Allison Maldonado
@allisonmaldonado
Highly analytical Grievance and Appeals Coordinator with healthcare expertise.
United StatesWhat I'm looking for
As a Grievance and Appeals Coordinator with two years of experience in the healthcare industry, I have honed my analytical skills to effectively resolve complex cases. My role at Centene involves analyzing and managing claims and authorization appeals, ensuring compliance with regulatory standards while enhancing stakeholder satisfaction.
My background in property management has equipped me with strong communication and problem-solving skills, allowing me to engage effectively with stakeholders and manage conflicts. I am committed to continuous improvement, utilizing data analysis to identify trends and improve service delivery in the grievance process.
Experience
Work history, roles, and key accomplishments
Grievance and Appeals Coordinator II
Centene
Jan 2023 - Present (2 years 7 months)
Analyzed and resolved verbal and written claims and authorization appeals from providers, and managed formal grievances from members. Prepared detailed response letters for member and provider complaints, grievances, and appeals. Maintained and organized comprehensive files on individual appeals and grievances, ensuring timely documentation and compliance with regulatory requirements.
Senior Property Manager
Conifer Realty
Jan 2019 - Dec 2022 (3 years 11 months)
Oversaw day-to-day operations of residential properties, maximizing asset value and ensuring smooth functionality. Collected rent, prepared annual budgets, scheduled expenditures, and corrected financial variances. Investigated and resolved tenant complaints, enforced occupancy rules, and ensured legal compliance.
Education
Degrees, certifications, and relevant coursework
High Tech Institute
Associate of Science, Surgical Technology
2006 - 2008
Completed an Associate of Science in Surgical Technology, gaining foundational knowledge and practical skills in surgical procedures and patient care. Focused on developing expertise in aseptic techniques, surgical instrumentation, and operating room protocols.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Job categories
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