INDIA GATHEWRIGHT

• · Review and process cases to route to nurse queue.
• · Make outbound calls to complete facility and member outreach for approved prior auth cases.
• · Answer 80-100 calls per day and Provide high level of quality service.
• · Problem solving and call resolution to achieve goals.
• · Post payments, accurately collects and analyzes insurance.
• · Research and follow up on missing information

•Contacting and receiving calls from the provider office to go over demographics (database maintenance)

•Reporting and extracting data for various reports and analyses

•Initiating database improvement

•Develop and maintain standards for database integrity and quality assurance

•Conducting audits and providing feedback to reduce errors and improve processes and performance

•Maintaining current provider data to ensure the quality of the network

• Answered incoming phone calls and addressed questions from customers and healthcare providers.
• Streamlined prescription processing with accurate data entry and verification of patient information.
• Restocked pharmacy shelves with current merchandise to drive consistent peripheral sales.
• Performed various pharmacy operational activities with strong commitment to accuracy, efficiency, and service quality.
• Verify and prepare prescriptions accurately for customer pickup