PHYLICIA REED
Eligibility & Billing Specialist
Memphis,TN
Summary
Eligibility Representative with expertise in completing 40+ benefits verification cases per day, insurance processing, and patient onboarding. Coordinates drug coverage issue resolution, reimbursable service support, and compliance-focused documentation to reduce financial risk. Strengthens service delivery by using digital tracking tools and clear communication with clients and payer partners.
Overview
13
13
years of professional experience
Work History
Savings Coordinator
DisclosedRx
05.2026 - Current
- Communicate with members via phone, email, and text to assist with program enrollment, confirm details, and answer questions.
- Collect and process documentation needed for savings and alternative sourcing programs.
- Reach out to prescribers to obtain prescriptions or missing information needed to finalize enrollment.
- Track and follow up on prescription requests to prevent delays in medication access.
- Work with pharmacies, providers, and internal teams to coordinate urgent fills and resolve time-sensitive issues.
- Handle member inquiries related to savings programs, ensuring efficient triage and resolution or appropriate escalation.
- Partner with cross-functional teams to enhance member satisfaction and streamline processes
ELIGIBILITY REPRESENTATIVE
Cigna
09.2024 - Current
- Process 20 eligibility verifications per day to support timely patient onboarding and coverage review.
- Resolve drug coverage issues with clients and internal teams to improve satisfaction and keep cases moving.
- Implement digital tracking in Excel to streamline workflow, improve response times, and support KPI tracking.
- Handle complex client complaints with empathy, escalating issues when needed for faster resolution.
DATA ENTRY SPECIALIST
PathAI
03.2023 - 07.2024
- Entered 150-175 pathology records per shift, including patient details, test results, and image metadata into internal systems.
- Used Navinet and Emdeon to verify patient information when insurance cards were missing or names were illegible.
- Maintained HIPAA compliance and confidentiality while handling sensitive patient and pathology information.
- Met quality and production standards within required timeframes while supporting consistent data processing.
ENROLLMENT & BILLING SPECIALIST
Accredo Specialty Pharmacy
11.2019 - 03.2023
- Handled payer follow-up for overrides and authorizations to resolve claim issues and keep billing moving.
- Supported collection activities that improved reimbursement outcomes and strengthened account recovery.
- Verified billing details and insurance information to reduce errors and support timely claim submission.
- Used Excel and database management tools to track billing activity and maintain accurate records.
- Delivered responsive customer service to address claim questions and maintain strong client relationships.
TELESALES REPRESENTATIVE
American Home Shield
08.2013 - 03.2019
- Recorded $150 in monthly sales by opening new accounts and maintaining accurate customer data in CRM.
- Handled objections with friendly, solution-focused responses that improved customer satisfaction and brand loyalty.
- Matched service options to customer needs through active listening, creating stronger upsell opportunities.
- Analyzed customer feedback in Excel to refine offers and support repeat business.
- Maintained accurate data entry and database records for new accounts and customer information.
- Tracked customer responses and follow-up activity to strengthen relationships and close more sales.
Education
HIGH SCHOOL DIPLOMA - GENERAL STUDIES
Westinghouse Career Academy
Chicago, IL06.2003
Skills
Billing
Data entry
Medical billing & insurance processing
Excel
KPI tracking
Database management
Eligibility verification
Claims processing
EHR documentation
Payer follow-up
ICD-10 coding
Prior authorization processing
Timeline
Savings Coordinator
DisclosedRx
05.2026 - Current
ELIGIBILITY REPRESENTATIVE
Cigna
09.2024 - Current
DATA ENTRY SPECIALIST
PathAI
03.2023 - 07.2024
ENROLLMENT & BILLING SPECIALIST
Accredo Specialty Pharmacy
11.2019 - 03.2023
TELESALES REPRESENTATIVE
American Home Shield
08.2013 - 03.2019
HIGH SCHOOL DIPLOMA - GENERAL STUDIES
Westinghouse Career Academy