BRITTANY CRUMPTON
Orlando,FL
Overview
11
11
years of professional experience
Work History
Remote Billing Specialist
Magellan Rx
Orlando, FL
03.2023 - Current
- Review medical records to ensure accuracy of billing information and patient data.
- Calculate billing charges, prepare, and submit claims to insurance companies.
- Investigate and resolve issues to maintain billing accuracy.
- Collected, posted and managed patient account payments.
Remote Insurance Benefits Verification Specialist
CVS Specialty Pharmacy
Orlando, FL
08.2021 - 10.2022
- Verify insurance coverage to process patient’s prescription orders in a timely manner.
- Ensure that clients have sufficient health care benefits to cover the cost of the services they will be receiving, which includes communication with the client’s insurance company to verify coverage levels, deductibles, co-payments.
- Complete the verification, notification of admission and checks to see if pre-certification is required while working closely with the payers.
- Communicate with physician offices, insurance carriers, and patient follow-ups.
Prior Authorization Pharmacy Technician
ENVOLVE PHARMACY SOLUTIONS
Orlando, FL
07.2019 - 08.2021
- Provide accurate information to all parties including patients, insurance providers, healthcare staff and office personnel by using effective written and verbal communication skills.
- Applied knowledge of Medicare, Medicaid and third-party payer requirements utilizing on-line eligibility systems to verify patient coverage and policy limitations.
- Identify reasons behind denied claims and worked closely with insurance carriers to promote resolutions.
- Perform detailed medical reviews of prior authorization request, following established criteria and protocols.
- Follow all Medicare, Medicaid, HIPAA, and private insurance regulations and requirements.
Authorization Tech/ Subject Matter Expert
TTEC
Orlando, FL
11.2017 - 04.2019
- Gather all necessary information from the Doctor's office to complete the authorization form.
- Use proficiency with medical coding, such as ICD-10 codes.
- Efficiently answered multi-line phone and processed high volume of order requests from nurses, doctors, and pharmacists.
- Mentored junior staff in subject matter expertise and professional development.
- Offered one-on-one support for team members and managers to drive continuous improvement.
- Investigated customer complaints in order to determine root cause then implemented corrective action plans accordingly.
Pharmacy Technician
WALGREEN'S
Orlando, FL
11.2016 - 02.2018
- Help health care providers and patients by greeting them in person and by phone, answering questions and requests, referring inquiries to the pharmacist.
- Maintain a safe and clean pharmacy by complying with procedures, rules, and regulations.
- Maintain records by recording and filing physicians orders and prescriptions.
- Verify insurance benefits and resolve rejected claims.
Customer Service Associate
WALGREEN'S
Orlando, FL
12.2015 - 02.2018
- Maintain clean and safe work environment.
- Greeted customers with enthusiasm and offered immediate and friendly service.
- Collaborated with managers and other team members to solve difficult or complex customer issues.
- Met or exceeded revenue objectives by promoting products to customers during service
- Supported customer service goals and enhanced relations through friendly, knowledgeable and positive communication.
Skills
- Customer Relations
- Insurance Verification
- Billing Support
- Prescription Filling
- Insurance Billing
- Data Accuracy
- FDA Drug Safety Guidelines
- HIPAA
- Pharmacy Operations
- Logistic Data Entry
Summary
Results-driven pharmacy and billing professional with 10+ years of experience in specialty pharmacy operations, insurance verification, and medical billing. Skilled in processing and auditing medical claims, maintaining HIPAA compliance, and ensuring accuracy in patient data and reimbursement documentation. Demonstrated success in coordinating with payers, providers, and patients to resolve complex billing issues and improve revenue cycle performance. Known for exceptional attention to detail, proficiency in ICD-10 coding, and commitment to delivering superior customer and patient support in fast-paced healthcare environments.
Pharmacy License
- RPht 748348
Timeline
Remote Billing Specialist
Magellan Rx
03.2023 - Current
Remote Insurance Benefits Verification Specialist
CVS Specialty Pharmacy
08.2021 - 10.2022
Prior Authorization Pharmacy Technician
ENVOLVE PHARMACY SOLUTIONS
07.2019 - 08.2021
Authorization Tech/ Subject Matter Expert
TTEC
11.2017 - 04.2019
Pharmacy Technician
WALGREEN'S
11.2016 - 02.2018
Customer Service Associate
WALGREEN'S
12.2015 - 02.2018