Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
7
7
years of professional experience
Work History
eCOB Specialist II
Elevance Health
08.2022 - Current
Performs escalation resolution for RX pharmacy and Access to Care issues
Collaborates with multiple internal departments to verify OHI leads and analyzes request in combination with current system inputs to ensure the member record is updated accurately.
OHI Verification Specialist I
Anthem, Inc
09.2019 - 08.2022
Verified Other Health Insurance was accurate on the member’s record while complying with federal regulations
Validated eligibility and determined primacy for Medicare/ Medicaid all while maintaining acceptable performance standards for departmental goals.
Medicaid Eligibility Specialist
Maximus Health Serivices
07.2017 - 09.2019
Reviewed and screened Medicaid applications using approved programs authorized by Kansas Department of Health Environment Systems to verify eligibility and benefits, and other applications and renewals Adhered to all relevant regulations related to all involvement with Federal, State and Local Government.