BRIANNA WASHINGTON
Summary
Passionate customer service representative with over 10 years of experience, dedicated to delivering efficient service to customers. Seeking a role where my service skills can be leveraged to achieve and maintain the highest level of customer service and grow within the company.
Overview
13
13
years of professional experience
Work History
Benefit Advisor
AdventHealth
10.2023 - Current
- Developed customized benefits presentations for diverse audiences, increasing understanding and engagement among participants.
- Coordinated seamless transitions between benefit plan providers for clients, minimizing disruptions and ensuring smooth coverage continuation.
- Streamlined benefits enrollment processes for increased efficiency and improved client experiences.
- Improved overall employee satisfaction by addressing concerns regarding benefit plans promptly and effectively.
Patient Access Specialist
AdventHealth Orlando
09.2021 - 10.2023
- Register patients for services and achieve accuracy
- Manage patient accounts timely and exceed collection standard by timely verification of insurance benefits
- Ensure timely discharge is facilitated and reimbursement is maximized
- Create good faith estimate of patient financial responsibility and document all attempts accordingly
- Meet or exceed accuracy standard goals
- Maintain a close working relationship with ancillary and patient access department
- Adhere to AdventHealth Corporate Compliance plan to all rules and regulations
Patient Access Coordinator
Kroger Specialty Pharmacy
09.2019 - 07.2021
- Performed duties to assist patients with access to benefits, co-pay cards and scheduling of prescriptions provided throughout the specialty pharmacy
- Investigated and verified benefits for pharmacy and medical third-party claims for assigned cases
- Communicated with financial assistance team of drug manufacturers, to apply for and secure financial assistance for patients when assigned
Amazon Delivery Driver
Optimal Logistics
01.2019 - 09.2019
- Executed daily pre/post trip inspections on all vans
- Followed dispatch instructions and communicated with dispatch as required, including delay arrival and equipment problems
- Communicated with customers to determine delivery needs
- Applied all knowledge of law and safety regulations standards, as well as company policies/ procedures
Provider Service Representative
Healthfirst NY
12.2016 - 04.2018
- Responded to providers inquiries concerning claim issues
- Insurance and benefits investigation experience
- Full cycle prior authorization experience
- Assured all providers/members demographics were current
- Reviewed all claims for any payment discrepancies
- Ensure timely and accurate insurance authorizations are in place, prior to services rendered
- Assisted members with inquiries regarding PCP changes, eligibility, and concerns regarding their insurance plans
- Reviewed structured clinical data to assure it matched against specified medical terms and procedure codes
- Followed established procedures for authorizing requests to be reviewed further
Appointment Specialist/Market Coordinator
Sears Holdings
02.2014 - 11.2016
- Placed outbound calls to potential candidates to schedule home improvement appointments
- Assured all appointments were placed in scheduler platform correctly
- Communicated with region managers to ensure that market performed well
- Place outbound calls to customers to confirm appointments details
Customer Service Representative
Connextions Inc.
09.2011 - 06.2012
- Assisted members through inbound calls to screen for eligibility of Medicare/ Medicaid benefits
- Assure members were enrolled into insurance plans appropriately
Education
Certificate of Completion -
Aveda Institute
02.2019
High School Diploma -
Apopka High School
05.2009
Skills
- Critical thinking and problem solving
- Decision Making
- Leadership Skills
- Teamwork
- Ability to Multitask
- Effective Time Management
- Computer Skills
- Customer Service
- Ability to Work Under Pressure
- Communication Skills
- Microsoft Office
- Adaptability
References
References available upon request
Timeline
Benefit Advisor
AdventHealth
10.2023 - Current
Patient Access Specialist
AdventHealth Orlando
09.2021 - 10.2023
Patient Access Coordinator
Kroger Specialty Pharmacy
09.2019 - 07.2021
Amazon Delivery Driver
Optimal Logistics
01.2019 - 09.2019
Provider Service Representative
Healthfirst NY
12.2016 - 04.2018
Appointment Specialist/Market Coordinator
Sears Holdings
02.2014 - 11.2016
Customer Service Representative
Connextions Inc.
09.2011 - 06.2012
High School Diploma -
Apopka High School
Certificate of Completion -
Aveda Institute
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