Brandi Glover
Raleigh,NC
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Packet Review Specialist
Trajector Medical
07.2023 - Current
- Entering data, and verifying data for computer processing
- Knowledge of basic medical terminology and anatomy
- Preparing medical evidence for case arguments, document editing
- Verifying forms and documents for accuracy
- Preparing written documents and drafting documents and correspondence.
- Reviewed high-priority cases with heightened attention to detail, mitigating potential risks associated with non-compliance issues.
Intake Coordinator
Aston Carter
02.2023 - 06.2023
- Review and ensure all incoming forms are complete
- Follow up with stakeholders as appropriate to collect and capture missing/incomplete information
- Accurately capture program specific requirements from referral into CRM
- Ensure timely processing of all forms/requests based on pre-set program requirements.
- Reduced errors in patient data entry with thorough verification processes and attention to detail.
Customer Care Advocate
MetLife
07.2022 - 01.2023
- Respond to customer requests via telephone or email, providing excellent service to MetLife's customers who have insurance or other financial service products or benefit plans
- Research requests regarding various product aspects, policy provisions, claim status, basic procedures, etc
- Claims Processing.
- Managed timely and effective replacement of damaged or missing products.
- Managed approximately 60 incoming calls, emails and faxes per day from customers
Pharmacy Technician/Call Center
DataStaff, Inc.
02.2020 - 03.2022
- Prior Authorizations for Medicaid and Medicare
- Taking incoming calls from healthcare professionals
- Initiating prior authorizations for medications
- Completing fax prior authorizations for healthcare professions
- Answering recipients questions about lock-in program and medication
- Pharmacy Benefit Management
- Review/Process Claims.
- Coordinated verification and filling of more than 30 daily prescriptions in high-volume Call Center pharmacy environment.
- Performed various pharmacy operational activities with strong commitment to accuracy, efficiency, and service quality.
PHARMACY TECHNICIAN
Omnicare
04.2018 - 01.2020
- Ordered medicines daily to ensure compliance with demands and needs
- Collected co-payments or full payments from customers
- Reviewed and verified customer information and insurance provider information
- Counted, measured, and compounded medications following standard procedures
- Maintained proper drug storage procedures, registries, and records for controlled drugs.
- Coordinated verification and filling of more than 1200 daily prescriptions in high-volume LTC pharmacy environment.
Education
Vocational - Medical Billing & Coding
Wake Technical Community College
Raleigh, NC12.2023
Skills
- Pharmacy Technician Experience
- Insurance Verification
- Medical Terminology
- Windows (10 years)
- HIPAA
- Quality Assurance (Less than 1 year)
- Typing (6 years))
- ICD-9 (Less than 1 year)
- ICD-10 (Less than 1 year)
- Medical terminology
- Organizational skills
- CPT coding ( Less than 1 Year)
- HCPCS
Certification
CPR/First Aid, 04/01/21, 04/01/24
Additional Information - References
- Chelsea Gay, 252-253-8610
- Deanna Nelson, 919-614-3583
- Allison Hardi, 919-559-0361
Timeline
Packet Review Specialist
Trajector Medical
07.2023 - Current
Intake Coordinator
Aston Carter
02.2023 - 06.2023
Customer Care Advocate
MetLife
07.2022 - 01.2023
Pharmacy Technician/Call Center
DataStaff, Inc.
02.2020 - 03.2022
PHARMACY TECHNICIAN
Omnicare
04.2018 - 01.2020
Vocational - Medical Billing & Coding
Wake Technical Community College
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