Jenniene Nurse

• Mentored team members by demonstrating best practices for sales and customer service.
• Drove customer feedback for process improvements.
• Provided knowledgeable and compassionate service in response to patient questions and concerns.
• Helped patients understand care, coverage and payment responsibilities and rights.
• Managed database of patient information and frequently used computerized systems to track details.
• Worked with patients to appeal insurance decisions and coordinated with providers to resolve problems.
• Communicated with patients with compassion while keeping medical information private.
• Collaborated with multi-disciplinary staff to improve overall patient care and response times.

• Conduct A benefit investigation with insurance companies and verified patient coverage.
• Faxed Prior Authorization forms to HCP
• Follow up with insurance companies to check status of the Prior Authorization
• If prior Authorization forms denied submit appeals to overturn the PA decision

• Answer inbound calls from patients to schedule delivery for their medication
• Resolve escalation calls for patients
• Answer patient calls to scheduled medication supplies
• Connect with new patient via email or phone
• Screen patients for copay assistance
• Process pharmacy orders and respond tp inquires and issues regardingprders
• Review medication inventory
• Maintain patient PHI and obey Hipaa regulation
• Meet company expectation and goals
• Always provide White Glove customer Service

• Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
• Input claim information and payments into company database.
• Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.

• Handle inbound calls from patients, physician offices, and/or insurance companies.
• Provided high quality customer service and such as transferring calls to proper departments.
• Obtain and verify insurance eligibility for services provided and document complete information in system.
• Worked in a high call volume environment and handled around 100- 120 calls on an average.
• Perform prior authorizations as required by payer source, including procurement of needed documentation by collaborating with physician offices and insurance companies.
• Collect any clinical information such as lab values, diagnosis codes, etc.
• Determine patients’ financial responsibilities as stated by insurance Configure coordination of benefits information on every referral.
• Ensure assignment of benefits is obtained and on file for Medicare claims Bill insurance companies for therapies.
• Provided Document all pertinent communication with patient, physician, insurance company identify and coordinate patient resources as it pertains to reimbursement, such as co-pay cards, third party assistance programs, and manufacturer assistance programs.

• Handel inbound and outbound calls from Patient, Biogen, physician offices and/or insurance companies.
• Provide exceptional customer service and transferring calls to the correct department.
• Conduct screening for copay assistance eligibility.
• Enroll Biogen patients for Medicare Part D.
• Verify benefits apply patients for copay assistance.
• Setup medication deliveries.
• Submit Prior Authorizations to patients plan and Dr office.
• Apply patient for Low Income Subsidy (if requirement is met).

• Provide excellent Customer Service to all internal and external customers.
• Handled high volumes of calls in call center environment.
• Assisted customers with their queries and provided basic customer representative duties.
• Handle around 120 calls on an average and resolve their queries.
• Taking high volume calls for healthcare clinic verifying commercial insurances as well as Medicaid either through system as well as via telephone.
• Scheduling appointments corresponding with physicians through EMR and EPIC systems.
• Handling and resolving billing inquires handling release of information paper work for patients.

• Take in job orders, print business cards assist customers with design flyers or anything involved with prints.
• Give excellent customer service, face to face interactions, handling cash register etc.

• Answering high volume inbound calls, refilling medication and verifying prescriptions.
• Provided excellent customer support and also handled high call volume environment.
• Handled around 100 calls on an average in a call center environment.
• Faxing doctors for insurance information and new prescriptions, taking pharmacy.
• Help desk calls when their claims will not process we provide them how to solve the issue, tracking shipped medications providing great customer service.
• Submitting prior authorizations also assisting customers with benefit questions and handling de- escalations working with.

Initiate and process prior authorizations

Follow up with insurance plans to check status, and resolution of prior authorizations

Request clinical labs to initiate prior authorizations from Dr. offices

Process Live claim's