Reliable Manager demonstrating high level of ownership and initiative. Quick and effective at decision-making and learning skills while maintaining excellent customer service throughout sales experience. Possessing exceptional work ethic and desire to go above and beyond to exceed company expectations. Offering knack for building productive working relationships. Successful in fast-paced, deadline-driven environments to manage goals and team development. History of thriving in team-oriented environments. Successful coordinator of community service resources to meet needs and expected demands of vulnerable local populations. Proficient in organizing program referrals, providing direct support and coordinating outreach. Talents include building relationships and partnerships to further goals.
•Created spreadsheets to record the providers and facilities main phone numbers.
•Assisted the management team to open new cases for the members in the facet queue.
•Collected member's information via faxes and verified their M11Q request form for management approval.
•Contacted members, providers, and social workers for additional clinical requests.
•Reviewed and analyzed clinical information before approval or denial.
•Prepared approval, denial and extension letters to mail out to members.
•Gathered, entered and updated data to maintain departmental records and databases, as appropriate; established and maintained files and records for the office.
•Researched and analyzed data related to administrative functions: supply/inventory management, payroll, scheduling, budget, clinical/regulatory compliance.
•Prepared a variety of communications, reports, and charts, written documents detailing the findings which may be highly sensitive and confidential in nature.
•Monitored processing of claims for reimbursement and ensured all necessary documentation and attachment were included with claims. Interacted with administrators to coordinate communication of billable services to patients.
•Assisted in the resolution of patient complaints and concerns and resolve.
•Processed payment statements by posting, listing and adjusting payments. Reviewed, denied any pending listing; notified appropriate personnel and took corrective action.
•Trained supervisors and team members for the local and other branches; communicated messages from upper management to employees.
•Inspected the environment for compliance with NYC Health Department requirements and New York City building Department.
•Controlled budget and increased sales by 20% in 2018 compared to the year 2017; provided excellent customer service.
•Partnered with loss prevention and the police precinct to decrease larceny.
•Made recommendations regarding fiscal and staffing requirements to assist in the preparation of budgetary plans.
•Maintained the confidentiality and privacy of patient, and customer information.
•Communicated issues, initiatives, and trends, and of any problems requiring administrative intervention or review to the district manager.
•Performed routine quality monitoring to ensure that data is collected and analyzed regularly as needed to improve performance.
•Demonstrated good judgment by conducting each aspect of supervision, planning, and program development and oversight in a fair, firm, consistent, and objective manner.
•Trained managers, supervisors, and merchandisers for the company.
•Monitored store staff performance results by coaching, counseling, and disciplining employees; planning, monitoring, and appraising outcomes.
•Analyzed sales figures to maximize revenues bring profit up to 35% sales.
•Established rapport with potential and existing customers, employees, vendors, and managers to understand service requirements.
•Planned and scheduled work for staff to ensure proper distribution of assignments and adequate staffing, space and facilities for subsequent performance of duties.
•Assisted the district manager in the development of new methods, procedure, and processes to increase efficiency and to improve service delivery, production, equipment performance, scheduling and quality control.
•Fostered an environment of open communication and teamwork in support of the department and organization's goals and objectives.
•Delegated responsibilities effectively, providing the necessary support and information for a successful outcome.
•Utilized key performance measures for continuous performance improvement efforts and managing daily operations.
· Provided leadership through effective communication, feedback and delegation.
· Ensured that appropriate procedures are defined and utilized to resolve issues raised by internal and external customers.
· Provided orientation, training and continuing education for all staff.
· Ensured that the performance of all staff is evaluated in writing annually or more often if significant performance problems are identified.
Companies Worked For:
Job Titles Held: