Tamala D. Flowers

Answer inbound calls from patients and Healthcare Provider offices requesting assistance with patient's Eucrisa cost. Steward patient accounts from initial contact and assist throughout final determination. Place outbound calls to Provider offices and insurance plans to check status of previously submitted prior authorization requests. Call pharmacies to verify faxed prescriptions were received and dispensed to patient. Meet monthly performance goals including service levels, schedule adherence and call quality scores.

Acted as liaison between customers, technicians, dispatch team members, and administrative team. Solely managed national AutoNation account by processing and scheduling orders to maintain a positive business relationship between AutoNation and CalAmp Corporation. De-escalated concerns presented from calls and emails by customers, dealers, and commercial clients.

Answered incoming calls from Provider offices, medical facilities, and adjusters inquiring status of prior authorization requests. Gave instructions on how to appeal denied requests. Processed faxed requests not requiring authorization. Researched claims for disputes to assist nurses in Utilization Review process.