Stephanie Herron
Rock Hill,SC
Summary
Dedicated Customer Service Specialist providing skills to prioritize and multi-task in fast-paced working environment. Successfully works as part of team to reach personal and business goals. Known for successfully handling escalated customer support issues. With over 20 plus years experience in Medical Healthcare field.
Overview
17
17
years of professional experience
Work History
Medicare Part D CDA Inbound Call Representative
CVS/caremark
Rock Hill, SC
06.2024 - Current
- Supporting Patients who require pre-authorization from their insurance companies.
- Discuss prescription drug, insurance polcies and Prior Authorzations forms with members, medical doctors offices etc
- Discuss appeal policy and start the appeal process.
- Reading and searching Clinical documentation to make approval/ denial determinations
PA Starter Handling Inbound Calls Med D CDA
CVS Caremark
Rock Hill, SC
06.2024 - 06.2024
- Answer incoming calls requesting prior authorization for patient medication assist doctors offices and nurses in creating electronic prior authorizations for multiple medications, assist incoming callers with various prior authorizations inquiry redirect incoming calls to correct department, Provide step by step instructions for EPA to callers as needed.
- Answered incoming calls from customers regarding product availability, pricing, delivery times.
- Developed strategies for streamlining processes across departments for improved efficiency.
- Collaborated with other departments to ensure that tasks were completed in an accurate and timely manner.
CRU Rep I Tech Prior Authorization
CVS Caremark
04.2023 - 01.2024
- Discuss prescription drug, Insurance policies and prior authorization forms with patients, mdo, etc
- Obtain prior authorization from nurse management and insurance companies
- After insurance companies deny prior authorization appeal the decision
- Check the correctness and completeness of the accounting
- Clinical Documentation(reading and understanding clinical documentation to make approval or denial determination)
Medicare Part-D Rep II tech Prior Authorization
CVS Caremark
09.2022 - 04.2023
- Supporting patients who require therapy that require pre-authorization from their Insurance company
- To obtain preauthorization permission and speak with Insurance providers and nurse Managers to determine the patient's drug requirements
- Familiar with PeopleSafe, RX Claim, MHK care prominence.
Insurance Ver specialist
Rock Hill GYN & OB
Rock Hill
04.2007 - 08.2022
- Precerting Insurance for services
Education
York Technical College
United States of AmericaSkills
- Billing Services
- Bill Payments
- Electronic Billing
- Health Insurance
- Insurance
- Insurance Billing
- Medicaid Billing
- Medicaid Claims
- Medicaid Eligibility
- Medical Insurance Billing
Languages
English, True
Timeline
Medicare Part D CDA Inbound Call Representative
CVS/caremark
06.2024 - Current
PA Starter Handling Inbound Calls Med D CDA
CVS Caremark
06.2024 - 06.2024
CRU Rep I Tech Prior Authorization
CVS Caremark
04.2023 - 01.2024
Medicare Part-D Rep II tech Prior Authorization
CVS Caremark
09.2022 - 04.2023
Insurance Ver specialist
Rock Hill GYN & OB
04.2007 - 08.2022
York Technical College
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