Anastasia Waddell
Mount Airy,NC
Summary
Dynamic Care Management Manager at Prism Medical Products with a proven track record in team leadership and relationship building. Expert in policy development and strategic planning, successfully enhancing operational efficiency and customer loyalty. Recognized for mentoring staff and resolving conflicts, driving a culture of engagement and productivity.
Overview
9
9
years of professional experience
Work History
Care Management Manager
Prism Medical Products
06.2025 - Current
- Cross-trained existing employees to maximize team agility and performance.
- Maximized performance by monitoring daily activities and mentoring team members.
- Developed and maintained relationships with customers and suppliers through account development.
- Accomplished multiple tasks within established timeframes.
- Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
- Managed and motivated employees to be productive and engaged in work.
- Assisted in organizing and overseeing assignments to drive operational excellence.
- Used industry expertise, customer service skills and analytical nature to resolve customer concerns and promote loyalty.
Care Management Coordinator
Prism Medical Products
10.2021 - 06.2025
- Coordinated referrals to other Durable Medical Equipment suppliers and pharmacies to ensure all patients received their needed items.
- Verified patients insurance and submitted prior authorizations when needed.
- Educated and evaluated clinical and support staff regarding care quality management regulations and standards of care.
Insurance Verification Specialist
Prism Medical Products
09.2017 - 10.2021
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Assisted patients with understanding personalized insurance coverage and benefits.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Achieved insurance pre-authorizations to enable timely patient procedures.
- Generated reports to track insurance verifications and claim progress.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Updated patient records with accurate, current insurance policy information.
- Trained new staff on current, correct insurance verification procedures.
Customer Service Representative
US Cellular Wireless
06.2016 - 09.2017
- Responded to customer requests for products, services, and company information.
- Investigated and resolved customer inquiries and complaints quickly.
- Reduced process inconsistencies and effectively trained team members on best practices and protocols.
- Provided excellent customer care by responding to requests, assisting with product selection and handling ordering functions.
Education
No Degree - General Studies
Wytheville Community College
Wytheville, VACarroll County High School
Hillsville05-2014
Skills
- Marketing
- Policy and procedure development
- Team leadership
- Relationship building
- Brand management
- Negotiation
- Disciplinary techniques
- Cross-functional team management
- Work prioritization
- Competitor research
- Expectation setting
- Strategic planning
Timeline
Care Management Manager
Prism Medical Products
06.2025 - Current
Care Management Coordinator
Prism Medical Products
10.2021 - 06.2025
Insurance Verification Specialist
Prism Medical Products
09.2017 - 10.2021
Customer Service Representative
US Cellular Wireless
06.2016 - 09.2017
No Degree - General Studies
Wytheville Community College
Carroll County High School
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