Tara Walker
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Overview
4
4
years of professional experience
1
1
Certification
Work History
Retention and Sales
AT&T
Little Rock Arkansas
01.2025 - 04.2025
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
Customer Service Representative (Remote)
Centene
Little Rock, AR
08.2021 - 09.2024
- Handle inbound and outbound calls, emails, and chats from members, providers, and third parties.
- Provide clear and accurate information about plan benefits, coverage, claims status, billing, authorizations, and eligibility.
- Assist customers in navigating online tools and resources.
- Document all customer interactions in the system with accuracy and detail.
- Research and resolve complex issues by collaborating with claims, billing, and provider relations teams.
- Maintain confidentiality of sensitive health and financial information (HIPAA compliance).
- Meet or exceed performance metrics, including call quality, response time, and member satisfaction.
- Educate members on available resources, preventative services, and wellness programs.
- Escalate unresolved issues to the appropriate department when necessary.
Pharmacy Coordinator
Centene
Little Rock, AR
08.2021 - 12.2022
- Coordinate daily pharmacy operations, including prescription processing, inventory management, and workflow optimization.
- Assist pharmacists with dispensing medications and maintaining accurate patient records.
- Communicate with patients regarding prescription refills, dosage instructions, and medication counseling as needed.
- Manage pharmacy inventory, including ordering, receiving, and tracking medications and supplies.
- Ensure compliance with all federal, state, and local pharmacy regulations and safety standards.
- Support billing, insurance verification, and prior authorization processes.
- Review medical documentation to determine medical necessity and authorization requirements.
- Submit and track prior authorization requests for medications, diagnostic tests, surgeries, and procedures.
- Communicate with insurance companies to obtain approvals or provide additional information as needed.
- Notify providers and clinical staff of authorization statuses and requirements.
- Document all authorization activities accurately in the electronic medical record (EMR) or tracking system.
- Ensure compliance with insurance guidelines, HIPAA, and organizational policies.
- Assist patients with understanding insurance requirements and authorization processes.
- Collaborate with billing staff to resolve denied claims related to prior authorizations.
Education
Associate's degree - Liberal Arts & Sciences
Skills
- Microsoft Word
- Friendly, positive attitude
- Appeals handling
- HIPAA compliance
- Claims processing
- Medical billing software proficiency
- Medical procedure recognition
- Active listening
- Critical thinking
- Technical support
Certification
Pharmacy technician
Timeline
Retention and Sales
AT&T
01.2025 - 04.2025
Customer Service Representative (Remote)
Centene
08.2021 - 09.2024
Pharmacy Coordinator
Centene
08.2021 - 12.2022