Casey England

I worked as an Account Manager for TPAs and employer groups who were self-funded with our PBM for prescription insurance. I was also Director of Client Solutions. I also was a part of the clinical side of submitting prior authorizations for medications. I did everything from emails, spreadsheets, reporting, implementation, overrides. I also handled calls from members, clients, TPAs, Brokers, pharmacies, and medical offices. I learned a wide range of skills during my time. I also had recently helped train two new hires within the past year.

Closed door pharmacy working with blue cards, pill pack, doc u dose and retail. As well as Durable Medical Supplies to an extent. I am a registered Pharmacy Technician in the State of Ohio with an active license.

Inbound/Outbound Calls for Medicare members who had Medicare Advantage Plans. Worked with Express Scripts, My Advocate, Exact Care, and Center for Medicare and Medicare Services. I Went through CMS training for 12 weeks. Worked with members on benefit inquires, complaints, provider relations, claims issues for medical, dental, vision, and pharmacy. Worked with members to schedule appointments, get prescription refills including prior authorizations, formulary exceptions and cost, medical supplies etc. Assisted in helping new hires once they were out of the initial training phase.

I worked with Glasses.com to take inbound calls to assist in customers insurance or ordering needs. Worked to become part of the back-office team where I was responsible for manual insurance claims, insurance withholds, voiding insurance claims, working on reports and projects. I also handled live chat, text messaging, prescription verifications and emails. Also helping with website and mobile app troubleshooting. Helped the training team with new hires once they got out on the actual call center floor.

Collections rep for multiple clients/customer service

Inbound/outbound calls for collections and customer service. payments, disputes, collections, problem solving, customer problems and complaints etc

Also worked as a "Buddy" to assist in the training of new hires.

Responsible for team members, payments, customer complaints and resolutions, and training new hires to be part of other teams as well as my own.

Server, Cashier, Host, also helped train new employees