Kena Stennis
Dallas
Summary
To obtain a position that will allow me to utilize my strengths and experiences while providing new opportunities for a continuous professional growth.
Overview
14
14
years of professional experience
Work History
Insurance specialist
Cigna Health
Dallas, Tx
07.2023 - Current
- Resolve customer complaints through independent problem-solving.
- Review claims for a possible claim adjustment.
- Explain customer Benefits from IN-network to Out-network providers and facilities.
- Review explanation of plan deductibles abefits accumulators.
Patient Care Coordinator
US Bioservice
Carrollton, Tx
08.2019 - 09.2022
- Patient Care Coordinator: Inbound and outbound calls to patients to schedule delivery for prescription refills.
- Outbound calls to MD offices to obtain refill and request completed prior authorization forms to be submitted back to Insurance.
Intake Coordinator
IEHP
Rancho Cucamonga, Ca
10.2015 - 09.2017
- Intake Processor: Data Entry incoming prior authorizations request from Medical Offices and Pharmacies.
- Verified incomplete and missing information before submitting prior authorization request to medicaid guidelines.
Pharmacy Technician
Prime Therapeutic
Irving, Tx
11.2013 - 07.2015
- Pharmacy Technician: Answered complex calls from members requesting refills, new prescriptions, and transfers.
- Translating prescriptions information from incoming faxes received and obtained verbal approved refills or new prescriptions request from medical offices.
- Educated members on eligibility of benefits, appeals process, and prior authorizations requirements.
Pharmacy Technician
Optum RX
Anaheim, Ca
10.2011 - 03.2013
- Customer Service Help Desk: Answered incoming calls from Members, Pharmacies, and Physicians to educate callers of benefits eligibility and the coordination of benefits.
- Troubled shoot with Pharmacies to ensure accurate information is provided while processing overrides from claims rejecting at Pharmacies.
Education
No Degree - Pharmacy Technician
American Career College
Ontario, CA10-2009
Skills
- Pharmacy and Customer Services
- Processing prescriptions
- Data entry
- Claim processor
- Type 40 WPM
- Trouble-shoot
- ICD-10
- Problem Solving
- Prior authorization review
Timeline
Insurance specialist
Cigna Health
07.2023 - Current
Patient Care Coordinator
US Bioservice
08.2019 - 09.2022
Intake Coordinator
IEHP
10.2015 - 09.2017
Pharmacy Technician
Prime Therapeutic
11.2013 - 07.2015
Pharmacy Technician
Optum RX
10.2011 - 03.2013
No Degree - Pharmacy Technician
American Career College