Justin Harris

• Takes member/prescriber/pharmacist inquiry calls for benefit questions including prior authorization requests
• Thoroughly researches issues and takes appropriate action to resolve them using the appropriate reference material within turnaround time requirements and quality standards
• Responsible for knowing and interpreting pharmacy and medical benefits

Manage high-volume inbound calls from prospective members interested in Medicare Advantage plans, explain plan options at a basic level, answer general questions, gather required personal and insurance information.

obtains necessary approvals from insurance providers before patients receive medical procedures, services, or medications.

Processing patient orders, verifying insurance authorization, and ensuring all actions meet HIPAA and Medicare/healthcare regulations.

In my role, I monitor and respond to alarm activations, ensuring that all alerts are assessed and handled efficiently. I receive incoming alarm notifications, determine the level of urgency, and dispatch the appropriate personnel, such as technicians, security teams, or emergency responders, to address the situation, I created and manage work orders, track response times, and communicate updates between field teams, customers, and management. My focus is on maintaining clear communication and ensuring that every job is resolved quickly and accurately. In addition to coordinating emergency responses, I also handle follow-ups, document all actions taken, and schedule maintenance or repairs when needed. I use alarm monitoring and dispatch software daily to log events, assign jobs, and ensure accurate reporting. Through this role, I’ve developed strong multitasking, problem-solving, and communication skills while maintaining calm and efficiency in high-pressure situations.

As a Senior Customer Service Representative with UnitedHealthcare, I serve as a key point of contact for members, providers, and internal teams to deliver high-quality, compassionate customer support. I handle complex inquiries related to benefits, eligibility, billing, and claims, ensuring that each issue is resolved efficiently and accurately. In this role, I assist customers in navigating their healthcare coverage, explain benefits in clear and understandable terms, and provided guidance on using United Healthcare’s online tools and resources. My ability to communicate effectively, manage multiple tasks, and adapt to frequent process changes has enabled me to support customers with care and confidence.

Key Skills & Strengths:

· Proficient in call center systems, CRM tools, and Word.

· Skilled at de-escalating difficult situations and maintaining professionalism

· Knowledgeable in healthcare benefits, claims, and eligibility processes

· Experienced in remote work, hybrid schedule maintaining a secure, productive home office