Christine Green
@christinegreen
Insurance authorization and customer service specialist focused on accurate coverage decisions.
United StatesWhat I'm looking for
I’m an insurance authorization and utilization management professional who supports timely, policy-aligned decisions. At Centene, I aid the utilization management team by maintaining ongoing tracking and documentation for authorizations and referrals.
I support the authorization review process by researching and documenting necessary medical information—history, diagnosis, and prognosis—based on referrals to clinical reviewers. I verify member insurance coverage and service/benefit eligibility through system tools, perform authorization-related data entry, and route requests to the appropriate clinical reviewer.
Previously at Elevance Health, I served as an Insurance customer service specialist—helping members and providers by changing primary care providers on file, mailing ID cards, faxing explanations of payment/EOBs, and supporting appeals. I also handled authorization status searches and provided guidance on denied/rejected/paid claims, including identifying denial reasons and reprocessing denied claims.
My background also includes leadership and organization from retail and office work: as a Lead Retail Associate at Zara, I managed schedules, trained new employees, handled cashier transactions, and supported inventory and store operations. I bring the same diligence and customer-first professionalism I’ve used as an Office Assistant, childcare staff member, and volunteer—always focused on confidential information and exemplary service.
Experience
Work history, roles, and key accomplishments
Supported the utilization management team by tracking authorizations and referrals and documenting required medical information for clinical review. Verified member insurance coverage and aligned authorizations with guidelines to support timely adjudication.
Assisted members with primary care provider changes, sent ID cards, and handled requests for explanations of payment/benefits. Researched authorization and claim status, supported appeals, and provided eligibility and benefits to members and providers.
Patient Eligibility Volunteer
Pelham Parkway Nursing Care
Jan 2017 - Jan 2021 (4 years)
Supported patient services by filing patient information, verifying eligibility and coverage, and assisting with patient scheduling. Helped maintain medical records to support day-to-day operations.
Lead Retail Associate
Zara
Dec 2016 - Jun 2017 (6 months)
Handled point-of-sale sales transactions, reimbursements, and customer service by escorting customers and supporting purchases. Trained new employees on store operations and cashier tasks, and supported scheduling and inventory organization as a lead associate.
Senior Companion Volunteer
Bay Park Nursing Home
Jan 2015 - Jan 2016 (1 year)
Provided companionship to elderly residents through conversation, reading, and watching television programs. Assisted with leisure activities by playing card and board games with residents.
Office Assistant
Renaissance Youth Center
Jul 2015 - Oct 2015 (3 months)
Coordinated trips and outings for youth groups by booking transportation preferences and supporting group needs. Managed office tasks such as phone direction, copying, faxing, and printing, while welcoming visitors and handling youth enrollment materials.
Youth Empowerment Group Leader
Lion of Judah Assembly Church
Jan 2014 - Jan 2015 (1 year)
Led a youth empowerment group by developing choirs, spiritual dance groups, and biblical study activities. Coordinated youth engagement and program participation in a supportive community setting.
Staff Member
Harvest Amy Day Care Center
Jun 2014 - Sep 2014 (3 months)
Developed and supported child activities aligned with lesson plans, encouraging problem-solving, multitasking, and appropriate eating and toileting habits. Provided childcare support including monitoring play time, assisting with infant care needs, and preparing and serving snacks and lunches.
Education
Degrees, certifications, and relevant coursework
Satellite Academy High School
High School, Technology
2011 - 2015
Activities and societies: Member of the debate team.
Completed studies at Satellite Academy High School, majoring in Technology, and participated in the debate team.
Availability
Location
United StatesAuthorized to work in
Job categories
Skills
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