Tangy Clinkscales
Benefits Respresentative
Matthews,NC
Summary
Results-driven benefits specialist with expertise in navigating complex verification processes. Strong analytical skills and in-depth knowledge of Pharmacy insurance protocols ensure accurate and timely benefit resolutions. Known for effective collaboration, adaptability, and steadfast commitment to achieving team goals. Highly reliable, with focus on precision and compliance in all tasks.
Overview
8
8
years of professional experience
Work History
Benefits Verification Specialist
Cencora Formerly Know as AmeriSource-Bergen
06.2019 - Current
- Facilitated benefits verification processes for patients, ensuring accurate and timely coverage information.
- Verified benefits eligibility for patients by analyzing insurance documents and policy details.
- Collaborated with healthcare providers to gather necessary documentation for benefit verification.
- Utilized electronic health record systems to ensure efficient data retrieval and accuracy.
- Contributed to improving workflow efficiency through proactive problem-solving during verification tasks.
- Safeguarded confidential client information by adhering to strict privacy guidelines and protocols.
- Collaborated with healthcare providers to ensure accurate billing and benefit coverage information.
- Observed strict procedures to maintain data and plan participant confidentiality.
Patient Service Representative
Spectraforce Technologies Inc.
10.2018 - 06.2019
- Worked interactively with patients and Healthcare providers to complete enrollment activities, answer basis program inquiries and help coordinate access to therapies through Healthcare providers.
- Handled sensitive patient concerns with professionalism and empathy, fostering an atmosphere of trust
- Ensured all program correspondence and communication (phone, fax, mail,etc) meets quality standards.
Customer Service Representative
Conduent Call Center
02.2018 - 10.2018
- Resolved Patient and Providers inquiries and complaints, ensuring high levels of satisfaction and retention.
- Researched Claim inquires and managed complex claim escalations, facilitating resolutions in a timely manner.
- Managed high call volume while maintaining professionalism, empathy, and attention to detail in each interaction.
- Handled sensitive customer information with discretion, adhering to strict data privacy regulations at all times.
Education
Bachelor of Arts - Foreign Languages Education
The University of Memphis
Memphis, TN12.2003
Bachelor of Science - Pharmacy
The University of Memphis
Philadelphia, PA05.1990
Skills
- Accuracy and precision
- Healthcare regulations
- Policy interpretation
- Verbal and written communication
- Attention to detail
- Time management
- Multitasking Abilities
- Excellent communication
- Active listening
- Effective communication
- Adaptability and flexibility
Timeline
Benefits Verification Specialist
Cencora Formerly Know as AmeriSource-Bergen
06.2019 - Current
Patient Service Representative
Spectraforce Technologies Inc.
10.2018 - 06.2019
Customer Service Representative
Conduent Call Center
02.2018 - 10.2018
Bachelor of Arts - Foreign Languages Education
The University of Memphis
Bachelor of Science - Pharmacy
The University of Memphis