Summary
Overview
Work History
Education
Skills
Timeline
Generic

Brittany McCalla

Columbus,GA

Summary

Highly motivated professional with a desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Offering an array of skills in health insurance benefits and pharmacy claims with a passion to prioritize business goals and maintain high customer satisfaction even as I resolve customer issues.

Overview

13
13
years of professional experience

Work History

Licensed Nail Technician Manager

Suite Like Candy
09.2018 - Current
  • Provide Consultation to clients on desired manicure, pedicure, and nail style
  • Maintain an active file on each client.
  • Provide a professional and serene environment for each client
  • Adhere to spa safety and cleanliness standards
  • Managing bookings and welcoming clients into the spa
  • Performed nail services such as manicures, pedicures, and acrylics on clients.
  • Keep detailed inventory lists for nail care supplies, polishes and gel nail colors.
  • Conducted regular meetings with staff to discuss progress and identify areas of improvement.

Administrative Assistant

Robinson Lawn Care
03.2020 - 06.2021
  • Managed office supplies inventory and placed orders when necessary.
  • Processed invoices for payment using accounting software applications.
  • Coordinated mailings including sorting mail, and preparing packages for shipping via courier service or postal service.
  • Managed database systems containing customer contact information.
  • Scheduled appointments between clients and customers and internal staff members.
  • Handled incoming calls and directed callers to appropriate employees.

Pharmacy Technician

Walgreens Pharmacy
05.2016 - 02.2020
  • Assist in the practice of pharmacy under pharmacist supervision, in accordance with state, federal, and company policy
  • Responsible for using pharmacy systems (PBM) to obtain patient and drug information, process prescriptions, fill prescriptions by retrieving, counting and pouring pharmaceutical drugs, verifying medicine is correct and checking for possible interactions
  • Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner, and performs other clerical duties, as assigned by the Pharmacy Manager while complying with the Walgreen Co
  • Pharmacy Code of Conduct
  • Assists with inventory management activities (ordering, unpacking, checking, storing)
  • Adheres to company asset protection techniques (files claim for warehouse overages, shortages, order errors or damaged goods involving Rx drugs.

Claims Specialist

Aerotek
01.2018 - 12.2018
  • Reviewed claims for accuracy and ensured eligibility was verified
  • Identified processing deficiencies and initiated corrective actions according to specified instructions
  • Entered claims data into the system, interpreting correct codes as they relate to medical procedures (escalating to coders if needed)
  • Analyzed and applied plan concepts to claims such as copays, deductibles and coinsurances
  • Followed adjudication policies and procedures to make sure proper payment of claims
  • Provided timely customer service to members, providers, billing departments and other insurance companies.
  • Collaborated with other departments within the organization to resolve issues related to claims processing.

Ambassador- Mentor

Kroger
07.2015 - 08.2016
  • Answered questions and resolved problems for customers concerning store experiences
  • Addressed online technical support issues and password reset requests
  • Demonstrated up-to-date expertise while executing, and improving action plans.
  • Built customer confidence by actively listening to concerns and giving appropriate feedback.

Billing Specialist

PFS Group
06.2014 - 06.2016
  • Demonstrated proficiency in PFS billing systems and external software as required
  • Reviewed and evaluated patient accounts for appropriate handling in response to correspondence or phone calls
  • Scanned and completed data entry of all incoming correspondence
  • Performed insurance verification
  • Contacted patients, guarantors and facilities to obtain additional information for insurance processing
  • Mailed outgoing claims, invoices and letters
  • Displayed competence of explanation of benefits from payers and insurance collections terms
  • Demonstrated and maintained consistent customer focus in the face of adversity and change.

Benefit Specialist - SME

BCBS of Tennessee - Xerox
06.2011 - 06.2014
  • Answered incoming calls
  • Assisted beneficiaries with all billing and enrollment inquiries
  • Reviewed and explained the EOB -Explanation of Benefits
  • Reviewed/ processed pharmacy refills, claims and overrides
  • Utilized various systems-programs such as: Argus, CI- Customer Interface, EMR.

Education

High School Diploma -

Needham Broughton High School
Raleigh, NC
06-2011

Skills

  • Customer Service
  • Pharmacy Technician
  • Billing and Enrollment
  • Problem Solving
  • Pharmacy Claims
  • Morale Builder
  • Benefits Specialist
  • Team Player
  • Training and coaching
  • Inventory controls
  • Creative design
  • Time Management
  • Problem-solving skills
  • Promotional planning
  • Product Upselling
  • Insurance Verification
  • Healthcare knowledge
  • Claims Processing
  • Microsoft Office
  • Follow-up skills
  • Payroll coordination
  • Documentation And Reporting
  • Relationship Building

Timeline

Administrative Assistant

Robinson Lawn Care
03.2020 - 06.2021

Licensed Nail Technician Manager

Suite Like Candy
09.2018 - Current

Claims Specialist

Aerotek
01.2018 - 12.2018

Pharmacy Technician

Walgreens Pharmacy
05.2016 - 02.2020

Ambassador- Mentor

Kroger
07.2015 - 08.2016

Billing Specialist

PFS Group
06.2014 - 06.2016

Benefit Specialist - SME

BCBS of Tennessee - Xerox
06.2011 - 06.2014

High School Diploma -

Needham Broughton High School

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Brittany McCalla