Summary
Overview
Work History
Education
Skills
Timeline
Generic

Corshia Douglas

Fort Mill,SC

Summary

Personable professional with strong background in guiding and assisting customers, helping coworkers and completing important pharmacy tasks. Productive in efficiently ringing customers, providing information and answering calls to deliver superb customer care. Orderly in recordkeeping, inventory control, ordering products and requesting refills from physicians.

Overview

13
13
years of professional experience

Work History

Pharmacy Care Representative

All Care Plus Pharmacy
03.2023 - Current
  • Calling insurance companies to obtain medical records
  • Verifying patient insurance benefit information
  • Documenting and initiating prior authorization process and claims appeals
  • Triages cases with missing information to appropriate program associate.
  • Greeted customers at counter and provided excellent customer service.
  • Organized pharmacy area to maintain clean and orderly environment.
  • Verified patient information to correctly dispense medications.
  • Completed cash register transactions by handling credit and cash payments using pharmacy register system.
  • Managed over 50 calls day

Family Enrollment Counselor

Spectra force / Pearson Academy
06.2022 - 10.2022
  • Enrolled students into classes before deadline
  • Placed calls to families to set up meetings
  • Gathered documentation for families for enrollment
  • Analyzed customer needs to provide customized insurance solutions
  • Calculated premiums and established payment methods for sales
  • Finalized sales and collected necessary deposits
  • Conducted annual reviews of existing policies to update information

Patient Care Coordinator

Spectra force/Lash Group
03.2022 - 06.2022
  • Perform analytical and data entry task
  • Answer patient calls, emails and questions, including finding insurance estimates
  • Confidentially manage patient accounts
  • Schedule patient visits and answer pre-visit questions, including about billing
  • Ensure compliance with professional standards & regulatory requirements
  • Supported patients with necessary care during end-of-life phases by coordinating hospice care
  • Performed as subject matter expert for case management processes
  • Organized discharge planning for home care and rehabilitation care stays to ease patients' transition from hospital
  • Applied administrative knowledge and courtesy to explain procedures and services to patients

Benefits Verification Specialist

Lash Group
06.2021 - 03.2022
  • Verifying patient insurance benefit information
  • Documenting and initiating prior authorization process and claims appeals
  • Triages cases with missing information to appropriate program associate.

Patient Access Specialist

Lash Group
02.2021 - 06.2021
  • Provides advanced services to patients, providers and caregivers
  • Verifying patient insurance benefit information
  • Works on problems of moderate scope where analysis of data requires a review of a variety of factors.

Benefits Verification Specialist

Lash Group
09.2020 - 02.2021
  • Verifying patient insurance benefit information
  • Documenting and initiating prior authorization process and claims appeals
  • Triages cases with missing information to appropriate program associate.

Customer Service Representative

iQor
08.2019 - 06.2020
  • Answer calls for business accounts
  • Manage payments and Payment arrangements
  • Assistance with suspensions canceled account
  • Bill breakdown

CHILDCARE PROVIDER, HOUSE OF JOY
02.2019 - 08.2019
  • Supervised and maintained the safety of children
  • Prepared a family style lunch for students
  • Prepared lesson plans with monthly theme.

CHILDCARE PROVIDER, KIDS CARE PLUS LLC
04.2018 - 01.2019
  • Supervise and monitor the safety of children in their care
  • Prepare meals and organize mealtimes
  • Change diapers of infants and toddlers
  • Organize activities or implement a curriculum that allow children to learn

STUDENT NUTRITION SPECIALIST

CHESTER COUNTY SCHOOL
04.2018 - 01.2019
  • Took inventory of supplies and equipment
  • Planned menus that are varied nutritionally balanced
  • Compile and maintain records of food and expenditures

ADMINSTRATIVE ASSISTANT

INTERNATIONAL CEREMIC TILE
11.2015 - 01.2019
  • Operate telephone switchboard to answer, screen or forward calls
  • File and maintain records
  • Collect sort distribute or prepare mail messages
  • Perform administrative support task

CUSTOMER SERVICE REP

XEROX
02.2013 - 09.2015
  • Assist customers with bill management
  • Made outbound calls and answered inbound calls
  • Filed paperwork

CUSTOMER SERVICE REP

WALMART
05.2010 - 01.2013
  • Greet customers
  • Received payments by cash check or credit cards
  • Issued receipts refunds credits or change due to customers
  • Establish or identify prices goods services or admission

Education

DIPLOMA -

NORTHWESTERN HIGH SCHOOL
Rock Hill, SC
05.2008

Skills

  • Measures candidate's knowledge of development of children ages 0-3 and of ways to foster that development
  • MICROSOFT WORD, EXCEL, POWERPOINT
  • 15 HOUR CHILDCARE TRAINING
  • CERTIFICATES IN CHILDCARE FIELD
  • ANSWERING PHONE TECHINIQUE SKILLS
  • Health Insurance Plan Knowledge
  • Managing Customer Complaints
  • Medication Packaging
  • Document Faxing and Copying
  • Clean Equipment
  • Laboratory Operations
  • Customer care standards
  • Recordkeeping skills
  • FDA and ICH Guidelines

Timeline

Pharmacy Care Representative

All Care Plus Pharmacy
03.2023 - Current

Family Enrollment Counselor

Spectra force / Pearson Academy
06.2022 - 10.2022

Patient Care Coordinator

Spectra force/Lash Group
03.2022 - 06.2022

Benefits Verification Specialist

Lash Group
06.2021 - 03.2022

Patient Access Specialist

Lash Group
02.2021 - 06.2021

Benefits Verification Specialist

Lash Group
09.2020 - 02.2021

Customer Service Representative

iQor
08.2019 - 06.2020

CHILDCARE PROVIDER, HOUSE OF JOY
02.2019 - 08.2019

CHILDCARE PROVIDER, KIDS CARE PLUS LLC
04.2018 - 01.2019

STUDENT NUTRITION SPECIALIST

CHESTER COUNTY SCHOOL
04.2018 - 01.2019

ADMINSTRATIVE ASSISTANT

INTERNATIONAL CEREMIC TILE
11.2015 - 01.2019

CUSTOMER SERVICE REP

XEROX
02.2013 - 09.2015

CUSTOMER SERVICE REP

WALMART
05.2010 - 01.2013

DIPLOMA -

NORTHWESTERN HIGH SCHOOL
Corshia Douglas