Samaria Curry
Atmore,US
Summary
With over 6 years of customer service experience, possesses a keen eye for detail and exceptional communication skills that enable to excel in every project. Throughout career, efficiently handled numerous tasks in fast-paced settings, consistently achieving outstanding outcomes. Proactive approach to problem-solving and talent for streamlining processes have garnered recognition while supporting team objectives.
Overview
9
9
years of professional experience
Work History
Prior Authorization Representative
Concentrix Inc
10.2023 - 08.2024
- Verified eligibility and compliance with authorization requirements for service providers.
- Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
- Researched denied claims and contacted insurance companies to resolve these issues.
- Input all patient data regarding claims and prior authorizations into system accurately.
- Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
Claims Representative
Sagility LLC
07.2023 - 11.2023
- Developed in-depth understanding of insurance policies and procedures.
- Collaborated with internal departments and external vendors to resolve claims.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Determined appropriateness of payers to protect organization and minimize risk.
- Processed and recorded new policies and claims.
Certified Nursing Assistant
DTN Staffing
03.2020 - 06.2023
- Promoted good oral and personal hygiene by aiding patients with shaving, bathing, and teeth brushing.
- Checked patient vitals such as temperature, blood pressure, and blood sugar levels.
- Cared for residents in assisted living facility and delivered high-quality support to meet needs.
- Delivered individualized patient care by recording vital signs, documenting observations, administering treatments, and evaluating patient needs.
- Evaluated patients to identify and address wounds, behavioral concerns, and medically relevant symptoms.
- Utilized therapeutic communication, empathy and active listening skills to encourage and develop positive relationships with patients.
Customer Service Representative
Blackboard, Inc.
10.2022 - 02.2023
- Handled inbound member calls related to non-formulary medications, prior authorizations, and up-tier medication requests
- Provided prior authorization recommendations to reviewing pharmacists based on established guidelines
- Utilized computer systems to input prescription and patient information accurately
- Adhered to all applicable laws, regulations, and company policies related to pharmacy operations
- Collaborated with pharmacy team members to ensure a smooth workflow and timely completion of tasks
Pharmacy Technician
Alorica
08.2017 - 05.2020
- Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
- Communicated with patients to collect information about prescriptions and medical conditions or arrange consultations with pharmacists.
- Maintained proper drug storage procedures, registries, and records for controlled drugs.
- Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
- Coordinated with physicians and insurance agency representatives for speedy resolution of prescription discrepancies.
Crew Member
McDonald's
11.2015 - 01.2018
- Kept food preparation area, equipment, and utensils clean and sanitary.
- Collaborated with team members to complete orders.
- Cleaned and maintained all areas of restaurant to promote clean image.
- Assisted other team members to achieve goals.
- Provided excellent customer service by greeting customers and meeting quality expectations.
- Operated cash register to ring up final bill and process various forms of payment.
Education
High School Diploma -
James Madison High School
Norcross, GA07.2016
Skills
- Customer service
- Data entry
- MS Office proficiency
- Strong verbal communication
- Creative problem solving
- Good listening skills
- Database management
- Patient education
- Clinical documentation
- Attention to detail
- Time management
- Conflict resolution
- Electronic Records Management
- Supply Maintenance
- HIPAA Compliance
- Benefit Coverage
Timeline
Prior Authorization Representative
Concentrix Inc
10.2023 - 08.2024
Claims Representative
Sagility LLC
07.2023 - 11.2023
Customer Service Representative
Blackboard, Inc.
10.2022 - 02.2023
Certified Nursing Assistant
DTN Staffing
03.2020 - 06.2023
Pharmacy Technician
Alorica
08.2017 - 05.2020
Crew Member
McDonald's
11.2015 - 01.2018
High School Diploma -
James Madison High School
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