Julissa Posadas Email & Phone Number

Texas, United States

• Manage issue resolution and maintain clear, proactive communication throughout the resolutionprocess• Manage case escalations to ensure proper response and resolution times are met• Manage Un-assigned case queue and disperse cases to the correct parties• Collaborate directly with Independent Providers and Provider Agencies to address and resolve supportrequests, ensuring timely and effective solutions • Operate in a fast-paced environment with proven ability to manage multiple escalations simultaneously(multi-task)• Collaborate to streamline processes and enhance outcomes, improving overall service quality• Monitor L1 case queues and work with the team to ensure cases are worked within the required SLA’sand customer requirements• Collaborate with Department Stakeholders to develop and deliver training programs to meet specificorganizational needs• Maintained up-to-date knowledge of various state Medicaid rules and regulations (VA, KY, FL, NE,PA, MO)• Ensured compliance with HIPAA and other federal regulations

• Assisting recruiting with New Hire & Returning clinician onboarding• Building and maintaining unique clinician relationships• Identifying challenges and providing resolutions• Providing above and beyond support for clinicians• Liaison between clinician and other internal departments• Educating clinicians on company processes and procedures• Managing expectations for clinicians• Completing internal evaluations for clinicians• Evaluating clinician’s eligibility requirements for company benefits• Explaining company benefits such as Insurance, 401k, EAP, and Life Insurance Travel Contracts Associate• High attention to detail• Maintain efficient and speedy work practices for quick turn-around under deadline pressure• Keep up to date on current laws and regulations• Evaluate the terms and conditions of a variety of contracts• Review initial proposal and preparation for completion, accuracy, and compliance with internal policy and external regulationsCredentialing Specialist• Successfully manage and execute all Credentialing tasks related to the Hospital Credentialing processfor each healthcare provider that signed an offer with Aya Healthcare• Request and facilitate the return of complete and accurate applications• Escalate any “red flags” to Risk Management and appropriate Leadership• Responsible for tracking Re-appointment reports monthly and following up to ensure Clinicians arereappointed prior to reappointment date.• Responsible for obtaining and uploading all documents required for Employment Verification by AyaHealthcare Standards• Effectively communicate all Credentialing updates on Weekly Team Meetings• Establish and maintain long-term working relationships with Clinicians to ensure Customer Satisfaction• Maintain consistent communication with Clinicians to ensure expectations, deadline and requirementare clear and met• Problem-solving skills to resolve issues and conflicts that may arise

Bedford, Tx

• Performed data entry for customer information• Managed client records• Performed customer service surveys• Provided policy and service information• Assisted customers with a warm and professional attitude• Answered general mortgage inquiries• Resolved customer information and complaints• Responded to claim inquiries• Responsible for tracking and maintaining confidential documents• Processed online debit card transactions• Read all Federal and State disclosures verbatim• Verification of Mortgages• 25-30 calls daily, inbound/outbound

Fort Worth, Texas, United States

• Exhibits a positive attitude to every patient experience• Creates the first impression and a lasting impression for each patient on the phone• Develops and maintains office schedule(s) to meet practice goals• Responsible for answering incoming calls including new patient calls, scheduling patient appointments, and follow-up calls• Manage unscheduled list to ensure patient follow through to meet scheduling goals• Educate and consult patients discussing treatment needs and presenting treatment plans• Increase and stimulate new patient growth by supporting marketing and promotional programs, referral letters, gifts, and working with referrals• Follows office procedures for patient referrals• General office duties and other duties as required

Colleyville, Texas, United States

• Strong leadership skills and ability to manage, train and motivate a diverse employee group• Recruit, hire, train, and mentor staff• Developing skills• Dedication to providing exceptional customer service skills• Strong interpersonal and conflict-resolution skills• Knowledge of computers sufficient to fulfill management functions• Supervise 15+ employees providing all coaching mentorship• Prepared and maintained personnel records, team member schedules, financial, and administrative reports• Assumed responsibility for cash for all shifts including bank deposits• Implementing office procedures, providing administrative and clerical support