Conducted outbound calls to insurance payers and specialty pharmacies to verify patient benefits.
Collaborated with Clinical Care Team and payers to procure clinical documentation for prior authorizations.
Acquired all necessary authorizations through web, fax, or phone communications.
Performed thorough insurance verifications for patient services to ensure proper coverage.
Maintained accurate records of authorization processes and related communications.
Verified policy activation and coverage specifics for each claim submitted.
Interpreted insurance policy terms effectively to assess coverage for specific claims.
Travel Agent
Adorn Vacations
Dallas, Texas
04.2023 - Current
Coordinated travel itineraries for clients based on preferences and budget.
Researched and recommended destinations, accommodations, and activities for travelers.
Managed booking processes using industry-specific software for efficiency.
Assisted clients with travel documentation, including visas and insurance needs.
Sr. Repossession Coordinator
Capital One
Plano, TX
06.2020 - 01.2024
Educated customers about the terms of contracts and payment requirements.
Helped customers get back on top of payment demands by setting up accommodating plans.
Located delinquent customers via employers, government records, and other methods.
Consulted compassionately with customers to understand reasons for delinquency and develop collaborative payment solutions.
Developed strong customer service skills while interacting with debtors, clients, law enforcement officers, and others involved in repossession process.
Protected patient data with secure records management system.
Pharmacy Care Coordinator
US Bio Services
Frisco, TX
12.2018 - 06.2020
Verified patient insurance coverage, ensuring accuracy and compliance with regulations.
Processed insurance claims for patient medication.
Communicated with patients regarding their insurance coverage and financial responsibilities.
Handled sensitive patient information with confidentiality and professionalism.
Answered phone calls from patients, doctors, and insurance companies regarding prescription inquiries.
Sales Account Manager
Medline Industries
Mundeline, IL
05.2015 - 12.2018
Built strong relationships with key customers to maintain and expand business opportunities.
Review accounts, sell new business to existing accounts and convert accounts to a higher level. May also be responsible for new account installation.
Coordinate sales forecasts with internal team. Manage co-op accruals and set-up new customers into Medline's systems.
Maintained the price list for both sales purchasing within the SAP system.
Build and maintain sales territory of smaller accounts, located in secondary & tertiary markets focusing on sales and customer relationships.
Conduct regular status and strategy meetings with the customers to understand their needs and link them to the organization's product/service strategies.
Insurance Verification Specialist
Cvs Caremark
Buffalo Grove, IL
09.2013 - 05.2015
Maintained privacy and confidentiality of patients in compliance with policies and regulations.
Completed insurance claim forms or other required paperwork.
Verified patient insurance coverage, ensuring accuracy and compliance with regulations.
Communicated with patients regarding their insurance coverage and financial responsibilities.
Updated patient records with insurance verification results and documentation.
Communicated effectively with healthcare providers to ensure coverage for prescribed treatments.