Lillian Rogers
Columbus,USA
Summary
I am a result driven, highly skilled, and customer- focused support representative with over 8 years of experience and a proven track record of resolving complex issues, multi-tasking and empathizing with my callers. I thrive myself on being well trained and my ability to exceed performance metrics, de-escalate complex issues and excelling in Microsoft Suites, Prior Authorization, Medicare/Medicaid and claims.
Overview
12
12
years of professional experience
Work History
Intake Specialist
New Century Health
06.2023 - Current
- Duties included gathering required information from patients, accurately documenting clinical and demographic information with a high level of accuracy
- Verifying insurance, collaborating and communicating with patients, caregiver and internal team members via
- Submitting and following up on Prior Authorizations via the UM portal, processing appeals for denied authorizations and maintaining accurate, HIPPA compliant documentation
- Using MasterGrid to search for CPT/HCPS and ICD-10 as well as Availity to search for member eligibility
Inbound Contact Rep
Humana
01.2020 - 05.2023
- Answering inbound calls from members with questions about their Humana insurance as well as Medicare/ Medicaid insurance, claims, referrals, and authorizations
- Ability to collaborate with physicians, providers, care management teams and nurses and Pharmacists
- Deciphering and understanding Medicare/Medicaid HMO and PPO plans as well as being able to relay given information to the caller
- Processing claims, verifying insurance, data entry, Salesforce
Technical Support Representative
Transcom
01.2015 - 12.2019
- Troubleshooting, diagnosing, and resolving complex issues with Apple products, collaborating with different departments via web, chat, or email
- Ability to understand and operate IOS and MacIS operating systems, as well as using Zendesk ticketing system
Education
High School Diploma -
West Lowndes High
Columbus, MS05.2008
Skills
- Technical Support
- MAC IOS/OS
- Data Entry
- Insurance Verification
- Prior Authorizations
- Medicare/Medicaid (HMO&PPO)
- Microsoft Word
- Microsoft Excel
- Microsoft Power Point
- Medical Terminology
- CPT/ HCPS
- ICD-10
- Salesforce
- EPIC
- Availity
- Inbound/Outbound Calls
- Patient data management
- HIPAA compliance
- Client intake
- Eligibility review
Timeline
Intake Specialist
New Century Health
06.2023 - Current
Inbound Contact Rep
Humana
01.2020 - 05.2023
Technical Support Representative
Transcom
01.2015 - 12.2019
High School Diploma -
West Lowndes High