Chadney Boykin

• Conduct outbound calls to physician offices to provide determinations and updates on Medicare Part D medication authorization requests.

• Clearly communicate coverage outcomes and next steps, ensuring provider understanding and resolution of outstanding cases.

• Accurately document communication outcomes and maintain compliance with HIPAA and Medicare guidelines.

• Collaborate with clinical teams and pharmacy personnel to support timely and appropriate medication access for patients.

• Facilitated the approval of prior authorization requests for diagnostic and therapeutic procedures, ensuring accurate data entry and assessment of clinical information to support medical necessity determinations.
• Resolved coding discrepancies and confirming eligibility, contributing to the improvement of insurance coverage verification processes.

• Managed scheduling for virtual appointments, optimizing resource allocation and maintaining accurate calendars.
• Provided support for data connectivity issues, guiding customers through troubleshooting and system reboots.
• Coordinated repair efforts to ensure rapid service restoration for customers experiencing interruptions.

• Managed a portfolio of strategic accounts, focusing on nurturing long-term relationships and customer loyalty.
• Facilitated client communications through email, phone, online presentations, and in-person discussions.
• Implemented new outbound calling strategies and scripts, boosting sales and engagement.

• Managed incoming communication for account activations and terminations, while identifying cross-selling opportunities.
• Facilitated and coordinated communication between logistics personnel the scheduling of freight movement and delivery delays.
• Processed financial transactions and administered payment arrangements tailored to customer needs, promoting financial flexibility.

• Reviewed insurance benefits, claim approval, denials and confirmed coverage eligibility.
• Ensured accurate medical coding by meticulously checking documentation and correcting any discrepancies.

• Processed financial transactions, including payoffs, releases, and curtailments for various loan types.
• Conducted verification of new consumer, mortgage, and commercial loans.
• Performed account modifications, including opening and closing procedures, to meet customer needs.