Estefanie Bernier
Boca Raton,FL
Summary
Energetic and enthusiastic with a passion for customer satisfaction. 9 years of customer service, 3 years of prior authorization and 5 years of retail pharmacy experience combined with multitasking skills, data entry skills and excellent telephone etiquette. Provide superb customer service, ensuring client retention and loyalty.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Authorization Specialist
Flomed Infusion
02.2024 - Current
- Obtaining and Processing Prior Authorization Requests: Gathering necessary information and documentation for prior authorization requests.
Submitting requests to insurance companies or health plans. Tracking the status of authorizations and following up with insurance providers. - Insurance Verification and Eligibility: Verifying patient eligibility and benefits for covered services. Ensuring that services are covered by the patient's insurance plan.
- Collaboration and Communication: Communicating with healthcare providers, patients, and insurance companies. Collaborating with other departments to ensure smooth operations.
- Denial Management: Identifying and addressing reasons for denials. Preparing and submitting appeals for denied authorizations.
- Data Entry and Tracking: Accurately entering and maintaining data related to prior authorizations. Tracking authorization requests, denials, and appeals.
- Patient Communication: Communicating with patients about the prior authorization process and any necessary steps. Answering patient questions and addressing concerns
Prior Authorization Specialist
NYU Langone Health
06.2022 - 01.2024
- Obtaining and Processing Prior Authorization Requests: Gathering necessary information and documentation for prior authorization requests.
Submitting requests to insurance companies or health plans. Tracking the status of authorizations and following up with insurance providers. - Insurance Verification and Eligibility: Verifying patient eligibility and benefits for covered services. Ensuring that services are covered by the patient's insurance plan.
- Collaboration and Communication: Communicating with healthcare providers, patients, and insurance companies. Collaborating with other departments to ensure smooth operations.
- Denial Management: Identifying and addressing reasons for denials. Preparing and submitting appeals for denied authorizations.
- Data Entry and Tracking: Accurately entering and maintaining data related to prior authorizations. Tracking authorization requests, denials, and appeals.
- Patient Communication: Communicating with patients about the prior authorization process and any necessary steps. Answering patient questions and addressing concerns
Registered Pharmacy Technician
Walgreens
Boca Raton, FL
10.2019 - 05.2023
- Establish and update patient profiles, including list of medications and insurance details
- Receive and verify daily incoming drug inventories, report discrepancies and log items into inventory system
- Refill medications and offer insight into over-the-counter products
Customer Service Associate
Walgreens
Boca Raton, FL
04.2016 - 09.2018
- Elevated customer experience generating loyal clientele
- Assisted customers in person and via telephone
- Cleaned and organized the store, including checkout desk and display
- Registered sales, resolved costumer issues and answered questions to ensure a positive customer experience
- Stocked the shelves as needed
Education
Associate Of Science - Diagnostic Medical Sonographer
Cambridge College of Healthcare & Technology
Delray Beach, FLSkills
- Organization and multitasking skills
- Insurances
- Customer service skills
- Cash Handling
- Billing
- SharePoint
- Data Entry
- Phone Etiquette
- Pharmacy Technician Experience
- Typing
- Medical Billing
- Computer operations
- MS Office
- Word
- Excel
- Powerpoint
- Outlook
- Multilingual (English, French, Creole)
Certification
- Registered Pharmacy Technician
- CPR Certification
Personal Information
Authorized To Work: US
Languages
English
Native or Bilingual
French
Limited Working
Creole
Native or Bilingual
Timeline
Authorization Specialist
Flomed Infusion
02.2024 - Current
Prior Authorization Specialist
NYU Langone Health
06.2022 - 01.2024
Registered Pharmacy Technician
Walgreens
10.2019 - 05.2023
Customer Service Associate
Walgreens
04.2016 - 09.2018
Associate Of Science - Diagnostic Medical Sonographer
Cambridge College of Healthcare & Technology