Summary
Overview
Work History
Education
Skills
LANGUAGE
Certification
Timeline
Generic

Arsheah Boston

San Antonio,TX

Summary

Dedicated Case Manager with a strong background in taxes, claims management, and financial planning. Expertise in navigating pharmacy benefits and medical insurance billing to optimize client outcomes. Resourceful and hardworking, consistently delivering high levels of customer satisfaction. Proven ability to handle multiple priorities effectively.

Overview

11
11
years of professional experience
1
1
Certification

Work History

Medical Claims Manager/ Appointment Scheduler

Leidos QTC Health Services
04.2022 - Current
  • Communicated appointment confirmations and reminders to patients via phone calls, emails, and mail.
  • Managed patient records and updated necessary information in electronic health record systems.
  • Handled incoming calls from patients and answered questions related to their scheduled appointments or general inquiries about facility’s services.
  • Conducted Medical Screening

Financial Case Manager

Aerotek- Victory Capital
07.2020 - 02.2022
  • Formulated and actualized strategic financial plans across client investment portfolios
  • Articulated value of stocks, bonds and mutual funds and educated clients on benefits of each
  • Interviewed clients to determine current income, expenses, insurance coverage, tax status, financial objectives, risk tolerance and other information.
  • Ensured confidentiality and privacy compliance for all case management activities.

Pharmacy Benefits Manager

CVS/caremark
08.2018 - 05.2020

Answered incoming calls for rapid assistance and effective response times.

Initiated outgoing calls to maintain strong client communication.

Guided members through copayment details, maximum out-of-pocket costs, and deductible queries.

Managed prior authorization requests to streamline service provision.

Informed members about prescription pricing to promote transparency.

Online Banking Fraud Specialist

JP Morgan Chase
10.2016 - 04.2019
  • Explain, promote, or sell products or services, such as travelers’ checks, savings bonds, money orders, and cashier’s checks, using computerized information about customers to tailor recommendations
  • Identified fraudulent transactions by reviewing information across multiple systems and outside sources.
  • Analyzed transaction data to identify potential fraud patterns and trends.
  • Reviewed flagged transactions for suspicious activity and made decisions on appropriate action.

Collection/Escalation Specialist

SNL Staffing-SSFCU
10.2014 - 10.2016
  • Provide guidance to our frontline support teams during tough contacts to ensure the most accurate and relevant information is surfaced to the customer
  • Negotiation
  • Locate and monitor overdue accounts, using computers and a variety of automated systems (skip tracing)
  • Resolved customer complaints by identifying root cause and implementing effective corrective actions.

Education

Pharmacy Certification - Health Care

Southern Careers Institute
TX
07.2014

High School Diploma -

Sam Houston High School
San Antonio, TX
06.2012

Skills

  • Troubleshooting
  • CRM Software
  • Microsoft Applications
  • Upselling
  • Case Management
  • Risk Assessment
  • Data Entry
  • Customer Service
  • Medical Terminology
  • Medical records

LANGUAGE

English Fluent
Spanish Conversational

Certification

CPR & AED

NOTARY

Timeline

Medical Claims Manager/ Appointment Scheduler

Leidos QTC Health Services
04.2022 - Current

Financial Case Manager

Aerotek- Victory Capital
07.2020 - 02.2022

Pharmacy Benefits Manager

CVS/caremark
08.2018 - 05.2020

Online Banking Fraud Specialist

JP Morgan Chase
10.2016 - 04.2019

Collection/Escalation Specialist

SNL Staffing-SSFCU
10.2014 - 10.2016

Pharmacy Certification - Health Care

Southern Careers Institute

High School Diploma -

Sam Houston High School