**** ** ***** ****. *** A*

San Diego, CA *****

619-***-****

ad1rg7@r.postjobfree.com

CAROLINA NAVARRO

OBJECTIVE

Eager to begin an entry level- intermediate position with opportunity for growth with the Harbor Police Department. Enthusiastic about using my knowledge from customer service, working well with people to problem solving where it can best be utilized, and to best exude my natural affinity to assist.

SKILLS & ABILITIES

Oracle CRM experience, avid user in AS400, Type 55 WPM, Extensive Customer Service Skills, Data Management skills, Bilingual - Spanish, Computer Literate, Phone Etiquette Skills, Knowledgeable in Health Services.

EXPERIENCE

MAGELLAN HEALTH SERVICES- APPEALS COORDINATOR

10/2017- Present

Assist Magellan care managers and internal doctors in scheduling peer to peer reviews and consults. Performed follow-up to ensure reviews occur as scheduled and verbal and written reports are generated by Physician Advisors. Analyzed pending completion rate based on PA review due dates and ensured all deadlines are met.

MAGELLAN HEALTH SERVICES- DATA MANAGEMENT SPECIALIST/CUSTOMER SERVICE

11/2015-10/2017

Assist Magellan members and providers with eligibility, benefits, claims, and authorization of services in various Levels of Care. I also assisted in the administration of intake documentation in the appropriate systems, such as discharging patients. Data Management duties include inputting authorizations into AuthAccel system and mailroom duties such as receive, open and scan mail. Have also assisted the clinical team with discharges and authorizations.

COVANCE MEDICAL INNOVATIONS- [CALL CENTER]

02/2015-05/2015

Help patients and providers access the therapies they need. Respond to requests from customers, who may include, but not limited to, physicians and their staff, hospital staff, pharmacists, patients, family members or friends of patients, distributors, and members of the clients' sales forces. Additionally, I would also perform reimbursement support functions as project requirements.

WILLIAMS-SONOMA EMAIL RESPONSE TEAM [CALL CENTER]

09/2014 – 01/2015

Assist customer via email with returns/exchanges and . Update customer accounts with new email addresses, residential addresses, and phone numbers.

EDUCATION

SOUTH HIGH SCHOOL- BAKERSFIELD, CA

Graduated in 2008, received HS Diploma. Graduated with 3.8 GPA.

CALIFORNIA STATE UNIVERSITY, BAKERSFIELD, CA

Attended 3 years, 4.0 GPA, Honor Roll.

Major: Psychology

REFERENCES

AVAILABLE UPON REQUEST

Contact this candidate