Summary
Overview
Work History
Education
Skills
Timeline
Generic

Kathy Osborne

Beach Park,IL

Summary

Experienced Insurance Specialistis successful at managing high caseloads in fast-paced environments. Organized, driven, and adaptable with excellent planning and problem-solving abilities. Offering 20+ years of experience and willingness to take on any challenge. I am a Certified NHA ExCPT Pharmacy Technician (CPhT). I am licensed with the state of Illinois as a Notary Public. I have been trained and certified as a tax preparer.

Overview

8
8
years of professional experience

Work History

Insurance Specialist

AbbVie Endocrinology
10.2015 - Current
  • Maintained high standards of customer service by building relationships with clients.
  • Processed eligibility and benefits verification and authorization requests.
  • Maintained confidentiality of patient finances, records, and health statuses.
  • Resolved discrepancies in insurance payments by collaborating with carriers.
  • Provide insurance coverage, verification details prior authorization statues and alternate funding options for existing and newly launched products. Provide offices with current plan forms, portals, and websites for prior authorizations and appeal submissions.
  • Utilize all internal and external electronic tools, communicate/collaborate with payors and providers to investigate insurance coverage efficiently.
  • Identify potential Adverse Event situations for reporting to Pharmacovigilance ensuring AbbVie meets FDA regulations.
  • Work cross-functionally to identify and share opportunities for process and productivity improvements.
  • Understand and comply with all required training, including federal, state and local pharmacy laws, HIPPA policies and guidelines, and the policies and procedures of AbbVie.
  • Meet or exceed department stands relative to performance and quality metrics. Perform additional tasks, activities and projects as deemed necessary by management.

Education

Associate in General Studies - Medical Insurance Coding

College of Lake County
Grayslake, IL
05.2023

Certificate in Healthcare Office Assistance - Medical Assisting

College of Lake County
Grayslake, IL
05.2021

Skills

  • Update Records
  • Professional Relationships
  • Profit Margins
  • Insurance Practices
  • Regulatory Compliance Understanding
  • Documentation Skills
  • Financial Needs Assessment
  • Insurance Knowledge
  • Reporting Skill
  • Maintaining Compliance
  • Insurance Coverage Verification
  • Form Completion and Submission
  • Benefits Verifications
  • Call Center Customer Service

Timeline

Insurance Specialist

AbbVie Endocrinology
10.2015 - Current

Associate in General Studies - Medical Insurance Coding

College of Lake County

Certificate in Healthcare Office Assistance - Medical Assisting

College of Lake County
Kathy Osborne