This is my profileContact via CazVidAdrian
Customer Service and HR Analyst with 8+ years in Service & HR
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Competencies
Handled medical credentialing guidance and dispute resolution for healthcare providers.
Managed medical authorizations and analyzed medical information for insurance coverage at Auxis.
Resolved employee inquiries, processed HR documents, and maintained data accuracy in Workday.
Streamlined process workflows for medical authorizations and HR operations, improving efficiency.
Applied problem-solving skills to facilitate dispute resolution and employee support activities.
Education
Languages
Summary
Experienced in healthcare support, insurance processes, and HR data management, with a focus on quality service and process improvement.
Key Achievements
- Provided guidance on medical credentialing and dispute resolution for healthcare providers at Concentrix.
- Managed emergency medical admissions and authorization processes at Auxis, ensuring SLA adherence.
- Supported over 70 employees daily by resolving HR inquiries and maintaining data accuracy in Workday at Uber.
Experience
Advisor I Customer Service Rep.
Guidance to doctors on internal medical credentialing., Dispute resolution between the medical provider and the insurance company., Protection of providers information according to internal and governmental processes.
NOA Agent
Emergency admissions case management., Analyze the medical information and determine coverage for each patient., Meet the required SLA ́s.
Insurance Authorization Jr. Agent
Management of medical authorizations., Gather information on specific insurance companies for continuous process improvement., Optimization of time management to effectively handle each scenario.
HR People Support Analyst
Apply problem-solving skills to resolve employee inquiries, disputes and escalations using appropriate channels., Meet and exceed daily productivity metrics, keep account of the queue SLA., Provide support to +70 employees per day.
HRIS Coordinator
Maintain and update data within Workday, ensuring a high degree of accuracy., Process mass data change requests (Entity Change, Re-orgs, Acquisitions, Creation of Supervisory Org)., Generate contracts, offer letter documents, addenda, and other related documents as required.