SIARRA HICKS
Summary
Experienced in insurance billing, benefits coordination, and specialty pharmacy operations, with expertise in Medicare and Medicaid processes. Consistently ensures accurate claims processing, coverage verification, and order fulfillment. Recognized for strong problem-solving skills, effective patient communication, and adherence to healthcare regulations. Proven ability to optimize workflow, reduce errors, and deliver exceptional service in fast-paced healthcare environments.
Overview
9
9
years of professional experience
Work History
PCC Coordinator
Optum Specialty Pharmacy
10.2024 - Current
- Process specialty pharmacy orders, verify insurance coverage, and enter accurate ICD-10 codes to ensure timely and compliant billing.
- Resolve inquiries from patients, providers, and insurers with professionalism and empathy.
- Collaborate with pharmacy and billing teams to streamline workflows, reduce errors, and improve fulfillment accuracy.
- Coordinated pharmacy operations to ensure timely medication fulfillment and delivery.
Billing Specialist
TTEC
09.2023 - 10.2024
- Verified insurance eligibility, benefits, and coverage to ensure accurate billing and timely claims submission.
- Reviewed patient and payer data for accuracy and obtained required authorizations and referrals.
- Communicated benefit details and financial responsibilities to patients while maintaining HIPAA compliance.
- Collaborated with cross-functional teams to resolve billing discrepancies, enhancing operational efficiency.
Stay-at-Home Mother
03.2018 - 09.2023
- Managed household operations and scheduling, demonstrating strong organization and multitasking skills.
- Balanced budgeting, meal planning, and child development activities in a structured, nurturing environment.
- Developed leadership, communication, and adaptability skills while managing multiple responsibilities.
Technical Support Agent
Conduent
01.2017 - 03.2018
- Diagnosed and resolved technical issues efficiently by analyzing system logs and error reports.
- Guided customers through troubleshooting steps and ensured timely issue resolution.
- Maintained accurate records and provided consistent follow-up for positive customer experiences.
Education
Medical Billing and Coding
Wake Technical Community College
05.2027
Diploma - undefined
Mary E. Phillips High School
06.2013
Skills
- Insurance Verification
- Benefits Coordination
- Claims Processing
- Pharmacy Order Fulfillment
- Customer Service
- Healthcare Compliance (HIPAA)
- Time Management
- Microsoft Office
- Problem Solving
- Communication
- Data Entry
- ICD-10 coding
- Billing compliance
Timeline
PCC Coordinator
Optum Specialty Pharmacy
10.2024 - Current
Billing Specialist
TTEC
09.2023 - 10.2024
Stay-at-Home Mother
03.2018 - 09.2023
Technical Support Agent
Conduent
01.2017 - 03.2018
Diploma - undefined
Mary E. Phillips High School
Medical Billing and Coding
Wake Technical Community College