SIERRA B. SYAS

*** ******* *** #** ** Cajon CA, 92020

619-***-****

ac8hid@r.postjobfree.com

PROFILE SUMMARY

Qualified and tenacious professional armed with broad-based background and skills in the areas of health care and customer service. Adept at cultivating managing and leveraging client relationships. Adept at developing effective marketing material networking with business decision makers and turning business prospects into buying customers. Ability to negotiate costs and secures rights for music and other media used in programming. Able to communicate the company’s strategic vision both externally and internally. Displays outstanding ability to plan, coordinate, and implement practices and procedures to bring significant improvements in processes towards the successful attainment of goals. Determined to implement earned skills for rapid growth and development.

HIGHLIGHT

Relationship Development

Public Relations

Medical claims expert

Knowledge of ICD-10 codes

Communications Skills

Business Development

Programming

Intermediate facet skills

Mental health specialist

Problem Solving

Good Time Management

Interpersonal Skills

Teamwork

Notary signing Agent

EXPERTISE AND QUALIFICATIONS

Active Listening: Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.

Complex Problem Solving: Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.

Coordination: Adjusting actions in relation to others' actions.

Critical Thinking: Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.

Judgment and Decision Making: Considering the relative costs and benefits of potential actions to choose the most appropriate one.

Management: Coordinating and guiding others to meet objectives and goals.

Monitoring: Monitoring/assessing performance of other individuals, or organizations to make improvements and take corrective action.

Multitasking: Juggle multiple tasks and responsibilities while remaining composed and meeting deadlines.

Relationship Management: Conflict resolution, motivating, organizing, troubleshooting and establishing rapport.

WORK EXPERIENCE

Celeb-works I PR Assistant(Intern) I June 2018-Present

Assist in coordinating celebrity publicity events

Develop collaboration concepts, segments and content for influencer/celebrity and brand related partnerships

Manage social media accounts

Identify, pitch and follow-up with editorial opportunities and new media opportunities

Notary Signing Agent I Self I March 2016-Present

Traveled to people’s homes or businesses to witness signing documents

Witnessing all forms of documents loan closing as an independent contractor

Ensure compliance with company policies, underwriting guidelines, and lending program requirements

Assisted clients with loan applications, refinancing, escrows and reverse mortgages.

Claims Resolution Specialist/Appeals Magellan Blue Shield of CA August 2017 – December 2018

Review various system settings in new system.

Analyze claims for data corrections.

Train new-hires on how to navigate FACETS

Open new accounts for customers affected by fraud and mimicking services

Accurately submit valid items to be paid for providers and facilities

Investigate and evaluate complex claims

Follow up with providers regarding resolutions

Schedule clinical review if needed

Assist appeals with non auths and non auth letters

Behavioral Health Care Worker/ Administrative Assistant Magellan Blue Shield of CA October 2015 – August 2017

Request and input Ad-Hoc request in the system

Update authorizations with approved rates, complete super user request (discharging cases, discharging concurrent review, making auth changes)

Distribute mail in clinical fax box to appropriate party and note clinical for member discharges

Assist out of state Care Managers with creating initial auths (pre-service)

Call out to facilities to advise of non-authorization and send out correspondence.

Create spreadsheets using excel for team meetings

Schedule meetings using Micro-soft office

Provide direct support to CEO

Create new work flows and present them using PowerPoint.

Update PDR log (excel sheet), Complete MAT Medication report weekly, Complete open case report daily, Process CARTs (complaints, compliments, concerns)

Upload member eligibility in MEMBER Q, Assist appeals with Non-auth letters, Count Care Manager’s cases (queue counting).

Customer Service Representative Magellan Health San Diego, CA September 2013 – October 2015

Took incoming calls for Blue shield of CA regarding Behavioral Health,

Reviewed claims with members and providers, Create SRA submissions for claim repossessing,

Serviced patients in need of mental health services, Creating authorizations for facility based treatment,

Interpreted mental health and substance abuse benefits,

Managed the mental health crisis line for members in crisis situations, Conducted phone audits for myself and other employees due on monthly basis

Professionally handled a high volume of incoming calls

Thoroughly and efficiently gathered customer information, assessed and fulfilled customer needs and educate customers where applicable regarding products and services listed above

Resolved customer issues via one call resolution guidelines and/or escalated process

Met or exceed company and client performance metrics

Maintained a balance between company policy and client benefit in decision making

Continuously evaluated and identified opportunities to drive process improvements that positively impact our client and its customers

EDUCATION

Bachelor’s Degree La Film School I Entertainment Business March 2019

Degree: Business Mesa Community College

High School Diploma Chaparral High School 2010

AWARD AND CERTIFICATION

Awarded Spirits Scholarship

FCRA certified

Notary signing Agent /Loan signing agent

NNA Certified

GENERAL SKILLS AND COMPETENCIES

Possesses a positive, mature and professional attitude. Excellent sense of initiative, tidiness, adaptability and networking. Achieving goals, creative/strategic thinking and problem solving.

Demonstrated ability to work and perform at the highest standards in complex and demanding environments. Excellent ethics, hardworking, focus minded and sound organizational ability.

Flexible to change with excellent planning and execution skills and works well within the constraints of tight deadlines.

Leveraged interpersonal communication strengths to establish rapport and build trust with clients.

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