ROSARIO SEARLS - GARLAND TX · 469-***-****

ad2bu3@r.postjobfree.com

An accomplished and energetic individual with a solid 37-year history of working in the Health Care Industry is now interested in a work-from-home position. My objective is to continue my extraordinary work ethic, dependability, and willingness to learn or take on a new challenge while working from home.

October 2023 – Current

Customer Service Advocate, OptumRX-United Health Group

Answer 50-70 incoming phone calls per day from customers and identify the type of assistance the customer needs

Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems

Contact care providers (doctor’s offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance when needed

Assist customers in navigating UnitedHealth Group websites while encouraging and reassuring them to become self-sufficient in using our tools

Research complex issues across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issues

December 2020 – October 2023

Care Giver

Provide home health care and assistance to individuals with cancer

Make sure the patient received medication at appropriate times as prescribed by his physician

Prepare meals, change linens, do laundry, and other items as needed.

JULY. 2018 – DEC. 2020

SR. SUPERVISOR, Health Care Service Corporation (HCSC)

Hired, appraised, trained, and disciplined the Performance Guarantees Audit Departments for TX, OK, MT, and NM offering constructive feedback to improve performance.

Developed yearly goals, directed staff on meeting production goals, and conducted performance reviews.

Created a culture of continuous improvement to inspire employees to take action on solving problems.

Report on the findings of the monthly audit reports via presentations, and detailed written reports to Management.

FEB. 2018- JUNE 2018

SR. AUDIT SPECIALIST, (HCSC)

Prepared, reviewed, and examined financial monthly and quarterly reports, and records to identify and correct discrepancies.

Produced current information to help managers make decisions based on relevant data rather than historical trends.

Kept clients in full compliance with payment, reporting, and other financial requirements.

Prepared training material and trained new employees on the audit process.

Feb. 1997- Jan 2018

AUDIT SPECIALIST II, (HCSC)

Complete monthly audits to identify and document potential claims processing and financial errors for the HCSC Performance Guarantees Dept.

Provided detailed analysis, documentation, and explanations for all recorded transactions.

Determined optimal courses of action to reduce risk and boost error finding rate, analyzing and identifying inefficiencies and internal control issues.

Develop audit procedures to evaluate the effectiveness of the Performance Client Guarantees contracts.

Jan. 1995- Jan. 1997

AUDIT SPECIALIST I, (HCSC)

Prepared and audited Performance Guarantee Client’s claims for financial and processing accuracy, and reported inaccurate findings to the appropriate internal areas.

Prepared monthly audit summary reports for internal personnel for year-end analysis.

Secured sensitive and confidential information against unauthorized access by carefully following information protection protocols.

EDUCATION

MAY 2008

CERTIFICATE OF COMPLETION IN MANAGEMENT- RICHLAND COMMUNITY COLLEGE

GPA: 3.9

MAY 1977

HIGH SCHOOL GRADUATE, Rockport Fulton High School

SKILLS

Process Improvement

Training and Development

Performance Reviewing

Certificates: Beginner Excel, Intermediate Excel

Macros and VBA, Intermediate Pivot formulas, Excel Formatting and Excel Charts

Plan projects

Reporting and documentation

Team Building

ICD9, ICD 10, Medical Terminology

ACTIVITIES

Community volunteering for church activities, food bank volunteer, assisting neighbors in time of need, a volunteered to give and distribute gifts for nursing homes and other facilities.

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