Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

KASHEMA BURNS

Chicago

Summary

Dynamic Prior Authorization Specialist at Onco 360 with a proven track record in insurance verification and patient engagement. Skilled in resolving complex issues and ensuring timely medication delivery. Known for empathetic communication and meticulous data entry, consistently enhancing patient satisfaction and streamlining authorization processes.

Overview

19
19
years of professional experience
1
1
Certification

Work History

Prior Authorization Specialist

Onco 360
Woodridge
10.2024 - Current
  • Contact insurance companies to follow up on prior authorization requests
  • Run test claims to check for payable claims
  • Initiate prior authorizations using appropriate insurance forms or CoverMyMeds
  • Answer all incoming phone calls regarding prior authorizations statuses and updates

Pharmacy Technician

Onco 360
Woodridge
12.2023 - 10.2024
  • Help health care providers and patients by phone; answering questions and requests.
  • Communicate with patients and physician office staff to coordinate medication refill deliveries.
  • Serve as a primary contact for calls to patients and physicians.
  • Assist patients with scheduling successful orders to have their medications delivered on time.

Patient Service Representative

CVS Specialty
08.2019 - 11.2023
  • Coordinated communication between patients, family members, medical staff, administrative staff, or regulatory agencies
  • Entered insurance and processed claims for all patients
  • Maintained communication with the doctor’s office to get prior authorization approvals
  • Input the patient's prescription information
  • Trained incoming new hires on how to properly schedule refills and new patients’ orders
  • Answered pharmacy telephones to respond to questions or requests
  • Called insurance companies to retrieve patient information
  • Prepared and processed medical insurance claim forms and records.

Accounting Clerk

Four Seasons Heating, Air Conditioning & Plumbing - Chicago, Il
Chicago
06.2017 - 08.2019
  • Resolved customer inquiries regarding bills and payments.
  • Performed daily general ledger entries to record financial transactions accurately.
  • Assist with filing, scanning, and printing finance paperwork.
  • Processed loan applications and submitted them for approval or rejection by lenders.

Call Center Representative

Four Seasons Heating and Air Conditioning
11.2015 - 06.2017
  • Read from scripts to promote uniformity and consistency in communications
  • Responded quickly to meet customer needs and resolve problems
  • Assisted and communicated properly with Dispatch regarding all appointment-related issues and inquiries
  • Maintained 22 Calls Per Hour
  • Participated positively in skill-specific training (Call Reviews, Departmental Cross Training, etc.).

Optician

America's Best Contacts and Eyeglasses
02.2012 - 10.2015
  • Measured clients' bridge and eye size, temple length, vertex distance, pupillary distance and optical centers of eyes
  • Sold goods such as contact lenses, spectacles, sunglasses and goods related to eyes, in general
  • Assisted clients in selecting frames in flattering styles and coordinated to facial and eye measurements and optical prescriptions
  • Recommended specific lenses, lens coatings and frames to suit client needs.

Auditor/Public Service Clerk

Illinois Secretary of State
05.2006 - 05.2010
  • Evaluated information on applications to verify completeness and accuracy and to determine whether applicants were qualified to obtain desired license plates
  • Trained other workers or coordinated work, as necessary
  • Entered customer's vehicle information in database
  • Assisted customers with any vehicle registration related questions.

Education

National Louis University
Chicago, IL

Skills

  • Resolving Problems
  • Communicating To Patients And Families
  • Database Search And Data Entry Skills
  • Caring And Empathetic
  • Insurance Verification
  • Patient Engagement
  • Prior authorization
  • Data entry
  • Finance
  • Accounts management

Certification

Pharmacy Technician

Timeline

Prior Authorization Specialist

Onco 360
10.2024 - Current

Pharmacy Technician

Onco 360
12.2023 - 10.2024

Patient Service Representative

CVS Specialty
08.2019 - 11.2023

Accounting Clerk

Four Seasons Heating, Air Conditioning & Plumbing - Chicago, Il
06.2017 - 08.2019

Call Center Representative

Four Seasons Heating and Air Conditioning
11.2015 - 06.2017

Optician

America's Best Contacts and Eyeglasses
02.2012 - 10.2015

Auditor/Public Service Clerk

Illinois Secretary of State
05.2006 - 05.2010

National Louis University

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