Summary
Overview
Work History
Education
Skills
Certification
Growth and Development
Timeline
Generic

Brandy Mosley

Fairview Heights,IL

Summary

Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal and Leadership skills. Adept at working effectively unsupervised and quickly mastering new skills.

Overview

6
6
years of professional experience
1
1
Certification

Work History

Appeal Resource Coordinator

Eversana
Chesterfield, MO
10.2023 - Current
  • Maintained accurate records of all assigned projects, tasks, timelines, deliverables.
  • Collaborated with physicians, nurses, administrators, and other staff members to resolve issues quickly and efficiently.
  • Tracked progress of ongoing appeals cases using computer software systems.
  • Advised patients on the status of their appeals and any follow-up actions required.
  • Assisted with the development of new policies and procedures related to appeals processes.

Pharmacy Technician

Express Scripts-Cigna
St Louis, MO
04.2020 - 06.2023
  • Assisted customers by answering questions, locating items or referring to pharmacist for medication information.
  • Communicated effectively with doctors and insurance agencies to resolve prescription cost discrepancies.
  • Assisted pharmacist with clearing high volume of prescriptions and responded to customer questions.
  • Established or maintained medications and other patient profiles.
  • Created new customer profiles and updated demographics, allergies and new medications in pharmacy computer systems.
  • Refilled medications, offered insight into over-the-counter products and verified insurance benefits.
  • Teamed with peers, technicians and pharmacists to prioritize and complete orders.
  • Leveraged database to confirm validity of prescriptions, patient data and drug side effects.
  • Received written prescription or refill requests, verifying information for completeness and accuracy.

Customer Service Lead

Cigna
St Louis, MO
04.2020 - 06.2023
  • Fielded customer complaints and queries, fast-tracking for problem resolution.
  • Answered incoming calls and emails, providing frontline customer support or assistance with product and service transactions.
  • Improved customer service wait times to mitigate complaints.
  • Consulted with customers regarding needs and addressed concerns.
  • Informed customers about billing procedures, processed payments and provided payment option setup assistance.
  • De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
  • Demonstrated excellent communication skills in resolving product and consumer complaints.
  • Volunteered to handle complaints and issues for manager during busy time periods.
  • Managed key account service, providing exceptional support to foster loyalty and retention.

Patient Access Representative

Mercy
Chesterfield, MO
01.2019 - 03.2020
  • Organized and maintained records by updating and obtaining both personal and financial information from patients.
  • Accessed programs and set up correct payment strategies based on patient means and needs.
  • Assembled registration paperwork and placed identification bands on patient.
  • Verified patients' insurance and payment methods during admissions or check-in processes.
  • Completed registration procedures for patients, expertly inputting information to meet provider, facility and legal requirements.
  • Applied knowledge of payer requirements and utilized on-line eligibility systems to verify patient coverage and policy limitations.
  • Processed patient responsibility estimate determined by insurance at pre-registration.
  • Instructed patients on policies and required actions for different types of appointments and procedures.

Education

Associate of Applied Science - Criminal Justice

Rend Lake College
05.2006

Skills

  • Efficient and Detail-Oriented
  • Creative Problem Solving
  • Time Management
  • Training and mentoring
  • Research and Analysis
  • Multitasking and Prioritization
  • Data Entry and Maintenance
  • Patient education and counseling
  • Medication Documentation
  • Organizational Skills

Certification

  • Certified by the Pharmacy Technician Certification Board (PTCB)

Growth and Development

  • Mentoring
  • Appeals Committee

Timeline

Appeal Resource Coordinator

Eversana
10.2023 - Current

Pharmacy Technician

Express Scripts-Cigna
04.2020 - 06.2023

Customer Service Lead

Cigna
04.2020 - 06.2023

Patient Access Representative

Mercy
01.2019 - 03.2020

Associate of Applied Science - Criminal Justice

Rend Lake College

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Brandy Mosley