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CHRISTINA ELLIS

@christinaellis

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Dedicated referral specialist with extensive customer service experience.

United States

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What I'm looking for

I seek a role that offers growth opportunities and values exceptional customer service.

I am a dedicated Referral Specialist with over five years of experience in the healthcare industry, currently working at Centene in San Antonio, TX. My role involves monitoring the utilization of medical services and ensuring cost-effective use of resources through efficient processing of prior authorizations. I pride myself on my ability to verify eligibility and benefits while maintaining high standards of customer service, which has been a cornerstone of my career.

Throughout my professional journey, I have developed strong skills in customer relationship management, data entry, and problem-solving. My previous positions, including Senior Customer Service Representative at Superior HealthPlan and Care Team Associate at Wellmed Medical Management, have equipped me with the ability to handle complex inquiries, educate providers, and maintain performance metrics. I am passionate about contributing to a team that values growth and exceptional service.

Experience

Work history, roles, and key accomplishments

Current

Sr Customer Service Rep

Current

Superior HealthPlan

Oct 2016 - Present (8 years 8 months)

Provide support to healthcare providers regarding claims and eligibility for various health programs. Educate providers on health plan initiatives and ensure first call resolution.

Customer Service Claims CRM Software Communication Skills Problem Solving Quality Assurance

Current

Referral Specialist I

Current

Centene

Feb 2018 - Present (7 years 4 months)

Assist in monitoring utilization of medical services by processing prior authorizations, verifying eligibility and benefits, and managing phone queues and faxes. Responsible for data entry of authorizations into the system.

Authorization Data Entry Customer Service Fax Time Management

Care Team Associate

Wellmed Medical Management

Jul 2016 - Oct 2016 (3 months)

Support care coordination nursing staff by conducting intake screenings, responding to escalated inquiries, and coordinating patient transportation and appointments.

Care Coordination Communication Administrative Support Scheduling Problem Solving Data Management Team Collaboration

Texas Works Advisor II

Health & Human Services Comm

Dec 2007 - Oct 2015 (7 years 10 months)

Determine eligibility for various health programs by interviewing clients, documenting information, and verifying data. Mentor new employees and supervise the unit as needed.