Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Elizabeth Fehrenbacher

Saint Charles,MO

Summary

Dynamic Insurance Verification Specialist, skilled in insurance coverage verification and patient confidentiality. Proven track record in enhancing workflow efficiency and training team members. Adept at resolving discrepancies and ensuring compliance with HIPAA regulations, while effectively coordinating prior authorizations to support patient care.

Overview

14
14
years of professional experience
1
1
Certification

Work History

Insurance Verification Specialist

Centene
04.2021 - 06.2026
  • Verified insurance eligibility and benefits for patient accounts, ensuring accurate coverage information.
  • Collaborated with healthcare providers to resolve discrepancies in patient insurance documentation.
  • Utilized electronic health record systems to streamline verification processes and improve workflow efficiency.
  • Trained new team members on insurance verification protocols, enhancing overall departmental knowledge.
  • Worked with Specialty Medications, reviewed documentation to submit prior authorizations to the plans on behalf of the doctors office,

Compounding Technician

Foundation Care Pharmacy/Centene
01.2017 - 04.2021
  • Operated compounding equipment to prepare sterile and non-sterile medications per established protocols.
  • Ensured adherence to safety regulations during compounding processes to maintain compliance with industry standards.
  • Conducted quality control checks on compounded medications to verify accuracy and consistency of formulations.
  • Collaborated with pharmacists to address prescription discrepancies and improve medication preparation workflows.
  • Have understanding of USP 795, 797 and 800
  • Participated in ongoing training programs to stay current on industry updates, best practices, and regulatory changes related to pharmaceutical compounding.
  • Monitored inventory levels of raw materials, ensuring timely replenishment for uninterrupted compounding operations.

Case Manager Coordinator

LDI Pharmacy
04.2014 - 12.2016
  • Coordinated multidisciplinary teams to develop and implement client-centered care plans.
  • Assessed client needs and facilitated access to community resources and services.
  • Monitored case progress, ensuring compliance with regulatory standards and best practices.
  • Worked closely with pharmacist and doctor's to ensure patient's compliance on medications.
  • Assisted with the prior authorizations.
  • Conducted thorough assessments of client needs, strengths, and risks to inform appropriate interventions and support services.

Certified Pharmacy Technician

Walmart
06.2012 - 06.2013
  • Oversaw medication dispensing processes ensuring accuracy and compliance with pharmacy regulations.
  • Answered incoming phone calls and addressed questions from customers and healthcare providers.
  • Stocked, labeled, and inventoried medication to keep accurate records.
  • Enhanced patient care by accurately filling and dispensing prescriptions in a timely manner.
  • Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.

Education

No Degree - Law

Richland Community College
Decatur, IL

Skills

  • Attention to detail
  • Patient confidentiality
  • HIPAA compliance
  • Insurance coverage verification
  • Eligibility determination
  • Communication and interpersonal skills
  • Coverage and authorizations
  • Coordination and scheduling
  • Insurance plan verification
  • Insurance claim validation
  • Insurance terminology

Certification

  • Certified Pharmacy Technician
  • Licensed with the Missouri Board of Pharmacy

Timeline

Insurance Verification Specialist

Centene
04.2021 - 06.2026

Compounding Technician

Foundation Care Pharmacy/Centene
01.2017 - 04.2021

Case Manager Coordinator

LDI Pharmacy
04.2014 - 12.2016

Certified Pharmacy Technician

Walmart
06.2012 - 06.2013

No Degree - Law

Richland Community College

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Elizabeth Fehrenbacher