Hi, I’m
Conisha Crawford
Customer Service Representative
Louisville,KY
I think I don’t regret a single excess of my responsive youth—I only regret, in my chilled age, certain occasions and possibilities I didn’t embrace.
Henry James
Summary
Insurance Specialist/Customer Service Representative with over 10 years of customer service and medical office expertise. Driven by a passion for improving healthcare outcomes, continuously seeking innovative solutions to optimize service delivery and patient experiences. I'm committed to ensuring customer satisfaction by providing exceptional service and unmatched support. Proficiency in utilizing customer service best practices and adept at exploring different solutions to address customer needs effectively.
Overview
12
years of professional experience
1
year of post-secondary education
Work History
RxCrossroads at McKessonLouisville, KY
Insurance Specialist
10.2021 - 03.2025
Job overview
- Analyze insurance benefits for drug coverage, ensuring accurate information retrieval.
- Facilitate prior authorizations, enhancing process efficiency and compliance.
- Assist patients with program applications, improving access to necessary medications.
- Coordinate with pharmacies and insurers, resolving authorization status issues effectively.
- Streamlined the prior authorization process, enhancing efficiency and reducing turnaround times for patient access to necessary medications.
- Utilized Medicare/Medicaid expertise to accurately gather drug benefit information, ensuring patients received timely coverage insights.
- Engaged with pharmacies and insurance plans to expedite authorization statuses, fostering stronger partnerships and improving patient outcomes.
- Provided compassionate assistance to patients navigating the Patient Assistance Program, ensuring a seamless application experience.
- Processed Medicare applications, boosting compliance and reducing errors.
- Analyzed enrollment data, identifying trends for improved accuracy.
- Implemented strategies, increasing application efficiency.
- Resolved application errors, ensuring compliance and minimizing issues.
HumanaLouisville, KY
Enrollment Specialist
05.2019 - 09.2021
Job overview
- Scheduled appointments, updated demographics, obtained records, improved patient satisfaction.
- Managed bump list, filed batches, optimized clinic flow, enhanced service quality.
- Handled calls efficiently, ensured smooth scheduling, maintained records accurately.
- Provided exceptional service, resolved scheduling conflicts, improved clinic operations.
- Facilitated seamless communication, ensured accurate data entry, supported team goals.
U of L PhysiciansLouisville, KY
Medical Receptionist
10.2015 - 03.2019
Job overview
- Answered calls, delivering precise health insurance info, enhancing customer satisfaction.
- Provided timely policy details, improving consumer understanding and trust.
- Coordinated with pharmacies, ensuring efficient claim processing and resolution.
- Executed claim overrides, optimizing pharmacy-level operations and service delivery.
- Managed high-volume inbound calls, enhancing customer satisfaction and achieving consistent service excellence standards.
- Partnered with pharmacies to resolve claim issues, streamlining processes and ensuring timely access to medications for consumers.
OptumRx/United Health CareJeffersonville, IN
Customer Service Representative/Licensed Health Insurance Agent
09.2013 - 09.2015
Pediatric Prompt Urgent CareLouisville, KY
Medical Office Professional (Internship)
10.2015 - 12.2015
Job overview
- Intake for check in and check out.
- Triage patients.
- Insurance verification.
- Billing and coding for provider at end of service.
Education
American National UniversityLouisville, KY
Diploma from Medical Office Professional
09.2014 - 06.2015
Skills
- Banking
- EMR Systems
- Medical Records
- Case Management
- English
- Medical Scheduling
- Clerical Experience
- Food Production
- Medical terminology
- Computer Operation
- Front Desk
- Office Administration
- Computer skills
- HIPAA
- Patient Care
- Customer service
- Insurance Verification
- Phone Etiquette
- Data Entry
- Medical office
- Sales
- Documentation review
- Medical receptionist
- Triage
Timeline
Insurance Specialist
RxCrossroads at McKesson
10.2021 - 03.2025
Enrollment Specialist
Humana
05.2019 - 09.2021
Medical Receptionist
U of L Physicians
10.2015 - 03.2019
Medical Office Professional (Internship)
Pediatric Prompt Urgent Care
10.2015 - 12.2015
American National University
Diploma from Medical Office Professional
09.2014 - 06.2015
Customer Service Representative/Licensed Health Insurance Agent
OptumRx/United Health Care
09.2013 - 09.2015
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