Maresa Blake
Gaston,NC
Summary
Hardworking, highly motivated customer support specialist with a strong focus on delivering effective solutions, and ensuring customer satisfaction. Experienced in troubleshooting issues, handling inquiries, and providing clear, straightforward assistance. Known for reliability and a hands-on approach to resolving customer concerns efficiently.
Overview
8
8
years of professional experience
Work History
Specialty Pharmacy Customer Support
CenterWell Specialty Pharmacy
Remote, NC
11.2022 - 03.2025
- Assisting patients, providers, and insurance companies questions regarding specialty medications, benefits, formulary, and claims.
- Assisting with prior authorizations, adjudication, and claim submissions.
- Providing exceptional customer service over the phone, email, and chat ensuring a positive patient experience.
- Familiarity with HIPAA regulations and patient privacy.
- Processed prior authorizations and claims efficiently, significantly reducing turnaround times and improving operational workflow.
Benefit Enrollment Specialist
Everise
Remote, NC
08.2018 - 11.2022
- Guided members through the enrollment process for various healthcare programs, including Medicare, Medicaid, and private insurance.
- Strong administrative and organizational skills are essential for managing documentation, schedules, and patient information.
- Verified member eligibility with insurance carriers, ensuring accurate coverage, and preventing delays in service delivery.
- Resolved enrollment inquiries by analyzing issues and implementing effective solutions, resulting in improved member satisfaction.
Senior Patient Scheduler
Boston Medical Center, Boston
Remote, NC
01.2017 - 10.2019
- Scheduled appointments for various hospital departments, such as radiology, cardiology, and surgery, following established protocols, and provider availability.
- Collected patient demographics, including insurance information, and ensured accuracy in the electronic health record (EHR).
- Maintaining and updating accurate patient records in the EHR system.
- Resolved scheduling conflicts and provided alternative appointments to accommodate patients' needs.
Education
Associate of Science -
Vance-Granville Community College
Henderson, NCSkills
- Customer service and support
- Claim processing and management
- Healthcare administration
- Data analysis and reporting
- Patient scheduling and coordination
- Regulatory compliance oversight
- Troubleshooting
Timeline
Specialty Pharmacy Customer Support
CenterWell Specialty Pharmacy
11.2022 - 03.2025
Benefit Enrollment Specialist
Everise
08.2018 - 11.2022
Senior Patient Scheduler
Boston Medical Center, Boston
01.2017 - 10.2019
Associate of Science -
Vance-Granville Community College
Similar Profiles
Lisa JohnsonLisa Johnson
Patient Care Coordinator at Centerwell Specialty PharmacyPatient Care Coordinator at Centerwell Specialty Pharmacy
Tracy M. Wilson M.P.ATracy M. Wilson M.P.A
Sr. Pharmacy Sales Executive at Centerwell Specialty PharmacySr. Pharmacy Sales Executive at Centerwell Specialty Pharmacy
Bessie ChavisBessie Chavis
Inbound Contact Representative at Centerwell Specialty PharmacyInbound Contact Representative at Centerwell Specialty Pharmacy
Carolee ColonCarolee Colon
LPN at Worxnow AgencyLPN at Worxnow Agency
Evan TravisEvan Travis
Warehouse Manager at Hampton FarmsWarehouse Manager at Hampton Farms