Adrianna Ricks
Newport News,VA
Summary
Professional Call Center Customer Service Representative committed to providing courteous, prompt, detailed, and accurate support. Experience managing outbound and inbound calls and handling emergency issues with patience and tact.
Overview
3
3
years of professional experience
Work History
Prior Authorization Representative
Elevance Health
11.2023 - 08.2024
- Tracked referral submission during facilitation of prior authorization issuance.
- Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
- Communicated pertinent information to client's prescribing provider to facilitate quality service.
- Processed new medication and refill requests for authorization.
Medicaid Enrollment Specialist
Nesco Resource
01.2022 - 10.2022
- Worked for state of Pennsylvania, Processing new applications for health care coverage through the phone
- Including building tax household, household income, eligibility determinations, interpreting determinations made by the Marketplace, and enrollment into health plans
- Transfer/refer consumers to appropriate entities according to the established guidelines
Customer Service Representative
Maximus
10.2021 - 05.2022
- Processed old and new applications for state of New Hampshire social service office
- Helped customers with their applications for health care coverage, food assistance and much more over the phone
- Met customer call guidelines for service levels, handle time and productivity.
Education
GED -
Peninsula Regional Education Program
Newport News, VA09.2019
Workforce Development Navigating Wealth Program Cohort -
Hampton Roads Community Action Program (HRCAP)
Newport News, VA09.2019
Skills
- Patient insurance authorizations
- Authorizations
- Insurance authorization
- Precertification requirements
- Effective communication skills
- Documentation
Timeline
Prior Authorization Representative
Elevance Health
11.2023 - 08.2024
Medicaid Enrollment Specialist
Nesco Resource
01.2022 - 10.2022
Customer Service Representative
Maximus
10.2021 - 05.2022
GED -
Peninsula Regional Education Program
Workforce Development Navigating Wealth Program Cohort -
Hampton Roads Community Action Program (HRCAP)
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