institutions that include balancing clients'
accounts, walk-throughs with client web-based portals,
and installation of apps to clients’ cell phones;
● Possess an advanced skill-set for research and advocating
for citizens in regards to gaining insurance and other
benefits related to Pacific Source, Medicare, and Medicaid;
● Advanced knowledge and practice for the Health
Insurance Portability and Accountability Act ("HIPAA");
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● Processed appeals and disputes by gathering and
verifying claim information, researching and resolving
claim issues, and communicating outcomes to
appropriate parties both internal and external as needed;
● Became an in-house expert on all claims-related matters
and provided answers, as well as support to Client
Success and internal Support teams;
● Contributed to teamwide goals to improve claim processes
and integrated additional functions into daily operations;
● Excellent skills in dealing with high-end clients (ie actors,
directors, company presidents);
● Identified operational issues and, when directed,
escalated them to the appropriate internal team
member/department, otherwise I took the initiative to
resolve the issue (with approval from upper management)
and created documentation and processes to avert in
future cases;
● Displayed and maintained strong skill-sets with
multi-tasking, both with and without supervision;
● Worked independently and as part of a team to meet
deadlines and daily processing quotas and when my
duties were completed, partnered up to make sure team
processing quotas were met;
● Performed pro bono background checks on persons
looking to gain housemates, criminal background checks
for pre-convention staff members to make sure they did
not have backgrounds that would be unsafe with
convention attendees, vendors and guests. Additionally, I
perform (also pro bono) investigations for missing
persons, with a tenure of two years a nation-wide cold
case research organization;
● Demonstrated proactive de-escalation and resolution
abilities, with a strong focus on client retention, with a 10+
year span.
About
I bring not only a wealth of knowledge gained within the healthcare-pharmacy, benefit advocacy, financial, and ADA-accessible transportation services - I also bring a very unique point of view of how to make sure clients get not only what they need, but are taken care of even beyond that. I have been blessed with being able to assist others because I have been able to BE in their shoes. I had a brain tumor the size of a Cutie tangerine and had to have surgery and go through the challenges of relearning and retraining myself in the ways that started my path to Advocacy of others, so that I can *continue* that path - stronger in my determination to help others.
Known for calm, thorough problem-solving—resolving
complex account, benefits, and scheduling issues while
protecting sensitive data (HIPAA) and ensuring
policy/compliance adherence. Strong communicator who
builds trust quickly, de-escalates high-stakes situations,
and advocates for accommodations and resources to
help people succeed. Experienced in high-volume
coordination (e.g., ~100 same-day ride requests/day),
documentation/process improvement, and cross-team
collaboration to deliver accurate, on-time service.
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