As a IVR my daily duty on and off the phones was to accurately verify health insurance and provide assistance with Pharmacy Refills, Billing and shipping for Medications, deliveries and also Scheduling with Medical doctor offices along with taking and updating payment information, While accurately inserting mailing address to ensure customer receives medication package at correct address with no error.
My daily duties on phones was data entry I accurately entered and processed large volumes of data into computer systems while ensuring data integrity inserting information such as CPT codes, billgroups, copay assistance, RX# etc
This job ended as a layoff due to reduction enforce/company overstated.
Independent Contractor
Amazon Flex Part-Time/Uber/DoorDash
07.2023 - 11.2023
Job duties as a independent contractor was to deliver, analyze packages while using a wireless device to navigate thru orders properly to ensure a successful prompt delivery while maintaining a high rating.
Prior Authorization Specialist
Accredo Health Group/Express Scripts/Cigna
09.2022 - 06.2023
As a Customer Review Associate/Prior Authorization Specialist I would contact doctors offices and pharmacies to inform the employees that the customers PA has been approved/denied along with receiving calls from varies Doctor offices and Pharmacy's to verify customers Medical/Pharmacy benefits located in one of the four databases used daily
I also process insurance claims of the needed medication
I also worked non-phone majority of the time I was handed a workload in the morning to successfully finish by end of shift
Workload consists of supervising other co-workers prior Auths and sending fax.
Customer Service Representative
General Dynamics information Technology/Maximus Federal
06.2015 - 02.2020
My role as a CSR was to provide assistance to millions of Americans who needed to maneuver through complex healthcare plans
I enrolled consumers into plans that best fit their personal needs while using scripting to provide the best accurate information all while using a soothing voice
I also escalated calls, provided information regarding tax credits, sent out 1095's, explained products and benefits along with informing customers on updated knowledge and laws on their individual accounts such as plan levels bronze, platinum, silver & gold or ppo/hmo along with premiums and deductibles.
Personal Assistance
Home Sweet Home
12.2014 - 06.2015
My role as a PA was to answer phones, scheduling appointments for doctor visits along with updating employer on current situation
I also reported any errors that needed to be resolved by my employer at the appropriate time.
Education
4-40 license in Insurance -
Central Insurance School
06.2022
Certication in Hospitality&Tourism Management - undefined
Florida Atlantic Univerity
06.2020
Diploma in High School Student - undefined
Chipley High School
05.2012
Skills
Detailed-Oriented
Communication
Problem Solving
Customer Service
Leadership
Critical Thinking
Computer Skills
Software
Transferable Skills
Coding
Adaptability
Attention to details
Organization/Management Skills
Home Sweet Home
Personal Assistance
Roles And Responsibilities
Maintained a high level of professionalism and positive attitude at all times
Resolved customer complaints in a timely and satisfactory manner
Utilized active listening and problemsolving skills to assist customers in nding solutions
Met and exceeded customer service targets and goals on a consistent basis
Provided administrative support and assistance to the personal needs of the employer
Managed and maintained the employer's schedule, including appointments, meetings, and travel arrangements
Screened and directed phone calls, emails, and other correspondence to appropriate parties
Assisted with personal errands and tasks such as shopping, event planning, and personal correspondence
Maintained condentiality and exercised discretion in handling sensitive information
Successfully obtained licensure as a General Lines Agent through the state insurance board
Proactively developed and maintained relationships with clients by providing exceptional customer service and support
Eectively communicated complex insurance information to clients in a clear and concise manner
Maintained thorough and accurate records of client interactions and transactions in compliance with industry regulations
Managed daily operations of a 100room luxury hotel, including front desk, housekeeping, and food and beverage departments
Conducted regular sta training sessions on customer service, upselling techniques, and hotel policies and procedures
Coordinated with event planners and vendors to successfully execute largescale conferences and events
Utilized customer feedback to improve hotel services and amenities, resulting in a 15% increase in guest satisfaction
Demonstrated strong time management skills by balancing academic coursework, extracurricular activities, and parttime job
Collaborated with peers on group projects and presentations, showcasing strong teamwork and communication skills
Served as a leader in various school clubs and organizations, organizing events and fundraisers
Utilized problemsolving skills to overcome challenges and successfully complete tasks and projects
Gained customer service experience by working parttime at a local retail store, providing excellent customer service and handling cash transactions.
Personal Information
Title: Pharmacy Service Rep.
Timeline
Insurance Verification Representative
Continuum Global Solutions/CVS
12.2023 - 08.2024
Independent Contractor
Amazon Flex Part-Time/Uber/DoorDash
07.2023 - 11.2023
Prior Authorization Specialist
Accredo Health Group/Express Scripts/Cigna
09.2022 - 06.2023
Customer Service Representative
General Dynamics information Technology/Maximus Federal
06.2015 - 02.2020
Personal Assistance
Home Sweet Home
12.2014 - 06.2015
4-40 license in Insurance -
Central Insurance School
Certication in Hospitality&Tourism Management - undefined
Benefit Verification Specialist at Continuum Global Solutions/CVS Specialty PharmacyBenefit Verification Specialist at Continuum Global Solutions/CVS Specialty Pharmacy