Skilled collaborator with strong background in administrative and insurance environments. Works well independently to handle assignments and always ready to go beyond basics assignments. Adaptive learner with good computer abilities.
Overview
6
6
years of professional experience
Work History
Care Manager
Aston Carter/Iqvia
12.2023 - Current
Verified insurance requirements to support current billing processes
Facilitated communications between medical facilities, insurance companies and patients
Skilled in problem solving to quickly assess current state and formulate recommendations
Worked with managed care, HMO and Medicare and Medicaid plans as well
Contact insurance companies to perform appropriate benefit investigation(s) and coverage eligibility for client product only - medical benefit 90%, pharmacy benefit 10%
Maintained daily goals while achieving the highest quality of care.
Independent Contract Delivery Partner
Amazon Flex/ Spark Delivery
11.2018 - 12.2023
Communicated professionally with company personnel, store associates and customers while remaining flexibility in work scheduling to meet service needs
Educate customers Surpass customer service standard expectations on Spark, consistently maintained fantastic standings for Amazon, punctuality, exceptional delivery quality and customer service to maintain delivery contracts
Navigated multiple systems to aid in answering questions and independently resolving issues
Maintained customer satisfaction and engaged members by going the extra mile.
Benefit Verification Specialist
AmerisourceBergen
12.2018 - 05.2022
Resolved and researched client inquiries regarding health insurance and employee benefits
Verified completeness and accuracy of patients' information for documentation in EMR system
Helped patients obtain the necessary services to meet their healthcare needs
Investigated patient inquiries thoroughly from beginning to end to achieve satisfactory resolution
Adhered to guidelines, policies, and processes, as well as strict observance of HIPAA regulations
Provided Prior authorization assistance and tracking as well as handling appeals and denials.