MYRA ROBERTSON
Las Vegas,NV
Overview
22
22
years of professional experience
Work History
Customer Service
United Health Group, RepresentativeLas
01.2022 - Current
- Work for Rally Health and take inbound calls from members regarding their Health & Wellness Reward benefits
- Verified callers and updated their files following HIPAA regulations
- Assisted with Rally accounts and registration, rewards, and escalated as needed for missing rewards
- Transferred and referred members to appropriate departments as needed
- Educated members on how to navigate their online portal
Member Service
Broadpath
01.2017 - 01.2019
- Worked from home for Ambetter Affordable Care Act and followed the Compliance under Centene
- Took inbound calls from members regarding their medical benefits
- Verified callers and updated their files following HIPAA regulations
- Assisted with billing questions about their claims and made premium payments as required
- Transferred and referred members to appropriate departments as needed
- Educated members on how to navigate their online portal
Prior Authorization Representative
APAC/EGS
01.2013 - 01.2017
- Worked from home with Express Script Pharmaceutical; took inbound calls from doctor’s offices, hospitals, pharmacies, and beneficiaries to check coverage for medication
- HIPPA verified, checked rejections on pharmaceutical drugs, and researched benefit plans
- Checked if medication is covered, and created a case for processing if authorization is required
- Called out for research, verified information on beneficiaries, and transferred calls to appropriate departments as needed
First Contact Specialist
Money Management Inc
01.2009 - 01.2013
- Worked for a non-profit Consumer Credit Counseling Agency
- Took inbound calls from clients who needed assistance with debt and budgeting, delinquency in housing, or filing for bankruptcy
- Verified each client’s information, answered general questions, rerouted calls to the appropriate department, and scheduled appointments as needed
- Tracked/kept records of my QA scorecards, checked email inbox daily for updates using Microsoft Outlook, and performed data entry
Aramark, National
01.2008
- Registered customers that visit National Parks throughout the United States
- Created itineraries for lodges and campgrounds
- Mailed, faxed, and emailed itineraries to customers and performed data entry
Information Specialist/Transportation/Financial
NCS Pearson
01.2002 - 01.2004
- Assigned work with federal contractors in different departments
- Created itineraries for TSA for interviews and testing throughout the United States
- Answered questions regarding college students’ FAFSA applications and applying for Pell Grant
- Enrolled beneficiaries for prescriptions under Medicare and Medicaid
- Used Access database daily, read scripts, and provided information as needed for clients
- Prepared and kept track of calls using tally sheets and booking logs while performing data entry
Education
Certification - Medical Coding & Billing
Vegas PBS
3050 E Flamingo Rd, Las Vegas, NV 8912112.2022
Associate of Business Administration - Medical Insurance Coding
Phoenix College
1202 W Thomas Rd, Phoenix, AZ 8501305.2013
Skills
- 20 years of experience in Administration and Customer Service
- Proficient in using
- Microsoft 2010: Word, Excel, PowerPoint, Outlook, and Access
- Communication (written, verbal, listening) organization, telephone, and data entry (11,000 Keystrokes) skills
- Ability to Type 55 WPM
- DispatchExperience
- Ability to record and verify information as well as process applications
- Ability to use fax machines, photocopiers, and general office equipment
Timeline
Customer Service
United Health Group, RepresentativeLas
01.2022 - Current
Member Service
Broadpath
01.2017 - 01.2019
Prior Authorization Representative
APAC/EGS
01.2013 - 01.2017
First Contact Specialist
Money Management Inc
01.2009 - 01.2013
Aramark, National
01.2008
Information Specialist/Transportation/Financial
NCS Pearson
01.2002 - 01.2004
Certification - Medical Coding & Billing
Vegas PBS
Associate of Business Administration - Medical Insurance Coding
Phoenix College