CHRISTINA MCLACHLAN
Summary
Motivated fourth-year Health Science (General) major with a strong foundation in public health principles, human anatomy and physiology, and health promotion. Experienced in research analysis, data collection, and health education, with a focus on health disparities and culturally competent care. Demonstrates strong communication, teamwork, and organizational skills, and is well prepared for entry-level healthcare, public health, or graduate-level opportunities.
Overview
1
1
Certification
Work History
Member Services Specialist I
Centene Corporation (Ambetter)
- Researched patient eligibility, coverage information, and benefit levels.
- Identified and addressed gaps in patient care, improving service delivery and collaborating with teams to enhance outcomes.
- Maintained accurate records of all transactions related to memberships including payments, renewals, and cancellations.
Patient Services Specialist II
VitaCare Prescription Services
- Verified patient's insurance eligibility through web portals, electronic health records, and phone calls to insurance companies.
- Processed adjustments, cancellations, renewals, and reinstatement requests.
- Accessed patient information through various software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
Prior Authorization/Referral Specialist
FL Home Associates
- Maintained detailed records of all patient referrals and authorizations, including dates of submission, status updates, and any additional information required by insurance providers.
- Communicated regularly with referring physicians, nurses, case managers, social workers, and other healthcare professionals regarding referral status and procedure.
- Processed incoming referral requests for medical and pharmacy services and submitted them to the appropriate insurance companies for authorization.
Education
Bachelor of Science - Health Sciences
Florida Agricultural And Mechanical University
Tallahassee, FLSkills
- Public Health Principles
- Human Anatomy & Physiology
- Health Promotion & Disease Prevention
- Epidemiology & Biostatistics (Foundational)
- Health Disparities & Social Determinants of Health
- Ethical Decision-Making & HIPAA Awareness
- Clinical & Medical Terminology
- Electronic Health Records (EHR) Familiarity
- Microsoft Office & Google Workspace
- Team Collaboration & Leadership
- Time Management & Organizational Skills
Certification
Registered Pharmacy Technician
Medical Billing and Coding Training
Medical Terminology Certification
Medical Billing and Coding Training
Medical Terminology Certification
Timeline
Member Services Specialist I
Centene Corporation (Ambetter)
Patient Services Specialist II
VitaCare Prescription Services
Prior Authorization/Referral Specialist
FL Home Associates
Bachelor of Science - Health Sciences
Florida Agricultural And Mechanical University