Fortunada Hope

Verifying and processing prior authorization claims for patient for prescription, mail orders prescription and specialty medicine.

Customer service, data entry, remote from home.

• Researched relevant resources to assist members, identified member representation needs and troubleshot next steps to provide optimal support for member.
• Enhanced company reputation by providing exceptional customer service and support.

• Established and maintained patient profiles, updating organizational database with current information.
• Processed incoming drug orders by checking deliveries against paperwork and updating computer system.
• Collaborated with pharmacy team members to address customer concerns or inquiries promptly and professionally.
• Remote from home
• Input patient information into computer system for prescription orders.
• Customer service.

• Made appropriate referrals, monitored client services in appropriate time frames, sought supervisory guidance as required, documented services provided and completed departmental billing procedures.
• Communicated with supervisor regarding issues related to case management, resourcing, service collaboration and development of new resources.
• Served as case coordinator, assuming responsibility for complex, high-volume assignments and guiding endeavors to successful completion.
• Created well-written, effective care plans appropriately matching needs of clients following standards and guidelines of funders, contractors and governmental regulations.

• Enhanced laboratory efficiency by accurately processing and labeling specimen samples.
• Reduced errors in specimen data entry through meticulous attention to detail and thorough review processes.
• Maintained a well-organized work environment by implementing effective storage and tracking systems for specimens.
• Contributed to the accuracy of test results by promptly addressing any discrepancies or issues with specimen quality, identification, or documentation.

• Prioritized calls through screening process and transferred calls and recorded messages for appropriate personnel.
• Enhanced office productivity by handling high volume of callers per day.
• Used knowledge of medical terminology to transcribe patient information from written copy, electronic equipment, or verbal direction.
• Responsible for all patients care and related clerical procedures and facilitate communication between patients, their families, nurse and other team members. Admitting, establishing and maintaining closing of patients charts in a orderly manner.
• Handling al patients care data entry, performing receptionist duties, resident and hospitals.