Fashia Mack
Rock Hill,SC
Summary
Diligent Claims Processor versed in insurance processes and claims procedures. Offers great attention to detail and time management abilities to successfully handle large volume of claims. Highly accurate and thorough with focus on completing error-free work in line with processing guidelines.
Overview
8
8
years of professional experience
Work History
Benefit Verification Specialist-Remote
Amerisource Bergen
07.2019 - 01.2024
- Responsible for the role of call center collecting and reviewing all the patient’s insurance benefits information and identifying restriction and coverage details to expedite patient access
- Documented prior-authorization process and requirements
- Completing eligibility checks and quality data checks on medical and pharmacy benefits for Medicaid and Medicare.
- Provided exceptional customer service by addressing patient concerns regarding coverage and out-of-pocket expenses.
- Managed high-volume caseloads while maintaining strict deadlines for completing benefit verifications and authorizations.
- Increased customer satisfaction with timely follow-ups, ensuring all necessary documentation was collected and processed promptly.
- Answered phone calls and provided new clients with required paperwork to initiate service.
Claims Clerk II/ Data Prep Technician II
Blue Cross Blue Shield
11.2015 - 07.2019
- Enhanced customer satisfaction with timely and accurate claims processing, resolving discrepancies quickly.
- Reviewed coverage on the company’s healthcare system for benefit availability
- Performed medical billing and coding
- Reduced claim errors by carefully reviewing documentation and verifying information before submission.
- Kept up-to-date on industry news, trends, and advancements to remain competitive in delivering high-quality claims services.
- Conducted comprehensive quality control checks to minimize discrepancies in final datasets.
- Developed custom scripts for automating data preparation tasks, saving time and resources.
Education
High School Diploma -
Great Falls High School
Great Falls01.2008
Skills
- HIPAA Compliance
- Claims Processing
- Microsoft Office
- Insurance Verification
- Written and oral communication
- Claims review
- Claims Processing Proficiency
- Data Entry
- Intake Assessment
- Critical Thinking Skills
Timeline
Benefit Verification Specialist-Remote
Amerisource Bergen
07.2019 - 01.2024
Claims Clerk II/ Data Prep Technician II
Blue Cross Blue Shield
11.2015 - 07.2019
High School Diploma -
Great Falls High School
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