Gerald Hazley Jr
Fort Worth,TX
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
18
18
years of professional experience
Work History
Benefits Verification Representative
Aston Carter / Amgen
03.2023 - Current
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Verified eligibility and compliance with authorization requirements for service providers.
- Data intake
- Seasonal Team Lead
Benefits and Prior Authorization Specialist
AmerisourceBergen/ CVS Caremark
06.2021 - 03.2023
- Complete benefits verification for medical and pharmacy plans. Commercial and Medicare/ Medicaid plans.
- Initiating prior authorizations and appeals via form, verbally, and electronically.
- Knowledge of ICD 9-10.
- Follow ups to patients, MDO's and insurance plans.
- Check eligibility for medications, injections, surgeries, injection procedures, and radiology
- Data intake
- Inbound calls
Benefits Investigator
CARDINAL HEALTH
10.2015 - 06.2021
- Conducted benefits investigations to confirm patient medication covered under their insurance plan.
- Follow through on all benefit investigation rejections, including prior authorizations and appeals.
- Make all outbound calls to patients and/or providers to discuss any missing or benefit related information.
- Coached employees through day-to-day work and complex problems.
- Explanation of benefits.
ESCALATION TEAM LEADER
JCPENNEY
01.2010 - 09.2015
- Provided direct support to customers with issues regarding billing, shipping and ordering while maintaining excellent customer service
- Conducted training and mentored team members to promote productivity, accuracy and commitment to friendly service.
Underwriter
JP Morgan Chase
01.2006 - 01.2010
- Supported review and acceptance or denial of new or renewal business.
- Determined and documented loan conditions and communicated requirements and decisions.
- Analyzed credit, income, compliance, title documents and appraisals during underwriting process.
- Evaluated debt ratio, loan-to-value ratios, credit scores property valuations and various other factors when making underwriting decisions.
Education
Associates Degree - Pharmacy Technician CVS Pharmacy Retail Pharmacy Externship
Kaplan College
Milwaukee, WI06.2009
High School Diploma -
Shorewood High School
Milwaukee, WI06.2004
Skills
- Open Enrollment/ Data Intake
- Patient Assistance Program
- Employee Performance Management System
- Benefits Explanations
- Customer Care
- Verbal and Written Communication
Timeline
Benefits Verification Representative
Aston Carter / Amgen
03.2023 - Current
Benefits and Prior Authorization Specialist
AmerisourceBergen/ CVS Caremark
06.2021 - 03.2023
Benefits Investigator
CARDINAL HEALTH
10.2015 - 06.2021
ESCALATION TEAM LEADER
JCPENNEY
01.2010 - 09.2015
Underwriter
JP Morgan Chase
01.2006 - 01.2010
Associates Degree - Pharmacy Technician CVS Pharmacy Retail Pharmacy Externship
Kaplan College
High School Diploma -
Shorewood High School
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