Tionna Frank

Provided specialty medication and prior authorization referrers reviewed by the case review unit. Collaborated with customer service, benefits verification and pharmacy operations to communicate statues and determinations of prior authorizations. Complete accurate and timely documentation of all appropriate information as necessary. Works closely with the case review clinician team for clinical support on daily functions.

Handled assigned cases in a timely manner to identify opportunities to resolve issues by working with plan documents, carriers, providers, and members. Contacted insurance providers to determine reasons for payment delinquency, claim denials, errors and delays.