Aisha Clarke
Kingstree,SC
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Benefits Verification Representative
CVS SPECALITY PHARMACY
Remote
10.2023 - Current
- Outbound calls for prescription medications through mail order, process orders and confirmed shipment of products, registered members for mail order, process claims, ESI adjudication, prior authorization and confirmed medication and providers prescribing mediations, completed enrollment of new patients.
- Processed payments using point of sale system software.
- Conducted regular reviews of pharmacy benefits programs to ensure compliance with applicable laws and regulations.
- Coordinated communications between participating pharmacies, insurers, employers and members regarding plan design changes or updates.
CNA - Certified Nursing Assistant
Carlyle Senior Care
Kingstree, SC
09.2023 - 11.2023
- Performed vital sign assessments, such as taking blood pressure and temperature.
- Provided assistance with activities of daily living, including bathing, dressing and grooming.
- Documented patient care services by charting in designated areas.
- Reported changes in patient conditions to registered nurse or physician.
Patient Access Specialist
ASK Consulting
Remote
10.2022 - 03.2023
- VIIV connect, HIPPA, Annual reverification and document reviews.
- Verified patient insurance coverage, collected copays and other payments, processed credit card transactions.
- Maintained accurate records of patient registration information in electronic health record system.
- Collaborated with clinical staff to ensure timely processing of orders for tests, treatments and procedures.
- Provided support to medical staff by obtaining authorizations from insurers for services rendered.
Inbound Customer Service Representative
Tailored Management
Remote
04.2022 - 10.2022
- Managed incoming calls from patients and other healthcare facilities to provide information or schedule services.
- Provided customer service by answering inquiries, resolving complaints, and providing general information to clients regarding healthcare services.
- Updated patient files in accordance with company policy and procedure guidelines.
- Processed paperwork related to medical claims processing including authorizations, referrals, pre-certifications.
- Maintained client confidentiality according to HIPAA regulations at all times.
Eligibility Specialist
Cigna
Remote
08.2021 - 11.2021
- Reviewed applications for eligibility and determined whether applicants met the criteria to receive benefits.
- Prepared detailed reports outlining the reasons why an individual was denied benefits.
- Ensured compliance with all applicable laws and regulations governing benefit programs.
- Attended regular training sessions to stay up-to-date on new rules and regulations.
- Entered client information and files into databases for further review and tracking.
Alorica Customer Service Representative
Alorica Calling Center
Remote
03.2021 - 05.2021
- Managed daily operations of assigned accounts including invoicing, billing, payment processing.
- Performed quality assurance checks on all outgoing communications from the company.
CNA - Certified Nursing Assistant
Carlyle Senior Care
Kingstree, SC
11.2019 - 02.2021
- Answered patient call lights promptly and responded to requests appropriately.
- Assisted with range of motion exercises and other rehabilitative activities per physician orders.
- Maintained a clean, safe environment for the patient by adhering to infection control policies and procedures.
- Administered medications under supervision of a licensed nurse.
- Provided assistance with activities of daily living, including bathing, dressing and grooming.
Customer Service Representative
Sykes Enterprises, Incorporated
Kingstree, SC
03.2019 - 06.2019
- Provided technical assistance to customers through phone, email and chat support.
- Resolved escalated customer service issues in a timely manner.
- Maintained detailed records of customer interactions and transactions.
- Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
- Resolved discrepancies between customers' remittances and invoices received.
- Answered customer inquiries regarding billings, payments, account status.
Education
Certificate in Medical Assisting -
U.S Career Institute
05.2023
Associate in Healthcare -
Ultimate Medical Academy
01.2023
Certificate of Completion in Phlebotomy -
Pee Dee Medical Training Center
01.2018
Certificate of Completion in cna training -
Pee Dee Medical Training Center
06.2013
Associate in Science -
Williamsburg Technical College
01.2012
Associate in Science -
Denmark Technical College
08.2008
High school diploma -
Kingstree Senior High School
05.2007
Monroe Academy for Business and Law
05.2006
Skills
- Salesforce
- Inbound/Outbound Calling
- Quality Assurance
- Customer Support
- Adobe Acrobat
- Typing Proficiency (30 WPM)
- Windows Software
- Insurance Verification
- CRM Software
- Citrix Platform
- iOS/Mac Technology
- ICD-10 Coding
- Phlebotomy
- Venipuncture
- EKG Monitoring
Certification
CNA, 10/01/23, 10/01/25
Timeline
Benefits Verification Representative
CVS SPECALITY PHARMACY
10.2023 - Current
CNA - Certified Nursing Assistant
Carlyle Senior Care
09.2023 - 11.2023
Patient Access Specialist
ASK Consulting
10.2022 - 03.2023
Inbound Customer Service Representative
Tailored Management
04.2022 - 10.2022
Eligibility Specialist
Cigna
08.2021 - 11.2021
Alorica Customer Service Representative
Alorica Calling Center
03.2021 - 05.2021
CNA - Certified Nursing Assistant
Carlyle Senior Care
11.2019 - 02.2021
Customer Service Representative
Sykes Enterprises, Incorporated
03.2019 - 06.2019
Certificate in Medical Assisting -
U.S Career Institute
Associate in Healthcare -
Ultimate Medical Academy
Certificate of Completion in Phlebotomy -
Pee Dee Medical Training Center
Certificate of Completion in cna training -
Pee Dee Medical Training Center
Associate in Science -
Williamsburg Technical College
Associate in Science -
Denmark Technical College
High school diploma -
Kingstree Senior High School
Monroe Academy for Business and Law
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