Angela Skaggs
Carbondale
Summary
Knowledgeable [Desired Position] with proven track record in managing authorization processes and ensuring compliance with industry standards. Adept at coordinating with team members and healthcare providers, leading to streamlined operations and improved patient satisfaction. Demonstrated expertise in problem-solving and attention to detail, ensuring timely and accurate processing of authorizations.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Authorization Specialist
Centene
Remote-Illinois
12.2024 - Current
- Reviewed and validated prior authorization requests to ensure compliance with regulations.
- Coordinated communication between providers, members, and internal teams to resolve authorization issues.
- Analyzed trends in authorization requests to identify areas for process improvement.
- Developed training materials for new staff on authorization processes and best practices.
Vertexer
Centene
Farmington, MO
04.2021 - Current
- Vertex claims, coordination of benefits, inline fixup, key kfp
Claims Analyst
Centene
Remote-Missouri
11.2022 - 12.2024
- Analyzed claims data to identify trends and discrepancies, improving accuracy in adjudication process.
- Collaborated with cross-functional teams to resolve complex claim issues, enhancing customer satisfaction.
Customer Service Representative
Startek Project Call Center
Farmington, MO
08.2019 - 03.2021
- Live chats with spectrum customers to repair service
Shift Manager
McDonald's
Potosi, MO
05.2019 - 08.2019
- Open, close, run shifts, drawer audits, safe counts, manage shift front and back
Clerk
Discount Cigarettes and Beer
Farmington, MO
01.2019 - 04.2019
- Register, cleaning, stocking, customer service
Cook II
Missouri Department of Corrections
Potosi, MO
02.2018 - 01.2019
- Supervisor to inmates in doing all aspects of kitchen for for around 900 inmates customer care
Machine Operator
Cap America
Fredericktown, MO
07.2017 - 09.2017
Customer Service
Wal-Mart
Desloge, MO
03.2017 - 06.2017
Customer Service
Walmart
Desloge, MO
08.2016 - 03.2017
- Slicing, cooking, cleaning, stocking, customer service customer service
Clerk
UJ's
Nokomis, IL
02.2012 - 01.2014
Clerk
Salvation Army
Litchfield, IL
04.2011 - 02.2012
Assistant Manager
Casey's General Stores
Hillsboro, IL
03.2003 - 04.2011
- Register, stocking, cleaning, pizza, donuts, ordering, books, banking, invoices, scheduling, supervising in absence of manager
Education
Associate in Business Management -
American Military University
Manassas, VA05.2018
Diploma - undefined
Valier High School
Sesser, ILSkills
- Cooking
- Machining
- Negotiation
- Management
- Pricing
- POS
- Merchandising
- Restaurant experience
- Food production
- Cash handling
- Inventory control
- Kitchen experience
- Restaurant management
- Food preparation
- Customer service
- Banquet experience
- Food service
- Supervising experience
- Sales
- Shift management
- Stocking
- Driving
- Culinary experience
- Cleaning
- Kitchen management
- Food safety
- Retail sales
- Profit & loss
- Assistant manager experience
Certification
- ServSafe
Assessments
- Sales: Influence & Negotiation — Proficient
- April 2020
- Persuading reluctant customers to buy products or services, and influencing and negotiating with customers to meet sales goals.
- Full results: Proficient
- Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.
Timeline
Authorization Specialist
Centene
12.2024 - Current
Claims Analyst
Centene
11.2022 - 12.2024
Vertexer
Centene
04.2021 - Current
Customer Service Representative
Startek Project Call Center
08.2019 - 03.2021
Shift Manager
McDonald's
05.2019 - 08.2019
Clerk
Discount Cigarettes and Beer
01.2019 - 04.2019
Cook II
Missouri Department of Corrections
02.2018 - 01.2019
Machine Operator
Cap America
07.2017 - 09.2017
Customer Service
Wal-Mart
03.2017 - 06.2017
Customer Service
Walmart
08.2016 - 03.2017
Clerk
UJ's
02.2012 - 01.2014
Clerk
Salvation Army
04.2011 - 02.2012
Assistant Manager
Casey's General Stores
03.2003 - 04.2011
Diploma - undefined
Valier High School
Associate in Business Management -
American Military University