Aleesha Townsell

Check Prior Authorizations Status When an authorization was received verify All clinical and chart notes were attached to the Prior Authorization . Handle inbound calls from Member service representative Providers, and pharmacies Regarding why Claims are rejecting Place overrides Depending on the situation and if member plan allows Schedule Peer2Peer with providers if a Prior authorization was denied.

• Responded to customer requests for products, services, and company information.
• Met customer call guidelines for service levels, handle time and productivity.
• Maintained up-to-date knowledge of Formulary changes and Medicare guidelines .
• Process Payments Educate on Plan design copays, deductible and pharmaceutical benefits.
• Cross-trained and provided backup support for organizational leadership.

• Wore necessary personal protective equipment to minimize risks from hazardous materials, biohazards, and other harmful substances.
• Documented and reported necessary facility and building repairs observed.
• Cleaned and disinfected patient rooms, and common areas to promote sanitary treatment and services environment.
• Removed hazardous and medical waste from Patients Rooms and treatment rooms, to minimize risks to patients and medical personnel.