ALICE NICOLE VAZQUEZ

**** * ***** ****** *******, Arizona 85326 602-***-**** adhpcd@r.postjobfree.com

[REFERENCES -Furnish Upon Request]

EDUCATION

Sonora High School I La Habra, California

High School Diploma Received I June ‘09

DeVry University I Phoenix, Arizona

Degree Received I Jan ‘10-Nov ‘16

I. Associates of Applied Science: Health Information Technology Currently Pursuing Bachelors of Science: Technical Management-IT Networking I Jan ‘20-Present WORK HISTORY

DIGICOM USA I Brea, California

Telesales-Telecommuter I May ‘09-Dec‘11

I. Generate revenue from telesales communication to new sale clientele for a broad range of companies and different industries: hotels, manufacturing companies, etc.

II. Sell and inform our NEC telecommunications product III. Follow up on new and existing regulars

IV. Schedule appointments to present the NEC system, its types and its functions V. Manage client relationships to build a reputation for excellent service and generate repeat business VI. Telecommuter experience

Health Net of California I Woodland Hills, California Health Net Associate- Representative I May ‘12-August, ‘13 I. Provide medical coverage and claim information to providers and members for California, Oregon, Arizona, and for all Spanish speakers

II. Assist and follow up on expedited and urgent requests from providers and members III. Mentor the new employees

IV. Meet supervisors’ expectations: quality, accuracy, accessibility, and security via phone and electronic systems V. Assist with claims (claim status, adjustments, reimbursement, processing, etc.) VI. Assist patients with Authorization Disclosure and Appeals/Grievance issues and forward to correct department VII. Project participant (assisted 30 employees on OMNI system support and report new finding to Manager) McKesson Corporation I Scottsdale, Arizona

Pharmacist Triage I Sept ‘13-Oct ‘13

I. Triage new and existing patients to medication specifically for patients with Multiple Sclerosis II. Provide medicine information, side effects, dosage per providers’ orders, and alternatives if medicine does not work for patients

St Luke’s Medical Center I Phoenix, Arizona

Advocate Customer Service Specialist I Nov ‘13-Dec ‘13 I. Taking care of medical and surgical billing for the hospital II. Communicate with attorneys, lawyers, etc. regarding urgent hospital/emergency care matters III. Organize paperwork that is laid out via after print, manage system programs as trained, and distribute information to patients and staff as directed

UnitedHealth Group -Work at Home I Phoenix, Arizona Military & Veterans Clinical Coordinator –TRICARE I Jan ‘14-Oct ‘17 I. Research/Analyze/Approve/Deny authorizations/referrals for Active Duty Service Members and Families II. Handle/Solve all types of “Escalation Cases” coming from the Military & Treatment Facilities, PGBA, Managers, and Referral Managements

III. Proficient knowledge in CSP Facets, CSP Macess EXP, PCOMM-RX Claims (Utilizing systems for Prior Authorization requests, pharmacy concerns & services already rendered in general/escalated cases) IV. Volunteering on a system project: UAT Integration-PEGA system V. System testing: test the scripts and process with attentive detail: Care One Bravo/Stage, PEGA Bravo/Stage/Alpha, and PCH

VI. Additional System Testing of: CPT, HCPC, Episode of Care, and ICD-9 codes for appropriate routing for Prior Authorization Coordinators

VII. Assist with Reports and Presentations related to authorization process, system testing, and company improvements. VIII. Audit/Train/Coach/Guide other Prior Authorization Coordinator using United Healthcare M & V resources provided to us

IX. Leading WebEx Training Sessions ( Prior Authorization requests for Dental & PEGA system testing) X. Assist other coordinators with technical problems when arise for all systems and PEGA ( currently still in testing mode )

UnitedHealth Group- Work at Home I Phoenix, Arizona Community & State - HARC High Touch Call Team I Oct ‘17-Feb ‘20 I. Senior Member Advocate

II. Proficient knowledge in CSP Facets, CSP Macess EXP, PCOMM-RX Claims (Utilizing systems for Medicaid & Medicare services in general)

III. Knowledge in GPS, ICUE, ISET, and other Medicaid/Medicare related resources including health assessments Amazon – Warehouse Goodyear, Arizona

Fullfillment Assembler Sept ’20-Sept ’20 (21st-25th) I. Assemble 8 foot tall shelving units in the Amazon warehouse production line environment in the city of Goodyear, Arizona

II. Lifting, balancing, reaching, walking, and stooping materials weighing more than or about 40 pounds Centene Corporation – WFM State of Illinois Department of Health Medical Screener Sept ’20-Oct ’20 (24th-14th)

I. Inform patients on their COVID-19 results

II. Educate precautionary procedures and post remedy after results have been verified to patient SOFT SKILLS

Computing technological skills: Microsoft Office-60 WPM-10-key touch-System literate-Bilingual (English and Spanish)- Organizational-Loyal-Responsible-Self-motivated

OBJECTIVE

Obtain a position where I can grow and be able to utilize my current skills, quality assurance, personal development, and training experience.

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