Destiny Hoskins

Work History

UT Southwestern Medical Center

10.2023 - Current

Ability to interact with departmental management and communicate effectively in all patients and department interactions
Responsible for obtaining information to initiate verification and precertification processing.
Understanding of insurance plans and how to review the payers medical policies
Monitors the correct patient work queue to determine accounts needing verification.
Use various systems EPIC, Availity, acuity, Humana military to obtain current referral/authorization status.
Documents pertinent information and efforts in computer system based upon department documentation standards
Verifies insurance information by utilizing insurance websites or calling insurance companies to verify active coverage, deductible, copay, and any other specific information needed in accordance to the verification.
Inform patient of non-contracted and any self pay estimates.

United Healthcare

08.2021 - 10.2023

Managed authorization notifications for inbound and outbound cases, enhancing case processing efficiency
Verified benefit coverage using EPAL, State Grid, and other resources, ensuring accurate and informed decision-making
Delivered valuable support for different Lines of Business (LOBs) as per business requirements, contributing to seamless operations
Collaborated effectively with the clinical team to route cases to the suitable review queue, facilitating timely and appropriate case handling
Utilized tools such as Rally to confirm provider network steerage, improving provider management
Ensured precise case processing through the effective utilization of diverse tools and references, maintaining data integrity
Demonstrated expertise in cross-training, specifically in DSNP cases, contributing to a versatile skill set within the organization.

Accredo

11.2020 - 07.2021

Efficiently managed inbound customer service inquiries related to pharmacy benefits from patients, providers, and internal/external clients, resulting in timely issue resolution and improved customer satisfaction
Successfully placed specialty medication orders, meticulously verifying prescription alignment with authorization requirements, contributing to accurate medication dispensing
Thoroughly documented issues and resolutions in diverse databases, showcasing meticulous attention to detail and ensuring comprehensive records for future reference
Skilfully verified customer and order information, playing a key role in enhancing operational efficiency and order accuracy
Provided valuable pharmacist consultations and meticulously documented adverse events related to missed dosages, contributing to patient safety and regulatory compliance
Conducted comprehensive test claims to assess insurance coverage for medications, facilitating informed decision-making for both patients and healthcare providers
Demonstrated resourcefulness by researching alternative medications based on claim results, contributing to cost-effective and medically suitable options for patients.

Veterans Advantage

Greenwich CT

02.2020 - 11.2020

Demonstrated exceptional performance in managing a variety of operational and strategic responsibilities within demanding timelines, contributing to the organization's effectiveness under pressure
Kept meticulous records of customer interactions, inquiries, and complaints, ensuring comprehensive documentation for future reference and analysis
Leveraged strong communication skills to deliver precise information, efficiently process orders, handle complaints, and log all customer interactions, fostering clear and effective communication
Prioritized and enhanced customer satisfaction by swiftly addressing issues, implementing corrective measures, and driving positive changes in processes
Accurately determined service charges, proficiently collected payments, and effectively maintained billing arrangements, contributing to streamlined financial operations
Thrived in intricate and challenging situations, consistently achieving successful outcomes, thereby contributing to the organization's resilience and problem-solving capabilities.

Amazon

04.2019 - 06.2019

Provided comprehensive support to customer service processes via phone, chat, and email, effectively managing queries and addressing inquiries related to order status, thereby ensuring a seamless customer experience
Skilfully processed refunds, credits, and efficiently resolved service or billing complaints, resulting in customer satisfaction and maintaining positive relationships
Exhibited exceptional judgment in task prioritization, showcasing the ability to manage multiple responsibilities while effectively utilizing conflict resolution techniques to defuse stressful situations
Contributed to improved customer relations by swiftly facilitating exchanges, refunds, or bill adjustments, adding value to the organization's reputation for outstanding service.

Central Research

Mesquite TX

08.2016 - 08.2018

Contributed to the organization by performing diverse administrative tasks, including typing, operating office equipment, and sorting mail, enhancing overall operational efficiency
Demonstrated a high level of proficiency in incorporating new information into existing records or creating new records as needed, ensuring accurate and up-to-date documentation
Efficiently organized and sorted data according to established guidelines, such as content, purpose, and specific order criteria, aiding easy retrieval and utilization of information
Played a key role in accurate record-keeping by assigning and meticulously recording or stamping identification numbers/codes, thereby facilitating precise indexing and filing
Fostered a collaborative work environment by working harmoniously with colleagues, contributing to successful task completion and the achievement of shared goals, while promoting positive interpersonal relationships based on trust, honesty, and respect.