Senior Rep Patient Advocate specialist in healthcare
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
11
11
years of professional experience
Work History
Patient Advocate Resolution Team Specialist
CVS Health
03.2020 - Current
Offer support as a Cares Representative assisting in facilitating communication between patients, insurances, and healthcare providers
Answering front line PSR educational/procedural questions, supporting De-escalation process creating and maintaining a positive experience for patients and healthcare providers.
Pharmacy Technician
CVS Health
06.2017 - Current
Receiving and confirming prescription orders, completing prescription Data entry for new rx and clarifications
Processing new and old refill medication orders
Interacting with patients, patient representatives and healthcare providers answering and following up with inquiries.
Supported inbound calls from patients, patient representative, and healthcare providers
Verified insurance benefits, obtained, and verified eligibility for services provided and document complete information in system
Performed prior authorizations as required by payer source, including procurement of needed documentation by collaborating with physician offices and insurance companies
Identified and coordinate patient resources as it pertains to reimbursement, such as copay cards third-party assistance programs, and manufacturer assistance programs
Resolved claim rejections for eligibility, coverage, and other insurance processing issues.
Customer Service Team Lead
Connextion/Optum
06.2013 - 03.2015
Helped with administration monitored department’s quality service for calls
Supported overflow inbound / outbound calls as needed, utilized customer databases in necessary procedures to obtain and update information
Assisted with prioritizing tasks, providing task updates, completing reports, compiling efficiencies Statistics, and acting as a back-up for a supervisor in his / her absence.