Nicole Murphy
Peoria,AZ
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
10
10
years of professional experience
Work History
Sales Support Representative 4
Humana
03.2019 - Current
- Helping Agents with Medicare and Medicaid questions
- Updating Agent information as needed
- Duel Eligibility checks
- Going over plans for Medicare, Med Supp and Dental/Vision
- Mentoring new reps
- Testing new systems
- Working HEEs
- Taking Supervisor Calls
- Running reports
Insurance Verifications, Financial Counselor
Sovereign Healthcare
02.2018 - Current
- In charge of my own facilities and reaching out to the doctor's office for any updates or information that is needed
- Calling insurance to verify patients coverage and benefits
- Prior Authorization
- Making calls to patients to let them know their financial responsibilities
- Inputting patients information into the systems and updating as needed.
Contract - Insurance Rep/Prior Authorization/Special Project
McKesson
09.2017 - 01.2018
- Working with providers and payers in order to maximize reimbursement
- Prior Authorization
- Working on behalf of the patient to obtain or release authorizations
- Obtaining documentation from the provider in order to receive the authorization.
Intake Rep/Trainer/Night Supervisor
Cigna
08.2014 - 09.2017
- Answering phones and taking claims in a call center environment
- Providing information on FMLA, STD and LDT to customers
- Problem solving related to all customer issues and concerns
- Filing paper claims and SCU
- Training for new employees
- Supervisor for the closing crew.
Education
No Degree -
Glendale Community College
Glendale, AZHigh School Diploma -
Levelland High School
Levelland, TX05.2005
Skills
- Telephone reception
- Medicare & Medicaid expertise
- Client Relationship Building
- Performance Improvement
- Staff Training
- Performance Tracking
- Data entry proficiency
- MA/MAPD/PDP industry expertise
Skills Awards
Microsoft Word/Works, Power Point, Animation, Excel, Four Cigna Champion awards, Two awards in Business Image Management and Multimedia (BIMM Award), The 2012 Diversity Award
References
Personal References upon request
Timeline
Sales Support Representative 4
Humana
03.2019 - Current
Insurance Verifications, Financial Counselor
Sovereign Healthcare
02.2018 - Current
Contract - Insurance Rep/Prior Authorization/Special Project
McKesson
09.2017 - 01.2018
Intake Rep/Trainer/Night Supervisor
Cigna
08.2014 - 09.2017
No Degree -
Glendale Community College
High School Diploma -
Levelland High School
Similar Profiles
Lindsey WilsonLindsey Wilson
Grievance & Appeals Representative 3 at HumanaGrievance & Appeals Representative 3 at Humana
Monifah CocroftMonifah Cocroft
Healthcare Customer Service Representative at HumanaHealthcare Customer Service Representative at Humana
Jacqueline AugustinJacqueline Augustin
Lead Medical Assistant 4 at HumanaLead Medical Assistant 4 at Humana
Erica ParsonsErica Parsons
Senior IT Vendor Management Professional at HumanaSenior IT Vendor Management Professional at Humana
Gloria KlugGloria Klug
VP of Marketing at Blue Cactus Consulting & Spectrum Technology SolutionsVP of Marketing at Blue Cactus Consulting & Spectrum Technology Solutions