Alisha Weathers

Managed 70+ daily inbound and outbound patient calls, handling appointment scheduling, updates, cancellations, and triage routing in line with provider protocols.

Verified patient demographics, insurance coverage, and eligibility while maintaining accurate, up-to-date records across multiple EHR platforms.

Coordinated with providers, pharmacies, and facilities to support smooth care transitions, ensure continuity of care, and reduce delays in treatment and follow-up.

Maintained strict HIPAA compliance while handling sensitive patient information and escalating urgent cases to improve provider response times and patient outcomes.

Used RxConnect and CVS systems to maintain accurate patient records, update demographics, and ensure compliance with company and regulatory standards.

Collaborated with pharmacists, provider offices, and insurance representatives to clarify prescriptions, authorize refills, and resolve time-sensitive medication issues quickly and accurately.

Investigated benefits for specialty and high-cost medications, verifying insurance coverage and patient eligibility to secure timely authorizations.

Obtained prior authorizations and explained coverage, costs, and financial assistance options, helping patients navigate benefits and reducing treatment delays.

Partnered with providers, specialty pharmacies, and insurance carriers to expedite approvals, resolve urgent access issues, and improve patient outcomes and satisfaction.