Summary
Overview
Work History
Education
Skills
Timeline
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Chinika Hall

Essex,Md

Summary

Dedicated professional with a proven track record of meeting organizational needs through consistent and organized practices. Recognized for strong adaptability and quick learning abilities, effectively contributing to team dynamics. Possesses excellent communication skills and a robust work ethic, thriving in high-pressure environments to enhance the company brand. Aiming to leverage these skills in a collaborative setting while supporting broader organizational objectives.

Overview

9
9
years of professional experience

Work History

Medicare Enrollment Specialist II

Sentara Healthcare
Glen Allen, VA
05.2023 - Current
  • Process enrollments, changes, cancellations, and terminations according to established guidelines.
  • Maintain current knowledge of all applicable laws governing the Medicare program.
  • Generate reports related to enrollments, activity levels, demographics. as requested by management.

Cert. Pharmacy Technician

Exactcare Pharmacy Technician
01.2023 - 04.2023
  • Provided timely responses to incoming calls.
  • Processed medication prescriptions and renewals.
  • Ensured compliance with all federal, state, local laws and company policies related to pharmacy operations.

Insurance Verification Specialist

Advanced Radiology
03.2018 - 01.2022
  • Confirm accurate insurance coverage for patients prior to procedure and appointment bookings.
  • Facilitated timely authorization of radiological services.
  • Investigated causes of denied claims and collaborated with insurance carriers for resolutions.

Medicaid Enrollment Specialist

Reqroute, Cognizant
06.2017 - 02.2018
  • Handled applications, corrections, and cancellations efficiently.
  • Evaluated criteria to determine applicant eligibility for diverse aid programs.
  • Provided detailed information on coverage options to potential policyholders.
  • Compiled reports detailing enrollment statistics for analysis.

Prior Authorization Specialist

Mindlance, Cigna Healthspring
11.2015 - 09.2016
  • Created and maintained patient profiles with updated medication lists.
  • Reviewed claims, records, and procedures to authorize coverage.
  • Communicated effectively with patients, insurance providers, healthcare staff and office personnel.

Education

Medical Billing and coding- Certified -

Integrated Health
07.2020

Pharmacy Technician- Certified -

Caroline Center
07.2015

Skills

  • Skilled in Microsoft Office Applications
  • CPT Coding Expertise
  • Healthcare industry
  • Task prioritization
  • Customer service

Timeline

Medicare Enrollment Specialist II

Sentara Healthcare
05.2023 - Current

Cert. Pharmacy Technician

Exactcare Pharmacy Technician
01.2023 - 04.2023

Insurance Verification Specialist

Advanced Radiology
03.2018 - 01.2022

Medicaid Enrollment Specialist

Reqroute, Cognizant
06.2017 - 02.2018

Prior Authorization Specialist

Mindlance, Cigna Healthspring
11.2015 - 09.2016

Medical Billing and coding- Certified -

Integrated Health

Pharmacy Technician- Certified -

Caroline Center

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Chinika Hall