Initial Application for enrollment of patient to be accepted in program
Check patient eligibility status for pharmaceutical benefit within program
Coordinator with case manager assign to case
Update case notes on patient status
Check to see if claim matches ICD 10 that was provided on prescription
Verified claims on hospital billing UB04 & CMS 1500.
Medical Scheduler
Elite Medical Staffing (Temporary)
05.2023 - 06.2023
Verified, corrected, deleted unnecessary data, or combining data from several sources before entering into a file
Performed searches on websites for information
Entered information into specific fields in Salesforce Database
Requested further information for documents that are deemed incomplete
Kept records of tasks, files, and progress
Audited reports and sheets of data
Checked completed work for errors or duplicate information before submitting the final product.
Customer Service Representative
United Health Care (Temporary)
08.2022 - 03.2023
Managed incoming calls and assist insurance agents with eligibility inquiries for Medicaid/Medicare
Assessed and assisted agents with software/technical issues; Platforms include: RPA, Marxs, Jarvis, etc
Assisted licensed agents with enrolling consumers in UHC Medicare programs based on their needs
Verified confidential and secured documents
Supported sales team in driving growth
Verified claims on hospital billing UB04 & CMS 1500.
Customer Service Representative
Centene Corporation (Temporary)
12.2021 - 03.2022
Managed incoming calls and assist claimants with account/inquiries
Updated demographics, assist with new claims, escalate issues to proper department and assist with chat features
Verify confidential and secured documents
Managed benefits inquiries and verified information
Checked to ensure that appropriate changes were made to resolve customers' problems
Kept records of customer interactions or transactions, recording details of inquiries, complaints, or comments, as well as actions taken
Verified claims on hospital billing UB04 & CMS 1500
Resolved customers' service or billing complaints by performing activities such as exchanging merchandise, refunding money, or adjusting bills
Conferred with customers by telephone or in person to provide information about products or services, take or enter orders, cancel accounts, or obtain details of complaints.
Security Officer
Walden Security
08.2019 - 09.2020
To observe and report, gate house operations check all guests in/out, and answer phones
Periodically toured buildings and grounds, examining doors, windows, and gates to determine that they are secure and not tampered
Sounds fire signal to alert fire department and personnel in event of fire to extinguish fire
Checked cars and verifies if vehicles are parked in restricted areas, such as fire zones, turnarounds, ambulance entrances or reserved parking spaces
Escorted personnel to and from parking lots or between buildings as requested
Answered visitor's questions concerning locations of various offices, rooms, and other areas within the facility.
Education
High School Diploma - General Studies
Jacksonville Job Corps
Skills
Hard worker
Critical thinking
Strong organizational
Team-player
Ability to multitask
Attention to detail
Active listening
Interpersonal Skills
Critical Thinking
Computer literate
Customer service oriented
Detail-oriented
Confident & Reliable
Excellent Communication
Security experience
Certification
Business Clerical Data Entry, Jacksonville Job Corps
Supplier Comments
Adrienne Butler is a dedicated and highly motivated professional with strong organizational and communication skills with the ability to work in a fast-paced environment.
She comes with three years of experience in the medical field, processing claims, verifying benefits, managing inquiries, and handling insurance verification.
Adrienne managed incoming calls and assisted insurance agents with eligibility inquiries for Medicaid/Medicare at UnitedHealth Group.
She is easily adaptable to change, driven to meet challenges and exceed customer and employer expectations while demonstrating the highest level of professionalism.
Adrienne is local to the area, is comfortable with the commute, and can interview with 24 hours of notice.