Sabriya Avinger
Brockton ,MA
Summary
Adaptable associate with expertise in processing medical and pharmacy authorizations, analyzing claims, and providing accurate medical policy information. Adept at handling client inquiries with professionalism and efficiency. Dedicated to delivering high-quality client support and ensuring seamless communication and service.
Overview
7
7
years of professional experience
Work History
Blue Cross Blue Shield of Massachusetts
Propivotal
Hingham, Ma
06.2023 - Current
- Accurately process medical and pharmacy authorization requests via phone or fax while adhering to medical policy
- Review and interpret member’s eligibility, claim history and policy information and communicate via telephone.
- Communicate determinations to providers via incoming and outgoing calls
- Working with multiple systems
- Collaborate with internal teams
Customer Service Associate
Walgreens
Brockton, MA
09.2022 - 05.2023
- Operated Cashier
- Tracked inventory and maintain records
- Ensured counters and shelves were kept organized, clean, and merchandised
Blue Cross Blue Shield of Massachusetts
Psg Staffing
Hingham, MA
11.2020 - 07.2021
- Processed provider’s retail faxes and phone authorization requests
- Reviewed member’s eligibility, claim history, and pharmacy program information and supplied information to clients via telephone.
- Communicated determinations to providers via incoming and outgoing calls
- Answered telephone calls in an efficient, friendly, and professional manner
Customer Service Associate
Salvation Army Thrift Store
Brockton, MA
12.2017 - 04.2020
- Operated Cashier
- Tracked inventory and maintain records
- Ensured counters and shelves were kept organized, clean, and merchandised
Education
Psychology -
University of Massachusetts, Dartmouth
North Dartmouth, MASkills
- Knowledge in MHK and PBM claims software
- Data Entry proficiency
- Problem Solving
- Provider Communication
- Attention to detail and Multitasking in high-volume environments
- Fast learner
Timeline
Blue Cross Blue Shield of Massachusetts
Propivotal
06.2023 - Current
Customer Service Associate
Walgreens
09.2022 - 05.2023
Blue Cross Blue Shield of Massachusetts
Psg Staffing
11.2020 - 07.2021
Customer Service Associate
Salvation Army Thrift Store
12.2017 - 04.2020
Psychology -
University of Massachusetts, Dartmouth