April Clark
Birmingham,USA
Summary
I have a determined aim to secure a responsible career opportunity to fully utilize my training and skills while making a significant contribution to the success of the company. My desire as an employee is to excel with hard work, perseverance and dedication while progressing towards delivering best outcomes as an active part of a team seeking a dedicated, highly engaged and committed worker to contribute in a stimulating and challenging environment that will provide me with opportunities where I can use my skills and training to provide exemplary customer service to clients and members and keep up with cutting edge technologies to allow me to grow professionally.
Empathetic and customer-focused customer service professional looking to apply my skills and 15 years learned experiences in managing phone and inperson queries to both prospective and existing customers for clinical services, client eligibility, benefits, billing and sales where I applied problemsolving and creative expertise to maintain a 99% satisfaction rate. Sound understanding of business ethics; Efficient in work prioritization with close attention to detail; Highly capable in the use of computers and related applications.
Overview
13
13
years of professional experience
Work History
Eligibility Representative
Accredo Specialty Pharmacy
Orlando, FL
10.2023 - Current
- Document and resolve product and consumer complaints through and email correspondence and maintain a proficiency rate of 98.5%;
- Process benefit determinations in adherence to deadline schedule; update insurance information and provide assistance to clients with determining copayments;
- Ensured utmost confidentiality of patient records to safeguard data and comply with HIPPA regulations;
- Adhere to Medicare, commercial and federal polices to ensure compliance and accuracy in related interactions
Case Manager
Palmetto Infusion Services
Birmingham, AL
09.2022 - 10.2023
- Provided comprehensive information on billing procedures to customers, facilitating smooth payment processing and offering assistance in setting up payment options
- Conducted thorough audits of customer account information, accurately identifying issues and developing appropriate solutions that assisted patients to make informed decisions;
- Effectively managed a high volume of incoming calls, emails, and chats, ensuring prompt and efficient resolution of customer inquiries;
- Demonstrated exceptional interpersonal skills in de-escalating challenging customer concerns, maintaining a calm and friendly demeanor
Provider Services Specialist
BlueCross BlueShield of Alabama
Hoover, AL
11.2013 - 09.2022
- Utilized multiple software applications to process claims, tracking, and analysis to ensure accuracy of billing information;
- Provided customer service to clients by promptly answering phone calls and responding to emails;
- Conducted thorough research to prevent key account losses and corrected problems to ensure accurate billing;
- Implemented top-quality control measures to eliminate staff down time to maximize revenue; This measure increase profits by 20%;
- Exceeded established service goals by implementing effective customer service, sales, and employee management practices;
- Prepared well-written responses to address questions raised by external auditors regarding eligibility determination processes;
- Trained new employees both on the floor and in a classroom setting
Specimen Accessioner
LabCorp
Birmingham, AL
07.2012 - 10.2013
- Verified patient demographics and collected essential clinical data;
- Efficiently accessioned of specimens into laboratory information systems;
- Successfully resolved issues associated with specimen collection, labeling, tracking, and storage;
- Demonstrated precision in entering data into laboratory information systems;
Education
Bachelor of Arts - Computer And Information Sciences
Lawson State Community College
Birmingham, AL12-2020
High School -
Wenonah High School
Birmingham, ALSkills
- Self Motivated
- Project Management
- Cross-Functional
- Goal Setting and Time Management
- Application Assessment
- Data Entry
- Scheduling Advisement
- Database Administration
- Provider Credentialing
- Client Relations
- Customer Service Excellence
- Training and Development
- Quality Assurance
- Billing and Collections
Timeline
Eligibility Representative
Accredo Specialty Pharmacy
10.2023 - Current
Case Manager
Palmetto Infusion Services
09.2022 - 10.2023
Provider Services Specialist
BlueCross BlueShield of Alabama
11.2013 - 09.2022
Specimen Accessioner
LabCorp
07.2012 - 10.2013
Bachelor of Arts - Computer And Information Sciences
Lawson State Community College
High School -
Wenonah High School