Experienced Professional with high levels of customer satisfaction and meeting aggressive business goals. Friendly and enthusiastic Administrative assistance.
Overview
3
3
years of professional experience
Work History
Reimbursement Case Manager
Mercalis
Morrisville, NC
11.2022 - Current
Educated clients on available programs offer for Xarelto and other Janssen Medications , benefits, and services, empowering them to make informed decisions about their care needs.
Responsible for enrolling patients into Affordability programs
Maintained accurate documentation on all cases, ensuring compliance with regulations
Inbound/Outbound calls made to patients, and pharmacy
Provide support to CVM team, Supervisor
Prior Authorization Representative
McKesson
Cary, NC
09.2021 - 03.2022
Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
Demonstrated adaptability by managing multiple priorities simultaneously, ensuring all tasks were completed accurately and on time.
Increased accuracy of insurance coverage validation by utilizing available tools and resources to verify eligibility requirements quickly.
Enhanced team productivity with thorough training of new staff members on company policies and procedures.
Resolve over 150 cases daily
Outbound calls made to pharmacy, plan members services to collect and provide information for patients Prior Authorization
TDB Communications
The Center Of Diseases Control
Atlanta, GA
01.2021 - 09.2021
.Demonstrated commitment to client satisfaction through timely communication about project status updates, potential challenges, or delays.
Ensured accurate documentation of all test results, equipment specifications, and adjustments made during the TAB process.
Resolved customer issues/ Assit. customers via live chat
Delivered comprehensive training sessions for facility managers on interpreting and implementing TAB report recommendations for optimal system performance.
Efficiently managed multiple projects concurrently while maintaining high-quality workmanship in a deadline-driven environment.