Christel Bigham

In a call center type setting obtained pharmacy benefits from the pharmacy benefit manager/medical insurance companies. Resolved any issues pertaining to the benefits for drug coverage. Call counseled providers offices and patients regarding the outcome of their benefits. Inputting information into the company database.

Follow up on prior authorizations with providers offices.

Reached out to Patient regarding any information that would help me obtain accurate information.

• CPT/ICD10 coding and billing of OB deliveries, GYN surgeries, in/outpatient visits, circumcisions.
• Answer telephone calls from patients and or insurance companies seeking assistance.
• Collect patient balances and co-pays. Register patients if not already in the system.
• Verify insurance for IUDs and Nexplanon.
• Keeping up with the required delivery counts.
• Completing and uploading Medicaid consent forms when surgery is completed. Closing the prenatal flow sheet when billing for deliveries.
• Verifying computer back up.
• Also medical records, pulling required paperwork from hospital portal to complete all billing. And sending out any necessary medical records that are required for billing.
• HIPPA.
• Update patient information.
• Refer patients to specialty positions. Make patient appointments.
• Maintained customer interaction and activity records in CRM system.
• Answered questions and resolved concerns for patient support.
• Displayed strong telephone etiquette, effectively handling difficult calls.
• Took messages from patients and promptly relayed to appropriate staff.