Dedicated Rx Claim Auditor at United Healthcare Group with a strong focus on advocacy for members. Leveraged attention to detail and decision-making skills to successfully escalate erroneous claims, ensuring timely access to prescriptions. Proven ability to collaborate effectively within teams and deliver comprehensive audit reporting.
Reviewed rejected prescription claims for AARP. If the prescription was rejected in error we escalated the claim. Our job was to make sure a member was not denied their prescription in error. We were considered an advocate for the members. Ppl
Worked as a customer service advocate for members with mail order prescription programs. Patients would call to reorder their mail service prescription.