Alexandra Greer
Glendale,AZ
Summary
Dynamic Benefit Verification Representative at CVS Specialty Pharmacy with expertise in insurance coordination and prior authorizations. Proven ability to enhance patient experiences through effective communication and meticulous attention to detail. Skilled in EMR documentation and adept at problem-solving, ensuring accurate benefit coverage verification for timely prescription processing.
Overview
7
7
years of professional experience
Work History
BENEFIT VERIFICATION REPRESENTATIVE
CVS SPECIALTY PHARMACY/CAREMARK
07.2021 - Current
- Responsible for verifying benefit coverage for payment with various insurance companies
- Provide excellent customer service to patients, healthcare professionals and insurance carriers
- Verify insurance coverage for both new and existing patients to process patient prescription orders in a timely manner
- Requires strong attention to detail, problem solving skills, and a performance driven individual
- Experience working with Prior Authorizations
- Knowledge of Medicare, Medicaid, and third-party vendor, possess an empathetic telephone presence, strong attention to detail, and a goal driven work ethic
- Experience with Microsoft Office, internet navigation, and email applications.
- Analyzed customer data from multiple sources to verify accuracy of information.
- Demonstrated excellent communication skills when interacting with customers regarding the verification process.
- Verified customer information, personal identification documents, to ensure accuracy
SENIOR CAREGIVER
Hope Light Homecare
07.2022 - 03.2023
- Collaborated closely with medical staff to ensure appropriate care was provided according to established protocols.
- Developed individualized care plans for each client based on assessment of physical, psychological, and social needs.
- Maintained detailed records of patient progress, treatments, medications, and changes in condition or behavior.
- Performed basic nursing duties such as changing dressings or wound bandages under direction from registered nurse.
- Exhibited strong organizational abilities in managing multiple tasks simultaneously while maintaining accuracy.
- Monitored vital signs such as blood pressure, pulse rate, temperature to detect any changes in condition requiring medical attention.
- Demonstrated excellent communication and interpersonal skills when interacting with clients and their families.
- Assisted with activities of daily living such as bathing, dressing, grooming, feeding, mobility assistance.
PATIENT CARE TECHNICIAN
BANNER THUNDERBIRD MEDICAL CENTER
04.2018 - 02.2020
- Demonstrated proficiency in taking patient medical histories and vitals as well as partnering with physicians
- Processed and arranged referrals, lab services and hospital admissions while collaborating with insurance companies to manage coverage
- Great patients and families
- Ensure a positive patient experience by addressing patient questions and concerns in an empathetic and professional manner
- Collect information, complete forms and obtain signatures, scanning documents and updating systems
- Ensure all patients are efficiently and accurately registered
- Obtaining all demographic information
- Prepare paperwork, including patient identification band in accordance with policies
- Scan all appropriate documents into the electronic medical and financial records (EMR) system
- Maintain an environment of safety for patient, self, and others
- Answering the telephone, directing calls appropriately and providing accurate and complete information
- Great techniques in assisting patients and have great working relationship working with children and adults.
- Interacted professionally with all departments within the facility.
- Organized patient information in an accurate and timely manner for medical records.
- Maintained chart and filed paperwork, facilitating clerical functions.
- Utilized computer systems for charting patient data.
Education
Medical Office Administration -
Brookline College
Phoenix, AZ09.2020
Certified Nursing Assistant -
Accord Healthcare Institute
Phoenix, AZ05.2019
High School Diploma -
Smart Schools
Phoenix, AZ02.2019
Skills
- Medical Terminology
- Prior authorization
- Insurance coordination
- Patient registration
- EMR documentation
- Problem solving
- Attention to detail
- Effective communication
- Organizational skills
- Accuracy and precision
- Healthcare regulations
- Benefits interpretation
- Documentation and reporting
- Verbal and written communication
- Highly skilled in [software]
- Multitasking capacity
- Active listening
- Critical thinking
- Medical coding- (ICD-10-CMS, HCPCS, CPT)
- Electronic Health Records Systems
- Benefits Verifications
- Front Office Coordination
- Medical Laws & Ethics- HIPPA Laws
- Customer Service/ Registration
- Data Entry
- Patient Health Information Access
- Appointment Coordination
References
References available upon request.
Timeline
SENIOR CAREGIVER
Hope Light Homecare
07.2022 - 03.2023
BENEFIT VERIFICATION REPRESENTATIVE
CVS SPECIALTY PHARMACY/CAREMARK
07.2021 - Current
PATIENT CARE TECHNICIAN
BANNER THUNDERBIRD MEDICAL CENTER
04.2018 - 02.2020
Medical Office Administration -
Brookline College
Certified Nursing Assistant -
Accord Healthcare Institute
High School Diploma -
Smart Schools
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