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Brooke K.

Brooke K.

SSHP Pre-Auth Referral Specialist – Centene (Remote)

USA flagN/A, Usa

Key Skills

Software

Don't disclose

Top Subject Matter

Healthcare authorization workflows (medical referrals and pre-authorization)
Customer service ticket management (scheduling and billing inquiries)
Client communication and logistics support (pet travel/service operations)

Top Data Types

TextText
DocumentDocument

Top Task Types

ClassificationClassification

Freelancer Overview

SSHP Pre-Auth Referral Specialist – Centene (Remote). Brings 7+ years of professional experience across complex professional workflows, research, and quality-focused execution. Core strengths include Don't disclose and Salesforce. Education includes High School Diploma, Aliquippa High School (2009) and Certification, Beaver County Career & Technology Center (2009). AI-training focus includes data types such as Medical, DICOM, and Text and labeling workflows including Classification.

Labeling Experience

SSHP Pre-Auth Referral Specialist – Centene (Remote)

Don't discloseClassificationClassification

Processed and reviewed pre-authorization and referral requests by verifying member eligibility, provider credentials, and required documentation against plan rules. Entered and maintained authorization data in multiple healthcare systems and databases with accuracy and confidentiality. Ensured compliance with HIPAA and quality standards while resolving authorization discrepancies through cross-department collaboration.• Reviewed and classified request documentation for authorization decisions.• Validated eligibility and credentialing details before case handling.• Updated and tracked authorization records in internal systems.• Resolved inconsistencies by proactive problem-solving and coordination.

2025 - Present

Founder & Operator – Whisker Wheels Express (Remote/Travel-Based)

Don't discloseTextTextClassificationClassification

Managed client communication via email, text, and live chat to support pet parents across the U.S. and Canada. Coordinated operational logistics by maintaining organized travel and service updates and resolving issues to keep satisfaction high. Created and streamlined support processes using customer FAQs and SOPs to standardize responses and onboarding.• Handled and categorized live chat/email/text inquiries for clients.• Maintained real-time updates and records through mobile office tools.• Resolved logistics problems through timely, empathetic communication.• Developed SOPs and customer FAQs to improve support consistency.

2022 - Present

Remote Customer Service Representative – Safelite AutoGlass

TextTextClassificationClassification

Provided chat-based and email customer support, managing scheduling and billing/service inquiries in a high-volume remote environment. Used the Salesforce CRM to manage tickets, update customer records, and track resolution status in real time. Troubleshot complex scheduling conflicts and escalated issues when needed while maintaining high customer satisfaction.• Supported inbound requests via live chat and email for scheduling and billing.• Used Salesforce CRM to update tickets and track resolutions.• Assisted with troubleshooting and escalations for service issues.• Collaborated with internal teams using remote tools and ticketing systems.

2025 - 2025

Education

B

Beaver County Career & Technology Center

Certification, Business Information Systems

Certification
2007 - 2009
A

Aliquippa High School

High School Diploma, High School Education

High School Diploma
2006 - 2009

Work History

C

Centene

Pre-Authorization Referral Specialist

N/A
2025 - Present
W

Whisker Wheels Express

Founder and Operator

N/A
2022 - Present