Chris Washington

This role is the primary point of contact for clients, members, and healthcare provider's regarding prescription drug coverage, inquiries. and problem resolution. Involving managing claim processes, verifying insurance coverage, and ensuring effective communication between all parties.

Key Responsibilities

• Customer Service: Handle inbound and outbound calls and correspondence regarding benefit inquiries, coverage, and costs.
• Problem Resolution: Address and resolve issues related to claim processing, prior authorizations, medication denials, and alternative medication options.
• Benefit Verification and Authorization: Verify insurance cover and perform benefit investigations for new and existing patients in a timely manner.
• Documentation: Maintain accurate and up-to-date documentation and all communications and activities within the PBM system and operations
• Self-motivated, with a strong sense of personal responsibility.
• Worked effectively in fast-paced environments.
• Skilled at working independently and collaboratively in a team environment.
• Proven ability to learn quickly and adapt to new situations.

• Work with Carriers and providers to ensure accurate claims processing and communicate with clients and employees
• Assist clients in claim submission, gather necessary information from clients and providers for individual claims
• Receive and document incoming claims and check for pertinent information that is needed
• Assist clients and/or prospective clients with questions pertaining to their benefits
• Assist Customer Service representatives with claims
• Proactively educate members on their benefits, promoting underutilized services and ancillary services like telemedicine, pricing and wellness
• Perform miscellaneous administrative responsibilities such as word processing, preparing copies, creating documents and maintaining a high incoming call volume
• Navigate through specific software and document activity

• Customer service and knowledge of furniture sales
• Updated with the latest training on all current furniture products
• Meeting with furniture reps for new product updating seminars
• Skills in computer sales and ordering furnishing products
• Handling all online customer web inquiries
• Extensive retail customer support
• In home design consultation
• Qualifying customers for available financing terms/procedures

• Customer Service/ entering sales orders received by phone, mail, fax, and email
• Process customer invoicing, credits, complaints, requests, and concerns
• Create international and domestic documents for border statements
• Create and maintain scheduling inventory for Graphic production
• Track and manage accounts on all product invoices on all graphic options
• Responsible for sending PCN and product change request forms
• Work closely with production floor to assure order completion
• Produce daily Production reports
• Verify inventory levels to assure proper order management