Alyssa Dugger
Tampa,FL
Summary
Diligent professional with 15+ years of experience in healthcare industries, excelling in both administrative and clinical roles. Known for dedication to providing premium patient care.
Overview
18
18
years of professional experience
Work History
Insurance Specialist II
Mindlance Co
11.2022 - 06.2024
- Provide subject matter expertise and best-in-class customer service for all inbound and outbound customer calls to drive first call resolution
- Provide insurance coverage, verification details prior authorization statues and alternate funding options for existing and newly launched products
- Provide offices with current plan forms, portals, and websites for prior authorizations and appeal submissions
- Clearly communicate and educate customers on results of the investigation
- Investigate and problem solve for patients experiencing escalated issues such as disadvantaged or complex access, savings card/copay card challenges or non-preferred formulary issues
- Where necessary, complete a benefit investigation, contact the HCP and/or patient or potentially the filling pharmacy or payor
- Documents information in the appropriate system of record and formats
- Accurately communicate insurance details to HCP and patients via phone, other electronic communication methods and fax, as per established policies and procedures
- Identify potential Adverse Event situations for reporting to Pharmacovigilance ensuring AbbVie meets FDA regulations.
Bariatric Case Manager/CMA
Baycare Health Systems
11.2006 - 01.2022
- Assist with in office surgical procedures
- Vital signs
- Phlebotomy
- Immunizations
- Obtained prior authorizations for medication and surgical procedures
- Consistently resolving client issues in a short time span.
- Increased patient valuation through insurance benefit authorizations, while building sustainable relationships through open and interactive communication.
- Managed a large volume of inbound and outbound calls and assisted with program redesign, arranging pre-operative assessments, scheduling surgeries.
Education
Associate of Science - Health Sciences
Hillsborough Community College
Tampa, FL05.2025
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Ultrasound Diagnostic School
03.2000
Skills
- Clinical and administrative expertise
- Familiar with ICD 10/ CPT coding
- Medical records
- HIPPA/OSHA compliant
- Inbound /outbound calls
- Prior Authorizations/appeals
- Conflict resolution
- Phlebotomy
- Organizational skills
- Immunizations
Timeline
Insurance Specialist II
Mindlance Co
11.2022 - 06.2024
Bariatric Case Manager/CMA
Baycare Health Systems
11.2006 - 01.2022
Associate of Science - Health Sciences
Hillsborough Community College
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Ultrasound Diagnostic School
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