To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
9
9
years of professional experience
Work History
Eligibility Senior Representative
Accredo Specialty Pharmacy
02.2022 - 06.2023
Work directly with Systems to design formats.
Generates reports to identify and resolve discrepancies.
Provide technical support for electronic processing of eligibility.
. Implements, updates, and maintains automated, direct connect and/or manual eligibility data.
Reconciles accounts for non-standard requests.
Managed over 15 accounts per day
Proven ability to learn quickly and adapt to new situations.
Acts as a liaison between both internal and external resources to reduce client abrasion, facilitate the timely processing of referrals and provide accurate status reporting to clients
Demonstrated respect, friendliness and willingness to help wherever needed
Facilitator
WFG, World Financial Group
10.2018 - 01.2021
Created and oversaw insurance producer training programs for operations.
Developed and executed performance management programs to increase employee engagement and productivity.
Utilized variety of instructional design methodologies to create effective learning experiences.
Established and maintained quality control standards.
Planned and facilitated workshops in accordance with Insurance curricula, employing varied methods to maximize attendance.
Provided leadership for program workers and attendees, guiding day-to-day activities and facilitating onboarding environment.
Developed and implemented organizational systems to better manage training documentation and progress reporting.
Senior Claims Analyst
Northside Hospital Atlanta
01.2016 - 09.2020
Launched new department with manager
Trained on-boarding staff with manager
Maintained claims data in operational systems.
Verified accuracy of medical records to maintain accuracy of records database
Prepared Claim documents for managers or legal personnel
Interacted with clients and employees, which helped cultivate positive working relationships
Identified key areas not performing well and implemented effective, new processes
Maintained strict confidentiality with all personal data as per company guidelines.
Insurance Verification Specialist Lead
Positive Direction Counseling Services
01.2014 - 01.2016
Resolved customer issues via phone and in person, while assisting with billing activities
Verify insurance to insure qualified coverage for office visits and outpatient testing /retrieved
Conducted patient intake interviews, recording and documenting relevant information.
Organized and maintained patient chart filing system to promote quick data finding for staff.