Overview
Work History
Education
Skills
Timeline
Generic

Amber Holloman

Sheboygan,WI

Overview

15
15
years of professional experience

Work History

Prior Authorization Specialist

Advocate Aurora Health Care
12.2021 - 11.2024
  • Reached out to insurance carriers to obtain prior authorization for pharmacy medications.
  • Input all patient data regarding claims and prior authorizations into system accurately.
  • Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
  • Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
  • Maintained spreadsheet detailing medical procedures and insurance denials and approvals.
  • Documented all communication with applicants and inputted information into system using Epic.

Patient Service Representative/Call Center Representative

Advocate Aurora
04.2019 - 12.2021

Assisted patients in filling out check-in and payment paperwork.

  • Managed approximately 50 incoming calls and faxes per day from patients and employers.
  • Uses Epic to schedule appointments and register patients.
  • Properly documents notes and messages in regards to patients.
  • Built workers comp guarantors.
  • Uses Interaction Desktop (Pure Connect) for call center.
  • Provided exceptional customer service to patients, answering questions and addressing concerns.
  • Managed patient registration process, confirming data accuracy and completeness.

Pharmacy Technician

Aurora Pharmacy
01.2017 - 04.2019
  • Reviewed and verified customer information and insurance provider information.
  • Resolved non-routine issues like third party billing, computer system and customer service issues.
  • Collected co-payments or full payments from customers.
  • Answer incoming phone calls and addressed questions from customers and health care providers.
  • Communicated with prescribers to verify medication dosages, refill authorizations and patient information.
  • Maintained proper drug storage procedures, registries, and records for controlled drugs.
  • Assisted other pharmacy staff with drug inventory, purchasing, and receiving

Customer Care Representative

KOHLER CO.
03.2016 - 04.2016
    • Improved call center functionality and service capacity by resolving customer complaints efficiently and quickly.
    • Managed customer calls effectively and efficiently in a complex, fast-paced and challenging call center environment.
    • Accurately documented, researched and resolved customer service issues.
    • Defused volatile customer situations calmly and courteously.
    • Addressed and resolved customer product complaints empathetically and professionally.
    • Gathered and verified all required customer information for tracking purposes.

Pharmacy Technician

WALMART
06.2014 - 04.2016
  • Receive written prescription or refill requests and verify that information is complete and accurate.
  • Prepare and process medical insurance claim forms and records.
  • Establish or maintain patient profiles, including lists of medications taken by individual patients.
  • Answer telephones, responding to questions or requests.
  • Assist customers by answering simple questions, locating items, or referring them to the pharmacist for medication information.
  • Operate cash registers to accept payment from customers.
  • Effectively resolved insurance rejections and other billing issues.

Connection Center Associate

WALMART
04.2010 - 06.2014
  • Answer customers\' questions about merchandise and advise customers on merchandise selection.
  • Take inventory or examine merchandise to identify items to be reordered or replenished.
  • Design and set up advertising signs and displays of merchandise on shelves, counters, or tables to attract customers and promote sales.
  • Stamp, attach, or change price tags on merchandise, referring to price list.

Cashier

WALMART
10.2009 - 04.2010
  • Receive payment by cash, check, credit cards, vouchers, or automatic debits.
  • Greet customers entering establishments.
  • Answer customers\' questions, and provide information on procedures or policies.
  • Offer customers carry-out service at the completion of transactions.
  • Issue trading stamps, and redeem food stamps and coupons.

Education

High School Diploma -

North High School
Sheboygan
06.2009

Skills

  • Microsoft Excel
  • Typing Skills (WPM:73)
  • Customer service support
  • Data entry proficiency
  • Detail Oriented
  • Documentation skills

Timeline

Prior Authorization Specialist

Advocate Aurora Health Care
12.2021 - 11.2024

Patient Service Representative/Call Center Representative

Advocate Aurora
04.2019 - 12.2021

Pharmacy Technician

Aurora Pharmacy
01.2017 - 04.2019

Customer Care Representative

KOHLER CO.
03.2016 - 04.2016

Pharmacy Technician

WALMART
06.2014 - 04.2016

Connection Center Associate

WALMART
04.2010 - 06.2014

Cashier

WALMART
10.2009 - 04.2010

High School Diploma -

North High School
Amber Holloman