KEIYANA EAGANS
Dallas,Texas
Summary
Detail-oriented and resourceful administrative professional with 3+ years of experience in customer service, clerical support, and office operations. Known for exceptional organization, multitasking, and problem-solving skills in fast-paced environments. Adept at supporting teams, maintaining records, and improving efficiency through clear communication and effective time management. Seeking to transition into an Administrative Support role to contribute to internal operations and team success.
Overview
7
7
years of professional experience
Work History
Patient Care Advocate
Premera
Remote
08.2025 - 07.2026
- Reviewed medical claims, prior authorizations, and appeals to assist members with healthcare coverage inquiries.
- Researched member accounts and explained out-of-pocket responsibilities and billing-related concerns.
- Contacted healthcare providers to investigate and resolve billing discrepancies and potential overpayments.
- Assisted members with online account access while handling sensitive information confidentially.
PHARMACY BENEFITS SPECIALIST
Cigna
01.2023 - 01.2025
- Supported patients, pharmacists, and providers with prescription refills, claim issues, prior authorizations, and appeals.
- Processed payments and handled web support for the Express Scripts portal.
- Ensured HIPAA compliance while managing sensitive health and billing data.
- Mentored new hires and assisted with onboarding and process training.
MEMBER SERVICES SPECIALIST
LUMERIS
03.2022 - 10.2022
- Explained Medicare plan benefits, coverage options, and referral processes to members.
- Provided support with provider referrals and navigating the member web portal.
- Resolved billing and plan access issues with a focus on clarity and compliance.
CLAIMS SPECIALIST
TACTIS
01.2020 - 01.2021
- Processed unemployment benefit claims and conducted claimant interviews to assess eligibility according to state guidelines.
- Collected and verified payment and wage information to ensure accurate benefit distribution.
- Maintained compliance with confidentiality laws and internal protocols while managing sensitive personal and financial data.
- Delivered clear support and guidance to claimants navigating the claims process and appeal procedures.
Education
Bachelor of Science - Accounting and Finance
Southern New Hampshire University
09.2026
Lancaster High School
06.2019
Skills
- File Management
- Data Entry
- Calendar & Email Management
- Report Preparation
- Scheduling & Meeting Coordination
- Microsoft Office & Google Workspace
- Internal Communication
- Record Keeping & Confidentiality
- CRM & Ticketing Systems
- Adaptability & Team Support
Timeline
Patient Care Advocate
Premera
08.2025 - 07.2026
PHARMACY BENEFITS SPECIALIST
Cigna
01.2023 - 01.2025
MEMBER SERVICES SPECIALIST
LUMERIS
03.2022 - 10.2022
CLAIMS SPECIALIST
TACTIS
01.2020 - 01.2021
Bachelor of Science - Accounting and Finance
Southern New Hampshire University
Lancaster High School