Antonio Bomar

Prepare prescription orders, apply labels and assemble medications while maintaining inventory levels and meeting established accuracy and productivity targets.

Manage intake and triage of Medicare Advantage member appeals and complaints, build provider/vendor appeals and IRE cases, and maintain 100–120% productivity with >90% quality.

Collaborated with case managers and community partners to coordinate treatment options, documented accurate member data, and served as point of contact for a Confluence space rewrite.

Handled inbound/outbound member communications to resolve claims and billing issues, maintained HIPAA confidentiality, and collaborated with clinicians and providers to ensure member satisfaction.

Owned claims resolution end-to-end, communicated with customers and contractors, authorized work orders and procured necessary parts to achieve timely, cost-effective claim closures.

Processed and adjudicated medical transportation claims while supporting multiple health plan requirements and handling inbound customer calls.

Answered inbound calls for medical transportation, scheduled services and supported customers according to guidelines to ensure timely service delivery.

Prospected small business clients and processed credit applications over the phone to drive adoption of financial services including lines of credit and credit cards.

Advised customers on merchandise selection and care, recommended products to meet needs, and maintained the sales floor to drive purchases.

Provided table service, promoted specials, processed payments, and ensured guest satisfaction through prompt, courteous service.

Operated concessions and ushering duties, performed opening/closing tasks and facility maintenance while assisting guests to ensure a positive theatre experience.

Completed a Media Communications certificate online from Full Sail University in 2021-2022.

Completed coursework online at Full Sail University during 2015-2016.

Attended Phoenix College in Phoenix, AZ for coursework during 2007-2008.

Completed secondary education at Cesar Chavez High School in Laveen, AZ from 2003 to 2007.