Ashlee Tucker

Handled inbound calls, researched issues, explained pharmacy benefits, and coordinated with other healthcare professionals to resolve complex situations.

• Excellent communication skills: Ability to clearly explain complex medical information to patients in an understandable manner.
• Customer service expertise: Strong focus on providing a positive patient experience and resolving issues promptly.
• Problem-solving skills: Ability to analyze situations, identify root causes, and find effective solutions to patient concerns.
• Knowledge of pharmacy operations:Understanding of prescription processing, insurance billing codes, and pharmacy regulations.
• Attention to detail: Accurate data entry and meticulous record keeping.
• Insurance navigation:
  Assisting patients with understanding their insurance coverage, co-pays, and prior authorization processes.
• Medication adherence support:
  Educating patients on the importance of taking medications as prescribed and identifying potential barriers to adherence.
• Claims resolution:
  Investigating and resolving prescription claim issues with insurance companies.
• Patient outreach:
  Proactively contacting patients regarding refill reminders, medication reviews, and follow-up care.
• Documentation:
  Maintaining accurate patient records and documenting interactions within the pharmacy system.

• Provides customized and personalized childcare for their children in their home
• Feed, bathe, clothe children
• Administers one-on-one care and meets the physical, emotional, social, and intellectual needs of the children
• Contributes to a safe, caring, nurturing, and stimulating environment in which the children thrive and develop
• Keeps the children's areas neat and tidy and does the children's laundry
• Transports children to and from activities, grocery shops for the children, and plans the children's daily schedule
• Additional household tasks, such as cleaning, cooking, housekeeping, and laundry
• Ages newborn - 5 years old

• Processed intakes for clients who have been effected by certain products
• Collected information to determine if they qualified for a settlement
• Received retainers and sent them to attorneys

• Welcomes and directs visitors and clients
• Pre-screening for COVID testing , checked in clients
• Maintains filing systems as assigned
• Retrieves information as requested from records, and other related documents
• Responds to and resolves administrative inquiries and questions
• Coordinates and schedules appointments for COVID testing for clients traveling back to U.S
• Maintains office supplies and coordinates maintenance of office equipment
• Performs other related duties as assigned

• Handles incoming requests from customers in a professional and timely manner
• Anticipates the customers' needs and provides recommendations in order to deliver appropriate solutions to the customer
• Follows through to ensure all questions and issues are resolved
• Assist with an average of 45-70 callers per day; performing additional duties as needed
• Effectively and empathetically listen, assess, and resolve customers' needs in a consultative way
• Solve complex problems by identifying the root cause of issues and providing feedback
• Consistently meets the following metrics, as evidenced by the Centers for Medicare & Medicaid Services (CMS) phone reports & Intake Reports
• Seeks every opportunity to accept challenges and developmental opportunities
• Flexible in regard to work hours/shifts in support of business needs for phone coverage and when faced with changing job conditions
• Meets/exceeds all Key Performance Indicator (KPI) results
• Welcome team advocate: Contacted new Cigna customers to welcomed them to their plan
• Educated customers on their plan and welcome kits
• Contact 100 customers per day
• Grievance team advocate: Investigate complaints and grievance for customers
• Contact provider's office to gain information to help resolve the customer's issue
• Follow up with customer regarding resolution
• Creates resolution letters for resolved grievance issues

• Provided exceptional and professional customer service to customers, clients and peers in a prompt and efficient manner
• Focused on our customers' needs and expectations to ensure the accurate information was provided
• Educated customers with status updates regarding medical prescriptions
• Resolved internal and/or external escalated issues for medical prescriptions and ensured all pertinent information was provided to the pharmacists to ensure approval for medication requests
• Excellent computer skills and knowledgeable with various software programs