Summary
Overview
Work History
Education
Skills
Affiliations
Advisory Boards
Qualifications - Healthcare Administration
Volunteer Experience
Timeline
Generic

Linda Tanner

Forney,TX

Summary

I have worked in the healthcare field in different capacities for several years. I have acquired many skills along the way, these skills have contributed to a rise among the ranks in place of employment. Problem solving skills and attention to detail along with caring for the patients has given cause to work on special projects of organization successfully. I know that I will continue to grow and be an asset to this company as well.

Overview

12
12
years of professional experience

Work History

CUSTOMER SERVICE MANAGER

CARRIAGE CLEANERS
2012.11 - 2015.12
  • MANAGED OFFICE PROCEDURES INCLUDING ACCOUNTS PAYABLE/RECEIVABLE, BOOKKEEPING, SCHEDULING, INVENTORY, ETC
  • MANAGED VOUCHER DISBURSEMENTS AND ISSUED REFUNDS FOR LOST AND DAMAGED CLOTHING PROVIDED ONGOING SUPPORT AND MOTIVATION FOR STAFF RESULTING IN HIGHER MORALE COMPENSATED CUSTOMERS FOR LOST ITEMS ACCORDING TO COMPANY POLICY MADE REPORTS ON HOW MUCH CLOTHING WAS BEING LOST CONVERSED WITH CUSTOMERS TO SOLVE COMPANY ISSUES SERVICED 32 STORES OF MANAGERS, STAFF AND CUSTOMERS INCREASED CUSTOMER SATISFACTION UP TO 98% FROM 80% LIAISON BETWEEN CUSTOMERS, STAFF, VENDERS, AND COMPANY MADE CUSTOMER REPORTS TO MEASURE SERVICE LEVELS CONVERSED WITH STAFF TO SOLVE COMPANY ISSUES TRAINED STAFF IN RESOLVING CUSTOMER CONFLICT PROVIDED CONSISTENT, EXCEPTIONAL PERFORMANCE

Care Advocate

Employee Direct Healthcare
2023.04 - Current
  • Documented activities and progress in electronic medical record per defined policy and procedures.
  • Maintained detailed records of patient interactions, contributing to a well-organized case management system.
  • Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
  • Received patient deductibles and co-pay amounts and discussed options to satisfy remainder (if any) of patient financial obligations.
  • Applied administrative knowledge and courtesy to explain procedures and services to patients.
  • Resolved customer complaints using established follow-up procedures.

Insurance Specialist II (IS2)

Planet Pharma
2022.11 - 2023.02

Provided subject matter expertise and best in class customer service for all inbound and outbound customer calls to drive first call resolution

  • Provided insurance coverage, verification details prior authorization statutes and alternate funding options for existing and newly launched
  • Provided subject matter expertise and best in class customer service for all inbound and outbound customer calls to drive first call r
  • Clearly communicated and educated customers on the results of the insurance investigation
  • Investigated and problem solved for patients experiencing escalated issues.
  • Challenges or non-preferred formulary issues
  • Where necessary, complete a benefit investigation, contacted the HCP and/ or patient or potentially the filing pharmacy or payer
  • Quickly learned and executed business process and system changes for all drugs and channel sources as applicable
  • Maintain and understanding
  • Of current business procedures deviations, and case processing for all brands and channel sources for insurance specialists one role to support as needed
  • Documented information in appropriate system of record and formats
  • Accurately communicated insurance details to HCP and patients via phone, other electronic communication methods and fax, as per established policies and procedures
  • Identified potential Adverse Event situations for reporting to Pharmacovigilance ensuring AbbVie meets FDA regulations.
  • Enhanced customer satisfaction by addressing insurance-related inquiries and resolving issues promptly.

Insurance Verification Specialist/Patient Financial Servic

AllianceRX Walgreens Prime
2019.04 - 2022.11
  • Advised 20% of specialty members in attaining copay assistance
  • Conversed with agencies with copay claim issues
  • Distinguished various types of copay agencies and matched patient accordingly
  • Insurance Verification Specialist/Specialty Operations Performed over 5 complex and diversified projects to better service patients
  • Consulted on various types of prior authorizations and Dispense As Written authorizations
  • Contacted benefit plan concerning prior authorization and non-formulary medications for over 60% of cases
  • Advised on alternative medications benefit plan will accept
  • Configured Insurance to run test claims for “federal employee program” employees
  • Liaison to physicians, patients, facilities, insurance companies and pharmacies to resolve issues
  • Advised patients and healthcare professionals on prior authorization restrictions and expirations
  • Intake Prep/Insurance Verifier Maintained confidentiality within a fast-paced environment
  • Communicated with health care professionals to assist in maintaining healthy patients
  • Enter any new information provided by patient
  • Patient Care Coordinator/Intake Prep Performed complex and diversified projects
  • Maintained confidentiality within a fast-paced environment
  • Communicated with health care professional to assist in maintaining healthy patients
  • Scheduled delivery to patients
  • Configured Insurance to run test claims.

Patient Care Coordinator/Intake Prep

Insight Global
2018.08 - 2019.04
  • Located and entered patient insurance
  • Ran test claims
  • Communicated with doctors’ offices, health plans, pharmacists, help desks and patients
  • Assisted patients with the scheduling delivery of specialty medication
  • Answered question concerning company and delivery issues
  • Explained the programs offered
  • Data entry with 97% accuracy

Customer Service

Convergys
2017.09 - 2018.03
  • Assisted 100% of various insurance members with coverage
  • Explained the different types of coverage
  • Explained when eligible for different services.

Customer Service Associate (CGS)

Kelly Services
2016.09 - 2017.02
  • Extensive data entry requiring 98% high degree of accuracy and speed.
  • Assisted medical professionals in navigating through government healthcare sites
  • Explained new Medicare incentive programs to medical professionals
  • Answered customer telephone calls promptly to avoid on-hold wait times.
  • Maintained a high level of product knowledge, providing accurate information to customers.

Personal Care Assistant

iLife (IRIS)
2014.10 - 2017.02
  • Maintained positive working relationship to ensure a higher quality of life
  • Completed all administrative forms in a timely manner with full accuracy.
  • Assisted clients with daily living needs to maintain self-esteem and general wellness.
  • Engaged patients in meaningful conversation, socialization, and activity while providing personal care assistance.
  • Assisted with dressing guidance, grooming, meal preparation, and medication reminders.
  • Enhanced client well-being by assisting with daily activities such as bathing, dressing, and grooming.
  • Promoted independence with structured routines and clear communication to support clients in their daily lives.

Education

MASTER’S DEGREE IN HEALTHCARE ADMINISTRATION - Healthcare Administration

Purdue University Global
Lafayette, IN
10.2021

Bachelor of Science in Healthcare Administration - Healthcare Adminastration

Purdue University Global
Lafayette, IN
06.2017

Skills

  • Customer-focused
  • Exceptional interpersonal communication
  • Exceptional telephone etiquette
  • Relationship Building
  • MS Office
  • Handling Escalations
  • Product Knowledge
  • Meticulous attention to detail
  • Call Center Operations
  • Loss Prevention
  • Documentation And Reporting

Affiliations

  • Society for Collegiate Leadership & Achievement, 2019, Present
  • Tri-Alpha Honor Society, 2021, Present

Advisory Boards

  • Peloton College, 2019, 2021
  • College of HealthCare Professionals, 2022, Present

Qualifications - Healthcare Administration

  • Well versed in health insurance programs, benefits, and websites
  • Successful leadership experience in managing teams to exceed customer expectations and increase satisfaction results
  • Performing accounts payable and receivable as well as general bookkeeping
  • Records and database management including configuring spreadsheets and reports and accurate data entry
  • Extensive patient and customer service experience with consistent recognition for outstanding performance
  • Knowledgeable in medical office operations and medical terminology
  • Proven ability to effectively problem solves and resolve conflict with customers and between employees

Volunteer Experience

  • Concordia University-Wisconsin; School of Pharmacy, Speaker, 11/15 - 2/17, Annual guest speaker for a class on being patient-centered and adapting in the changing field of pharmacy and healthcare
  • WI Research & Education Network; Milwaukee Health Services, Inc. Workgroup, Panel member, 6/15 - 9/16, Provided organization leaders with insight on how to increase patient satisfaction. Provided feedback and ideas on how to structure and deliver patient surveys as well as what content to include

Timeline

Care Advocate

Employee Direct Healthcare
2023.04 - Current

Insurance Specialist II (IS2)

Planet Pharma
2022.11 - 2023.02

Insurance Verification Specialist/Patient Financial Servic

AllianceRX Walgreens Prime
2019.04 - 2022.11

Patient Care Coordinator/Intake Prep

Insight Global
2018.08 - 2019.04

Customer Service

Convergys
2017.09 - 2018.03

Customer Service Associate (CGS)

Kelly Services
2016.09 - 2017.02

Personal Care Assistant

iLife (IRIS)
2014.10 - 2017.02

CUSTOMER SERVICE MANAGER

CARRIAGE CLEANERS
2012.11 - 2015.12

MASTER’S DEGREE IN HEALTHCARE ADMINISTRATION - Healthcare Administration

Purdue University Global

Bachelor of Science in Healthcare Administration - Healthcare Adminastration

Purdue University Global
Linda Tanner