Customer Service Health
Resume:
TAYLOR COBBIN, MS
Pasadena CA, 91103
************@**********.***
SUMMARY:
Driven, accountable and compassionate corporate healthcare professional, with 3 plus years of hands-on
experience in fast-paced healthcare environments including team lead/supervisory and training experience
inside of call center and customer service environments. Plus an advanced educational background within the
public health, corporate health education, and healthcare administration field: including knowledge of Medicare,
Medicaid and Commercial insurance policies and practices.
EDUCATION:
Master of Science, Health Promotion concentration: Healthcare Practices, August 2011
Texas A&M University-Commerce, Commerce TX
Bachelor of Science, Health Promotion and Education, Minor Business Administration, May 2010
Texas A&M University- Commerce, Commerce TX
WORK EXPERIENCE:
Sr. Clinical Coordinator- Medicare Coverage Review, UnitedHealthcare, Cypress, CA, September 2012-
Present
• Reviewed clinical/benefit data in order to reach a coverage determination on procedures, services and
equipment that required prior clinical authorization/medical necessity review
• Assisted in resolving and satisfying client requests and internal operational issues.
• Identified process improvements in the day-to-day functioning of the department.
• Cooperated and communicated effectively with physicians to ensure client satisfaction and compliance
with set standards
• Managed and aided in different project management duties including implementation of new platforms,
training team members
• Recipient of 2 spot awards ( management given award based on performance and contributions )
Clinical Coordinator-Commercial/Medicare Prior Auth, UnitedHealthcare, Richardson, TX, July 2011-
September 2012
• Responded to provider and member calls and questions concerning patient medical procedures
• Resolved medical provider issues as related to prior authorization of upcoming procedures
• Completed notification with ICD-9 and CPT coding
• Trained new hires to ensure quality and effectiveness
Health Screening Specialist, Viverae Inc, Dallas, TX January 2011-January 2012
• Served as a lead and an avid team player at screening event
• Tracked staffs expense reporting and time cards
• Ensured the organization of all confidential screening material, paper work and data entry
• Coached and educated participants about important health trends surrounding their screening results
Health Assistant/Team Lead, Health Services, A&M-Commerce, Commerce, TX, August 2008- August 2011
• Determined the health needs of students, faculty and staff on the campus of TAMU-Commerce
• Developed measuring instruments used to collect accurate data about the health need population.
• Assisted in the development and implementation of the Wellness EXPO Responsible for leading a staff
of 4 or more student workers during various wellness events
Head Resident Assistant, Resident Life, A&M-Commerce. Commerce TX, January 2007-December 2011
• Supervised a staff of 8 or more Resident Assistants
• Participated in the hiring of new staff members
• Conducted monthly assessments/evaluations of staff members
• Mange payroll and administrative task as it relates to supervisor roles
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