U

Shauntae R.

Uribe

786-***-****

lataejones@gmail.

com

***** *.*. **** **

Unit # 322

Miramar, FL 33025

SUMMARY

Collaborative leader with dedication to partnering with coworkers to promote engaged,empowering work culture. Ability to facilitate and improve company relations with other businesses. Documented strengths in building . And maintaining relationships with diverse range, of stakeholders in dynamic fast- paced settings.

SKILLS

• Excellent verbal and written

communication skills.

• Through understanding of

marketing strategies and

practices.

• Proficient with Microsoft Office

Suite or related software.

• Business Development.

• Through understanding of market

developments.

• Excellent organizational skills and

mindfulness.

• Proficient with Cactus Software

Program.

EXPERIENCE :

Mailroom Production Specialist / Facilities Assistant / LTC Correspondence Coordinator

Pembroke Pines, FL

Sunshine Health / Jun 2017 to Current

• Distribution of over 10,000 high volume mails.

• Regulatory filings and compliance, Distribution of Mail to all departments.

• Handling coordination of mail and packages.

• Assist with special projects for Administrative Staff.

• Works closely with program staff to design and implement communications. Strategies and effective messaging for organizational and project-specific goals.

• Provides Admin Support to Facilities & IT Department.

• Overseeing preparation of marketing copy, images, videos, emails, and other collateral.

• Planned and executed events and marketing programs to increase qualified leads.

• Daily reviewing, equipment’s, spacing, safety.

protocol,continually working Tango files .

• Managed inventory levels and restock supplies to keep up with high production needs.

• High Volume of Mail, Opening and Sorting.

• Critical Analyst, resolving verbal and written matters.

• Secured long term accounts by recommending strategies to promote brand effectiveness and highlight product benefits.

• Maintaining files, processing( DCF) Department of Children & Families document.

• Documented deviations in procedures or appearance on production batch sheets for management review.

Correspondence Representative

Sunrise, FL

Ultimate Staffing / Team Health/ Jan 2017 to May 2017

• Requesting medical records, l looking at claims, requesting more supporting information.

• Organize and identify unique technology needs.

• Responded to over fifty customer questions via telephone.

• Written correspondence, regarding insurance benefits, providers contracts, eligibility, and claims.

• Educate clients on insurance policies and procedures.

• Researched and resolved uncommon flagged system, performance issues.

Disability Claims Data Operator

Plantation, FL

Lance Soft Staffing / Aetna / Sep 2016 to Jan 2017

• Regularly communicate and interacting with providers.

• To obtain appropriate medical information.

• Kept detailed logs with care actions, patient behaviors, and incidents.

• Verification and authorization status updates with management department.

• Reviewed outstanding requests and redirected workloads.

• Contacted insurance carriers to discuss polices and patents benefits.

• Developed strong client relationships.

• Delivered exceptional customer service and

problem resolutions.

Credentialing Clerk

Sunrise, FL

Insight Global Staffing / MD LIVE INC/ Feb 2016 to Jul 2016

• Checking status on new providers applications.

• Reviewed outstanding requests and redirected workloads to complete projects on time.

• Developed strong client relationships to deliver exceptional, customer service and problem resolution, data entry, background checks and board certifications.

• Maintained current knowledge of medical staff.

by laws, rules, regulations, polices, procedures, credentialing requirements.

• Enrolled one hundred Medicaid and Medicare providers. into private insurance plans.

• Took notes on filed examinations and specific case details, updated databases and produced reports. Outlining results of investigations.

• Maintained up-to-date knowledge of applicable laws and regulations.

Record Audit Analyst

Miramar, FL

Insight Global Staffing / Spirit Airlines/ Oct 2015 to Feb 2016

• Created new profiles records for over sixty new hires.

• Audited line mechanics, vendors, quality

control inspector.

• Verified licenses, authorizations, training history.

• Input training history inside Traxs software program

• Helped with developing inspections, compliance

records, management requirement laws, regulations

polices, and procedures.

Customer Service Rep / Press Ganey Interviewer

Miramar, FL

Convey Health Solutions/ Apr 2015 to Oct 2015

• Make outbound calls through automated dialer.

• Followed HIPPA/Medicare/Medicaid guidelines.

• Conducted surveys on Dialysis, Home Health,

MD patients.

• Used Express Scribe software to type in

medical dictations.

DME Intake Coordinator

Miramar, FL

Univita Health Solutions/ Mar 2014 to Mar 2015

• Performed initial set up for general DME orders.

• Comprehended insurance coverage and

Medicare/Medicaid guidelines

• Followed up on pending orders and authorizations.

• Provides administrative support to patients.

inquires/services calls.

• Request subcontract/LOA orders when required.

Verification Manager

Virginia Gardens, FL

Senior Life Response/ Dec 2013 to Mar 2014

• Enrolled customers in new services.

• Performed prominent level of data entry.

• Followed up on pending orders and authorizations.

• Provides administrative support to patients.

• Reassured customers of benefits and pricing.

• Verified insurance authorizations.

Audits Specialist / Appeals & Denial Specialist

Doral, FL

Asset Staffing /US Medical Supply/ Jul 2013 to Dec 2013

• Open and sort mail for distribution.

• Researched denied claims and file appeals letters.

• Completed productivity report, scanned audits .

• Constructed together audits packets for

patients and Medicare.

• Maintained filing systems.

• Verified insurance information on file.

Pharmaceutical Sales Representative

Coral Springs, FL

Premier Staffing/ Plaza Healthcare Solutions/ Feb 2012 to Jul 2013

• Called patients and enrolling them in new services.

• Reviewed benefits and pricing on medications.

• Refilled orders on medications.

• Verified demographics of patients.

Compliance Specialist / Insurance Verification / Credentialing Miami, FL

Doctor Diabetic Supplies/ Nov 2008 to Mar 2012

• Follow up with insurance providers for payments.

• Research denied claims and file appeal letters.

• Making calls to existing customers to renew subscription.

• Filed faxes and scanned correspondence documents to doctor offices.

• Upsold patient’s new diabetic products.

• Performed data entry.

• Overview medical records.

• Posted patients insurance payment.

• Advised doctors of incorrect ICD 9 codes.

• Outbound calls to doctor’s office to retrieve POF.

• Communicated with doctors, insurance carries.

• Verified patient’s demographics.

Accounts Payable Assistant

Hialeah, FL

American Engineering & Development Corporation/Oct 2007 to Apr 2008

• Distributed of mail.

• Pay monthly invoices.

• Maintained filing systems, prepare statements.

• Negotiated pricing for merchandise .

• Make outgoing calls to vendors, requesting invoice statements.

Sprint Business Consultant/QA Verification Manager Miami Lakes, FL

Inktel Direct/ Jul 2001 to Mar 2007

• Created productivity analysis reports.

• Audited accounts history records.

• Training new employees, as well as old employees.

• Performing quality control on orders.

• Listening to agent’s phones calls.

• Quality control on call procedures.

Education and Certificates

• Doctorate in Christian Ethics & Business Management Higher Place University Alpharetta, GA 2023

• Fashion Merchandising & Marketing

Johnson & Wales University Providence, RI 1997- 2001

• Business Computer Applications 1997

• Desktop Publishing 1997

• High School Diploma William Turner Technical Arts Miami, FL 1997

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