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Theresa Rose

@theresarose

Healthcare supervisor at Quantum Health who supported treatment authorizations and member advocacy, and supervised 12 employees at CorVel Corporation.

United States

Message

What I'm looking for

I’m seeking a position within an outstanding company where I can showcase my communication and time management skills while building strong relationships with clients and members.

At Quantum Health, I converted authorizations for RN review or approval based on plan design, verified benefits, and created treatment authorizations aligned with members’ health plans. I also advocated for members by working with hospital and physician office staff to investigate billing discrepancies and claim issues.

At CorVel Corporation, I supervised 12 employees in managed dispensing, conducted quality audits, and produced weekly QA reports. I also supported client onboarding and implementation, and used Ultipro to manage employee hours, vacation requests, and promotions.

Experience

Work history, roles, and key accomplishments

Clinical Support Coordinator

Quantum Health

Jan 2021 - Mar 2026 (5 years 2 months)

Converted online and faxed authorizations for RN review or approved requests based on plan design. Provided empathetic member guidance, verified benefits, and advocated for members by resolving billing discrepancies and claim issues.

Prior Authorization Review Benefits Verification Customer Service Claims Resolution Member Advocacy Healthcare Benefits Management Communication Skills Problem Solving

Supervisor, Managed Dispensing

CorVel Corporation

Aug 2012 - Apr 2020 (7 years 8 months)

Supervised 12 employees, conducted audits and QA reporting, and managed employee records. Handled escalated issues and coordinated client onboarding and implementation.

Supervision Team Leadership Quality Assurance Audit UltiPro Employee Relations Client Onboarding Escalation Management