Clair Awad
Lebanon,TN
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Proven expertise in insurance products, service and customer needs. Familiar with analyzing documentation, liaising between parties and handling both routine and complex issues each day. Identifies and resolves concerns while promoting new products and meeting monthly goals.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Telemedicine Administrator
Carebridge Medical Group
Nashville, Tennessee
01.2022 - Current
- As a telehealth administrator, I would be educating members about their insurance options, including health, dental, vision, life, and disability insurance.
- Monitoring and explaining coverage details, premiums, deductibles, copayments, and other relevant information. I was also accountable for something important, which was being responsible for managing insurance claims, including reviewing claims for accuracy, completeness, and compliance with insurance policies.
- Frequently helped members navigate the claims process and address issues or disputes.
- Focused on Data Management and Reporting. Managing telehealth-related data, including patient records, usage statistics, and financial information. This includes ensuring data integrity, confidentiality, and security, as well as generating reports and analytics to inform decision-making and measure the impact of telehealth programs.
HCA Representative
HCA Healthcare Inc.
Brentwood, TN
02.2019 - 12.2021
- Verifying insurance coverage and eligibility, including confirming coverage for specific procedures or services, obtaining pre-authorization when necessary, and explaining insurance benefits and coverage limitations to members.
- Consistently met daily performance goals set by management team members.
- Providing information and assistance to members regarding billing, payment options, and financial assistance programs. This may involve explaining charges, setting up payment plans, and assisting with applications for Medicaid, Medicare, or other financial aid programs.
Insurance Customer Service Representative
CVS Pharmacy
Nashville, TN
02.2018 - 01.2019
- Assisted with customer inquiries, complaints, and requests for information regarding insurance policies.
- Advised customers on available coverage options that best fit their individual needs.
- Navigated computer system to look up customer information and update policies.
- Made sure the CVS members were receiving the appropriate insurance by working with a variety of insurance .
- Implemented strategies to increase efficiency of processes.
- Attended training and educational seminars to enhance knowledge and credentials.
Pharmacy Technician
CVS Pharmacy
Nashville, TN
05.2017 - 01.2018
- Performed data entry for patient profiles, billing information and prescription orders into the pharmacy software system.
- Prepared medications for dispensing by counting, pouring, labeling, and verifying doses.
- Created new customer profiles and updated demographics, allergies and new medications in pharmacy computer systems.
- Assisted pharmacist with clearing high volume of prescriptions and responded to customer questions.
- Resolved customer complaints in a timely manner while maintaining professionalism at all times.
- Organized work areas so that everything was easily accessible when needed.
- Ensured compliance with all federal, state, local laws and company policies related to pharmacy operations.
- Received payment from customers and processed credit card transactions when necessary.
Education
Master of Science - Healthcare Administration
Trevecca Nazarene University
Nashville, TN05-2024
Bachelor of Science - Biology
Tennessee State University
Nashville, TN05-2021
High School Diploma -
Glencliff High School
Nashville, TN05-2017
Skills
- Schedule Coordination
- Policy Writing
- Information Management
- Project Coordination
- Team Collaboration
- Client Retention
- Customer Service
- Life Insurance
- Insurance Verification
- HIPAA Compliance
- Claims Processing
- Analytical Thinking
Certification
- Basic Life Support (BLS) certification
Languages
English
Native/ Bilingual
Arabic
Native/ Bilingual
Timeline
Telemedicine Administrator
Carebridge Medical Group
01.2022 - Current
HCA Representative
HCA Healthcare Inc.
02.2019 - 12.2021
Insurance Customer Service Representative
CVS Pharmacy
02.2018 - 01.2019
Pharmacy Technician
CVS Pharmacy
05.2017 - 01.2018
Master of Science - Healthcare Administration
Trevecca Nazarene University
Bachelor of Science - Biology
Tennessee State University
High School Diploma -
Glencliff High School
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