MIA GARRETT
Greenbelt,MD
Summary
Continue to provide outstanding customer service in the Healthcare field to patients and other clients, and utilize my experience to the best of my abilities. Experienced Healthcare Manager and Nationally Certified Pharmacy Technician with over 15 years in the Healthcare industry. Proven ability to manage an Insurance Verification Team to perform extensive Medical and Pharmacy Benefit Investigations to ensure patients understand their benefits. I work with physicians and nursing to obtain prior authorizations and/or authorization appeals for medications needed to sustain patient’s lives. I help drug manufacturers get newly approved FDA medications on insurance companies formulary for coverage. I understand how to bill Medicare and Medicaid according to their policies and procedures .
Overview
21
21
years of professional experience
1
1
Certification
Work History
Insurance Supervisor
Alliance RX Walgreens Prime
Bethesda, MD
11.2009 - Current
- Supervise Insurance Team of 25 representatives to help Cystic Fibrosis patient population to navigate health care in order to gain access to medications to improve quality of life.
- Work with Drug Manufacturers such as Vertex with newly approved medications to help create smooth new medication launches.
- Helped to create SOP for billing nebulized medications to bill Medicare-B for correct reimbursement.
- Coach representatives on corrective billing and reimbursement procedures for Medical and pharmacy claims.
- Resolved escalated customer issues to ensure we service all PT's in a timely and efficient manner.
- Oversee high-volume Account Receivable operations with Patient Financial Services and Waiting for Payment Team. Responsibilities includes ensuring all patients that qualify for copay assistance programs are aware of programs available to them.
Customer Service Team Leader
Fairfax Radiological Associates
Fairfax, VA
08.2006 - 10.2009
- I was responsible for providing an outstanding customer service experience to patients inquiring about their medical bills.
- Leading the customer service team to help patients set up payment plans to ease their financial burdens, as well as explain their Explanation of Benefits to them.
- Fairfax Radiology has over 20 outpatient facilities as well as a partnership with some of the INOVA hospitals.
- The position required the ability to multi-task due to the volume of patients seen on a daily basis.
- Train new Customer Service representatives.
Medical Biller/Collector/Payment Poster
T Curtis and Associates
Washington, DC
02.2005 - 08.2006
- At Greater Southeast Community Hospital now United,
- I was responsible for one of the Medicaid HMO’s DC Healthcare Alliance, which had the largest patient base
- I followed state and federal regulations when collecting on claims
- I appealed claims in a timely manner to ensure that the hospitals goals were reached
- I also helped post payments and adjustments to patient’s accounts from Remittance Devices.
Pharmacy Technician
CVS Pharmacy
Washington, DC
01.2001 - 02.2005
- Assisted Pharmacists with dispensing medication accurately and promptly
- Contacted Physician offices and requested medication refills for patients
- Provided outstanding customer service to patients filling and picking up their medications.
Education
Bachelor of Science - Healthcare Management
Univ. of Phoenix
2013
Skills
- Adaptable to Changing Conditions
- Social Perceptiveness
- Operational Reporting
- Financial Resources Management
Certification
- Nationally Certified Pharmacy Technician 2014.
Timeline
Insurance Supervisor
Alliance RX Walgreens Prime
11.2009 - Current
Customer Service Team Leader
Fairfax Radiological Associates
08.2006 - 10.2009
Medical Biller/Collector/Payment Poster
T Curtis and Associates
02.2005 - 08.2006
Pharmacy Technician
CVS Pharmacy
01.2001 - 02.2005
Bachelor of Science - Healthcare Management
Univ. of Phoenix