Seeking a challenging career position where my member service talents can be effectively utilized. A company offering long-term opportunities for professional growth and advancement in recognition
Overview
16
16
years of professional experience
Work History
Pharmacy Customer Care Specialist
SelectRx
06.2022 - 12.2022
Documented customer correspondence in CRM to track requests, problems and solutions.
Ability to manage multiple priorities with effective time management.
Contact Tracer/Contact Investigator
Maximus
07.2020 - 03.2021
Place phone calls to newly diagnosed patients and potentially exposed people
Educate contacts on approved protocol to reduce the risk of spread
Collect and document necessary information into a CRM
Protect patient privacy
Referral Specialist
Centene, Superior Health Services
Sunrise, FL
03.2017 - 07.2020
Assist in monitoring utilization of medical services to assure cost effective use of medical resources through processing prior authorizations
Initiate authorization requests for outpatient and inpatient services in accordance with the prior authorization list
Verify eligibility and benefits
Material Coordinator Clerk
All, Univita
09.2006 - 07.2015
Assisted customers with delivery status, tracking orders and scheduling/coordinating deliveries with dispatch
Confirmed patient demographic and verified insurance eligibility
Followed HIPPA regulations to maintain confidentiality of patient information
Approved orders processed by team coordinators (QA)
Education
High School Diploma -
George Washington
Skills
COMMUNICATION/ SKILLS
Great verbal and Written Communication, Strong customer service skills, Computer Proficiency Microsoft Word, Outlook, Excel, Problem Solving, and Multi-tasking, ability to work in a remote team, Work Prioritization, Bilingual Spanish speaking, Over 10 years experience
Speech-Language Pathologist Clinical Fellow at Bruce W. Carter VA Medical CenterSpeech-Language Pathologist Clinical Fellow at Bruce W. Carter VA Medical Center