Summary
Overview
Work History
Education
Skills
Work Availability
Work Preference
Quote
Software
Timeline
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Angela Benjamin

Healthcare Professional
Davenport,FL

Summary

Organizationally driven healthcare professional with over 10 years of experience specializing in pharmacy care, medical authorizations, and client services. Known for excellence in client and customer satisfaction, as well as expertise in healthcare administration, with a focus on enhancing patient care and operational efficiency. Skilled in handling complex cases, managing insurance authorizations, and supporting interdisciplinary healthcare teams.

Overview

14
14
years of professional experience

Work History

Sr. Pharmacy Care Technician - Gastro SME & Onco

United Healthcare Group/OptumRx
06.2018 - Current
  • Coordinated treatment plans with clients, patients, and healthcare providers to improve patient well-being.
  • Successfully managed a portfolio generating over $2M in annual revenue, with a 1,500+ script fill rate.
  • Accessed and reviewed EMR data, clinical notes, and lab results for prior authorization processes.
  • Supported initiatives to enhance internal processes through active participation in company feedback programs.

Pre-Access Infusion Medical Benefits & Auth

AdventHealth Orlando
03.2022 - 03.2023
  • Evaluated chemotherapy treatment orders, verifying insurance benefits and medical necessity in alignment with CMS standards.
  • Secured pre-authorizations within required timeframes, ensuring patient access to timely treatments.
  • Reviewed clinical data to confirm compliance with insurance and NCCN guidelines.

ERAP Case Management Eligibility Specialist

Tetra Tech (Temporary Position)
10.2021 - 11.2021
  • Enhanced client satisfaction by providing timely and accurate eligibility determination for various assistance programs.
  • Reduced errors in eligibility determinations by maintaining thorough knowledge of program guidelines and regulations.
  • Provided exceptional customer service through prompt response times, clear communication channels, and diligent follow-up practices.
  • Ensured compliance with local, state, and federal regulations during all phases of the eligibility determination process.

Client Services & Biogen Reimbursement Specialist

McKesson
12.2012 - 05.2018
  • Provided exceptional customer service when responding to patient inquiries about reimbursement status and procedures.
  • Supported company objectives by maintaining compliance with all relevant state and federal regulations governing medical billing practices.
  • Identified trends in reimbursement denials, recommending process improvements to minimize future occurrences.
  • Advanced internal communication channels by sharing best practices among colleagues, fostering an environment of continuous learning and improvement.

LOA Case Specialist

AON Hewitt
02.2011 - 11.2012
  • Analyzed and coordinated FMLA cases, ensuring compliance with state and federal regulations.
  • Maintained accurate records and managed workflow processes to support client relationships.
  • Maintained strict confidentiality of sensitive information, adhering to legal regulations and company policies.
  • Participated in ongoing professional development opportunities to stay current on industry trends and best practices in case management.
  • Exceeded performance expectations consistently by meeting deadlines while maintaining high-quality work standards.

Education

High School Diploma -

Penn Foster Career School
Scranton, PA
03-2022

Skills

  • Healthcare software
  • Laboratory procedures
  • Healthcare ethics
  • Healthcare & Pharmacy Expertise: Medical and pharmacy prior authorizations, claims, billing, patient care, HIPAA compliance, insurance benefits verification
  • Technical Skills: EMR access, Microsoft Office Suite, data entry, program-specific software for case management
  • Interpersonal & Organizational Skills: Communication, customer service, teamwork, critical thinking, adaptability, time management, attention to detail

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work Preference

Work Type

Full TimeContract Work

Work Location

Remote

Quote

There is a powerful driving force inside every human being that, once unleashed, can make any vision, dream, or desire a reality.
Tony Robbins

Software

Word

Excel

Powerpoint

Sharepoint

Epic

Timeline

Pre-Access Infusion Medical Benefits & Auth

AdventHealth Orlando
03.2022 - 03.2023

ERAP Case Management Eligibility Specialist

Tetra Tech (Temporary Position)
10.2021 - 11.2021

Sr. Pharmacy Care Technician - Gastro SME & Onco

United Healthcare Group/OptumRx
06.2018 - Current

Client Services & Biogen Reimbursement Specialist

McKesson
12.2012 - 05.2018

LOA Case Specialist

AON Hewitt
02.2011 - 11.2012

High School Diploma -

Penn Foster Career School

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Angela BenjaminHealthcare Professional