Open To Work
Miki Sullivan
Charlotte,NC
Work Preference
Summary
Detail-oriented professional skilled in benefit verification and customer support, adept at managing demographic and reimbursement data. Effective in identifying issues and implementing solutions, ensuring compliance with therapy requirements while enhancing patient communication and satisfaction.
Overview
7
7
years of professional experience
Work History
Benefit Verification Specialist
Amerisourcebergen (Cencora)
10.2020 - 10.2025
- Directed a detailed benefit and eligibility verification of insurance benefits for plan participants.
- Recognized the different plan and therapy requirements for processing their referrals.
- Managed the demographic and reimbursement information on all specialty customers in a database prior to the initiation of therapy.
- Navigated the phone-centric system with essential skills to log conversations and outcomes as well as managing follow-up actions with physician issues.
- Understood and communicated medical information, discovered potential issues, collected and logged/published data, established facts, drew, and solved problems.
Benefit Verification Specialist
Talentbridge
Charlotte, NC
06.2020 - 10.2020
- Directed a detailed benefit and eligibility verification of insurance benefits for plan participants.
- Verified demographic and reimbursement information for specialty customers to facilitate timely therapy initiation.
- Analyzed plans and therapy requirements to ensure accurate processing of referrals.
- Understood and communicated medical information, identified potential issues, collected and logged/published data, established facts, drew conclusions, and solved problems.
- Navigated phone-centric system to log conversations and outcomes while managing follow-up actions with physicians.
Fax Reviewer
Talentbridge
Charlotte, NC
12.2018 - 01.2019
- Reviewing and verifying the accuracy of documents before faxing the document out.
- Navigated the phone-centric system with essential skills in our system to log conversations and outcomes as well as managing follow-up actions with physician issues.
- Understood and communicated medical information, identified potential issues, collected and logged/published data, established facts, drew conclusions, and solved problems is essential.
- Conducted a detailed benefit and eligibility verification of insurance benefits for plan participants.
Benefit Verification Specialist
Talentbridge
Charlotte, NC
10.2018 - 12.2018
- Conducted detailed benefit and eligibility verification for plan participants, ensuring accurate processing of claims.
- Confirmed patient insurance coverage and eligibility, facilitating timely access to necessary care.
- Identified various plans and therapy requirements, facilitating smooth processing of referrals.
- Verified demographic and reimbursement information for specialty customers in a database, supporting timely initiation of therapy.
- Navigated the phone-centric system with essential skills to record conversations and outcomes and managed follow-up actions with physician issues.
- Understood and communicated medical information, identified potential issues, collected and documented/published data, established facts, drew conclusions, and solved problems.
Education
CNA Certification - CNA
Expert Skills
Charlotte, NC06-2026
Associate of Science - Medical Billing and Coding
Ultimate Medical Academy
Clearwater, FL09-2020
Medical Billing and Coding Certificate - Medical Billing and Coding
Kaplan College
Charlotte, NC07-2018
High School Diploma -
North Mecklenburg High School
Huntersville, NC06-1995
Skills
- Insurance verification
- Customer service
- Healthcare benefits
- Account management
- Reconciliation
- MS Excel
- MS Word
- MS PowerPoint
- Attention to detail
- Critical thinking
- Problem solving skills
- Verbal communication
- Written communication
- Team collaboration
- Team player
- Teamwork
- Relationship building
- Written communication
- Teamwork
Timeline
Benefit Verification Specialist
Amerisourcebergen (Cencora)
10.2020 - 10.2025
Benefit Verification Specialist
Talentbridge
06.2020 - 10.2020
Fax Reviewer
Talentbridge
12.2018 - 01.2019
Benefit Verification Specialist
Talentbridge
10.2018 - 12.2018
CNA Certification - CNA
Expert Skills
Associate of Science - Medical Billing and Coding
Ultimate Medical Academy
Medical Billing and Coding Certificate - Medical Billing and Coding
Kaplan College
High School Diploma -
North Mecklenburg High School