Shamyia Inge
Summary
Highly skilled healthcare professional with 2 years of experience in the industry, delivering exceptional customer service support to patients. Adept at navigating complex patient needs while maintaining a focus on quality care. Seeking to leverage expertise in a dynamic and patient-focused environment to contribute effectively to the healthcare team and enhance patient experiences.
Overview
2
2
years of professional experience
Work History
Eligibility Representative (Patient Access)
Accredo Specialty Pharmacy
07.2022 - Current
- Consistently completed 45+ referrals daily. Resolving claim rejections promptly by analyzing rejection reasons, communicating with insurance payers, and implementing corrective actions. Ensuring seamless processing and reimbursement
- Utilized advanced analytical skills to identify trends and patterns in insurance payer behavior, leading to expedited resolution of claim issues
- Conducted thorough verification of patients' insurance coverage, ensuring accurate billing and reimbursement for services rendered
- Diligently verified completion of prior authorizations with insurance payers and healthcare providers, ensuring adherence to established guidelines and minimizing claim processing delays
- Provided personalized support to patients and healthcare providers by offering clear explanations of insurance plan details and navigating coverage options effectively
Pharmacy Specialist
Walgreens Pharmacy
01.2022 - 06.2022
- Consistently managed high volume of 80+ inbound and outbound calls daily to provide comprehensive assistance to customers, surpassing departmental objectives by 7% through efficient communication and resolution of inquiries
- Collaborated with healthcare providers to optimize medication therapy plans for patients wellbeing
- Exhibited knowledge of services and programs offered through the pharmacy to guide patients to appropriate solutions for their personalized needs
- Established and maintained patient profiles, updating organizational database with current information
Education
High School Diploma -
Bartlett Yancey High School
Yanceyville, NC06.2019
Skills
- Insurance Claim Reconciliation
- HIPAA Compliance
- Medical Terminology
- Customer Service
- Detail-Oriented
- Critical Thinking
- Collaboration
- Problem-Solving
- Insurance Verification
- Benefit Coverage
- Data entry proficiency
- Claim research
Timeline
Eligibility Representative (Patient Access)
Accredo Specialty Pharmacy
07.2022 - Current
Pharmacy Specialist
Walgreens Pharmacy
01.2022 - 06.2022
High School Diploma -
Bartlett Yancey High School
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