Dvonya Young

Manages 80-100+ inbound calls per day supporting pharmacy triage. patient inquires, and order coordination.

Process and track high volume wholesale pharmacy ordes, consistently meeting same day or next day turnaround requirements.

Research and resolve claims denial and underpayments, contributing to improved reimbursement timelines.

Verify insurance eligibility and coverage with 99% data accuracy, minimizing downstream billing issues .

Identify workflow trends, delays, and recurring issues: escalate insight to program management for process improvement.

Process medical records requests while maintaining strict HIPAA compliance and confidentiality standards .

Ensure all correspondence meets internal quality benchmarks and regulatory guidelines.

Supported Multiple patient access programs with billing, coding, and claims tracking responsibilities.

Assisted with prior authorizations,helping reduces approval delays and improve patient access timelines.

Conducted welcome and benefits determination calls, clearly explaining coverage and next steps to patients.

Determine eligibility for patient support and financials assistance programs.

Maintained fast turnaround times on patient requests while balancing high call volumes.

Resolved escalated inquiries efficiently, meeting service-level agreements(SLAs) and quality metrics

Verified patient insurance benefits for accuracy and compliance with company policies.

Processed prior authorization requests using electronic health record systems to ensure timely approvals.

Collaborated with healthcare providers to gather necessary documentation for benefit verification.

Utilized claims processing software to resolve discrepancies in patient eligibility and coverage details.