Britney Swanson
Fairfield,CA
Summary
Experienced Customer Service professional with 13 years in health insurance enrollment, and pharmacy benefit management. Skilled in prospecting and educating clients on complex options while delivering comprehensive support. Able to independently manage pipelines through CRM systems, achieving high conversion rates in remote environments.
Overview
14
14
years of professional experience
Work History
Senior Care Advisor
Welbe Health PACE - Remote
04.2023 - Current
- Build strong relationships with prospective seniors interested in our health plan by coordinating with their families and caregivers to support enrollment.
- Manage 50-80 inbound/outbound calls daily, pre-qualifying seniors based on internal criteria to schedule them with our Nurses for in-person medical assessments.
Prior Authorization Specialist
Covance - Remote
03.2019 - 04.2023
- Received high-volume inbound leads via phone and fax to address referrals and prior authorization status for patients, contacting pharmacy benefit carriers on their behalf.
- Processed applications and verified coverage while appealing denied claims and submitting clinical documentation to meet insurance provider criteria.
- Coordinated with manufacturers and distributors to track and expedite shipments of sensitive pharmaceutical products.
Customer Service Representative
My Senior Health Plan
San Diego, CA
01.2017 - 12.2018
- Made 150 daily outbound calls to those age 65+ looking for Medicare health plan options, assisted members with plan inquiries and benefit clarifications.
- Scheduled appointments for licensed Medicare specialists and assisted with efficient processing of enrollment documents.
Senior Lead Generator
HSK Insurance
San Diego, CA
10.2012 - 01.2017
- Generated insurance leads for Affordable Care Act plans through targeted marketing campaigns and outreach strategies, contributing to overall lead generation goals.
- Transferred qualified leads to licensed health agents, enhancing consultative sales processes and supporting higher conversion rates.
Education
High School -
Charter School of San Diego
San Diego, CASkills
- ICD-10, CPT & HCPCS coding
- Medical terminology
- Active listening
- Data entry
- Client engagement
- Attention to detail
- Multitasking
- Effective communication
Timeline
Senior Care Advisor
Welbe Health PACE - Remote
04.2023 - Current
Prior Authorization Specialist
Covance - Remote
03.2019 - 04.2023
Customer Service Representative
My Senior Health Plan
01.2017 - 12.2018
Senior Lead Generator
HSK Insurance
10.2012 - 01.2017
High School -
Charter School of San Diego