Brittany Clay
Farmersville
Summary
Dynamic healthcare professional with a proven track record in delivering exceptional patient support and navigating complex insurance systems. Expertise in oral and written communication, active listening, and analytical problem-solving enhances the ability to identify client needs and improve engagement strategies. Committed to providing reliable information on insurance coverage, financial options, and documentation requirements, fostering loyalty through individualized solutions. Detail-oriented team player adept at managing patient demographics, preparing medical charts, and ensuring accurate insurance verification while maintaining high standards for quality and results.
Overview
13
13
years of professional experience
Work History
Patient Benefit Representative II
US Oncology
McKinney
10.2021 - Current
- Managed patient inquiries regarding benefits and claims, supporting over 250 patients weekly.
- Coordinated appointments for medical procedures and follow-ups to enhance patient experience.
- Collaborated with insurance providers to resolve issues, achieving high success rates in overturning denied claims.
- Responded promptly to inquiries from patients and healthcare providers via phone and email.
- Ensured accurate management of daily workloads while adhering to deadlines set by management.
- Resolved pre-authorization issues with payers and external entities for seamless operations.
- Obtained insurance authorization and pre-certification for high-cost procedures and chemotherapy treatments.
- Maintained comprehensive knowledge of chemotherapy authorization requirements across various payers.
Certified Pharmacy Technician
Walgreens Specialty Pharmacy
Frisco
08.2017 - 05.2018
- Guided office staff on how to effectively complete prior authorization forms and appeals documentation to achieve positive results.
- Communicated with multiple patient's daily to review adverse events from medications, current supply needs and insurance benefit information.
- Facilitated effective communication between patients and medical staff, ensuring that patients were fully informed and involved in their healthcare decisions.
- Prevented delays and claim denials by correcting information prior to submission.
- Helped pharmacist clear problematic prescriptions and address patient questions to keep pharmacy running efficiently.
- Completed paperwork, entering prescription and insurance or billing information into patient profiles.
Retention Coordinator-CPhT
DaVita Rx
Coppell
12.2014 - 07.2016
- Resolved non-routine issues like third-party billing, computer system and customer service issues.
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Utilized knowledge of customer experience to create specialized plans for customer retention.
- Utilized advanced skills in solving problems and making accurate decisions to implement strategies that brought about immediate results.
- Adhered to appropriate legal scripting when required.
- Collected customer feedback and made process changes to exceed customer satisfaction goals.
- Achieved high satisfaction rating through proactive one-call resolutions of customer issues.
- Recorded product or service failure complaints and notified appropriate departments.
Lead Certified Pharmacy Technician
CVS Pharmacy
Frisco
03.2012 - 10.2014
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Reviewed and verified customer information and insurance provider information.
- Communicated with prescribers to verify medication dosages, refill authorizations and patient information.
- Counted, measured, and compounded medications following standard procedures.
- Maintained proper drug storage procedures, registries, and records for controlled drugs.
Education
High School Diploma -
Allen High School
06.2010
Associate of Science - Nursing
Collin County Community College
Skills
- End-user computer applications
- Microsoft Office
- Excel
- Outlook
- Insurance terminology
- Insurance benefits verification
- Clinical office procedures
- Prior authorization processing
- Communication and interpersonal skills
- Workload prioritization
- Professionalism
- Customer retention strategies
- Pre-certification management
- Medical terminology
- Adaptability
Languages
English
Personal Information
Title: Insurance Authorization Specialist
Languages
English
Full Professional
Timeline
Patient Benefit Representative II
US Oncology
10.2021 - Current
Certified Pharmacy Technician
Walgreens Specialty Pharmacy
08.2017 - 05.2018
Retention Coordinator-CPhT
DaVita Rx
12.2014 - 07.2016
Lead Certified Pharmacy Technician
CVS Pharmacy
03.2012 - 10.2014
High School Diploma -
Allen High School
Associate of Science - Nursing
Collin County Community College
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