Brianna Stuckey
Durham,NC
Summary
Professional Customer Service Representative with over 10 years in Healthcare and Pharmaceutical industry.
Overview
8
8
years of professional experience
Work History
Provider Claims Specialist
Amerihealth Caritas North Carolina
10.2022 - Current
- Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
- Monitored compliance with regulations and industry best practices to promote fair and proper treatment for insured customers.
- Performed administrative duties by verifying documentation, researching facts and contacting other parties involved to determine fault percentages and minimize potential losses.
- Conducted full claim investigations and reported updates and legal actions.
- Escalated files with significant indemnity exposure to supervisor for further investigation.
- Responded to inquiries by answering questions, providing information and directing customers to appropriate resources.
Revenue Cycle Specialist
UNC Health
01.2022 - 07.2022
- Answered billing inquiries for Providers/Members
- Created Payment Plans for delinquent accounts
- Electronic Medical Record Management utilizing EPIC
- Contacted responsible parties for past due debts.
- Identified and resolved payment issues between patients and providers.
Reimbursement Case Manager
Aerotek
11.2020 - 06.2021
- Helped customers with understanding and enrolling in various Savings Programs for Medications
- Created and completed benefit investigations with Insurance Carriers to help with affordability
- Responsible for cases that came from Nevada and the back up for cases from Delaware
- Called patients’ Doctors for missing information to complete Bis
- Inbound/Outbound calls made to/from Patients, Doctors, Caregivers, Hospitals, etc.
Program Specialist
Covance Labs
12.2019 - 10.2020
- Maintained regular communication between departments via email and phone calls to coordinate program logistics
- Helpined patients access the medications for Psoriasis, Psoriatic Arthritis and Ankylosing Spondylitis
- Assisted in obtaining Prior Approvals and Appeals for denials
- Outbound calls to patients, doctors and third parties to update on process of patient's journey
- Established goals and created action plans to achieve goals.
Lead Scheduler
Triangle Visions Optometry
01.2019 - 12.2019
- Triaging difficult medical office visits
- Currently studying for CPO
Scheduling Specialist
Triangle Visions Optometry
07.2018 - 01.2019
- Scheduling patients for Optometric appointments
Technical Support II
Convergys At Cisco Systems
04.2015 - 01.2017
- Software configuration on in-flight quotes
- Validation of Bills of Materials
- Averaged 10-20 cases/week for Account Managers, System Engineers, and host of other requesters.
- Assisted customers in identifying issues and explained solutions to restore service and functionality.
- Documented support interactions for future reference.
Education
Associate of Science -
Durham Technical Community College
Remote05.2025
GED - undefined
Durham Technical Community College
2010
Skills
- Customer Service
- Inbound/Outbound Call Center
- Microsoft Office Suite
- Data Entry
- Data Collection
- Electronic Medical Records
- Insurance Verification
- Microsoft Office Suite
Timeline
Provider Claims Specialist
Amerihealth Caritas North Carolina
10.2022 - Current
Revenue Cycle Specialist
UNC Health
01.2022 - 07.2022
Reimbursement Case Manager
Aerotek
11.2020 - 06.2021
Program Specialist
Covance Labs
12.2019 - 10.2020
Lead Scheduler
Triangle Visions Optometry
01.2019 - 12.2019
Scheduling Specialist
Triangle Visions Optometry
07.2018 - 01.2019
Technical Support II
Convergys At Cisco Systems
04.2015 - 01.2017
Associate of Science -
Durham Technical Community College
GED - undefined
Durham Technical Community College
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