Rrion Brown
TEKsystems
Raleigh,NC
8
years of professional experience
Dependable remote professional with expertise in program support, data entry, customer service, and record management. Specializes in processing confidential information, maintaining electronic records, and resolving discrepancies while adhering to productivity and quality standards. Committed to delivering exceptional support to customers and patients under tight deadlines. Strong organizational and communication skills enable effective multitasking in fast-paced environments.
Work History
Remote Program Specialist
9 Months- Manage 60-100 inbound calls daily, assisting patients with enrollment, medication shipment status, insurance coverage, and general program inquiries
- Conduct insurance benefit verifications and assist with prior authorizations, coverage issues, and funding options for prescribed therapies
- Communicated status updates to cross-functional teams, resolving routine issues and keeping deliverables on schedule.
- Accurately document patient interactions, case updates, and required information in program tracking systems.
- Deliver professionalism, empathetic customer service while maintaining high call-quality, accuracy, productivity, and confidentiality standards in a fast paced remote environment
Data Entry Clerk
7 Months- Completed medical and/or pharmacy benefit investigations.
- Processed confidential information while following data integrity and privacy procedures.
- Conducted reviews for prior authorization and appeals, ensuring compliance with program standard operating procedures.
- Entered high-volume data into databases with strong attention to accuracy and completeness.
- Verified source documents and corrected discrepancies before updating records and files.
- Completed data entry tasks with accuracy and efficiency.
Benefits Verification Specialist
1 Year 4 Months- Acted as a resource for verifying insurance coverage and reimbursement processes for patients.
- Served as a resource for verifying insurance coverage and reimbursement processes for patients.
- Educated healthcare providers on reimbursement best practices and insurance guidelines.
- Provided data-driven recommendations to optimize reimbursement strategies and reduce claim denials.
- Enhanced communication and understanding of insurance verification policies and procedures across stakeholders.
- Resolved complex patient and provider issues autonomously and provided operational updates to leadership, incorporating insights into medical reimbursement strategies.
- Conducted performance reviews of field operations, recommending strategies for improvement in alignment with healthcare coverage verification protocols.
- Managed escalation processes to resolve unresolved concerns within established timelines, ensuring thorough documentation for insurance verification.
Customer Support Representative - Temp
1 Year 9 Months- Guided members through pharmacy benefit inquiries to enhance understanding and satisfaction.
- Delivered front-line customer support, aligning with organizational mission to meet diverse customer needs.
- Managed inbound inquiries from members, pharmacies, and prescribers, ensuring accurate and timely responses.
- Provided real-time support to pharmacies with point of service inquiries.
- Educated prescribers on formulary and prior authorization processes.
- Entered customer data and other relevant information into our documentation tool.
- Adhered to standard operating procedures to ensure contact handling accuracy and operational effectiveness.
- Effectively communicated issues and resolutions to customers and appropriate internal staff
Customer Service Representative
3 Years 2 Months- Interacted with customers to provide and process information in response to inquiries, concerns and requests about products and services.
- Managed customer accounts and updated account information to ensure accuracy and accessibility.
- Made product recommendations and customized to customers based on their needs and preferences.
- Recommended and customized products for customers based on their needs and preferences to enhance satisfaction.
- Guided customers in setting up accounts and payment plans while securely collecting card information for bill payments.
- Remained in compliance with established performance metrics that support the optimal customer experience.
- Maintained expectations regarding call quality and resolution time.
- Received and applied feedback from supervisors to improve performance. to achieve individual and team performance goals.
- Followed established standards for call quality and resolution time. regarding call quality and resolution time.
Education
High School Diploma
Skills
Medical Claims
High Volume Case Management
Insurance Benefits & Eligibility Verification
Microsoft Office Proficiency
HIPAA Compliance
Data entry and 10-key
Healthcare Compliance
Multitasking Skills
Excellent Customer Service
EMR/EHR & CRM Systems
Type 60PM
Prior authorization
Timeline
Remote Program Specialist
TEKsystems
01.2026 - 10.2026Read More
Data Entry Clerk
Hire Dynamics
11.2024 - 06.2025Read More
Benefits Verification Specialist
Care Services
06.2023 - 10.2024Read More
Customer Support Representative - Temp
Remx
09.2021 - 06.2023Read More
Customer Service Representative
Conduent
06.2018 - 08.2021Read More
Alger B. Wilkins High School
High School Diploma
Read More