Open To Work
Trini B Shakir Bryant
Aspen Specialty Pharmacy (Asembia) Contract
Somerset,United States
Work Preference
Job Search Status:
Open to work
Desired Job Title
Pharmacy TechnicianCustomer Support SpecialistCustomer Service Representative
Work Type
Full TimeContract Work
Location Preference
RemoteOn-Site
Location:
Somerset, United StatesSomerdale, NJ
Open to relocation:
Yes
Minimum Desired Compensation
$25/hr
Important To Me
Career advancementFlexible work hoursWork-life balanceWork from home optionHealthcare benefitsPaid time off
1
Language
1
Certification
10
years of professional experience
Dynamic and results-driven Patient Account Representative with a robust background in medical billing, claims processing, and denial resolution. Manages 100-150 Medicare and Medicaid claims daily while ensuring accurate coding for expedited reimbursements. Demonstrates exceptional skill in coordinating with payers, resolving discrepancies, and enhancing claim submission accuracy to optimize revenue cycle management. Additionally, possesses expertise as a pharmacy professional with a proven track record in medication preparation, customer interaction, and inventory management. Known for strong collaboration within healthcare teams and adaptability to evolving needs. Committed to delivering high-quality patient care through expertise in pharmaceutical calculations, prescription processing, and regulatory compliance.
Work History
Medical/ Pharmacy Technician Biller Specialist
4 Months- Assisted patients in obtaining timely medication access by confirming insurance coverage.
- Facilitated prior authorization approvals by coordinating requests and working with healthcare providers and insurance companies.
- Reviewed prior authorization denials to determine opportunities for appeals.
- Organized submission of documentation to physicians' offices for prompt signature and completion.
- Cultivated relationships with various physicians' offices and insurance providers such as Optum RX, CVS Caremark, Humana, and BCBS.
- Supported cross-departmental efforts to effectively address patient coverage and authorization challenges.
Medical Biller Specialist
7 Months- Supported efforts to facilitate timely medication access for specialty pharmacy patients by verifying insurance coverage.
- Assisted in managing the prior authorization approval process by coordinating requests and collaborating with healthcare providers and insurance carriers.
- Reviewed prior authorization denials to uncover opportunities for appeals.
- Helped coordinate documentation submissions to physicians' offices for timely signatures and completion.
- Cultivated relationships with physicians' offices and a diverse range of insurance providers, including OptumRx, CVS Caremark, Humana, and BCBS.
- Facilitated cross-departmental initiatives to address patient coverage and authorization challenges effectively.
BDC service representative
1 Year 8 Months- Successfully managed numerous inbound and outbound customer calls, providing efficient query resolution and swift support to meet service demands.
- Coordinated service appointment scheduling and recognized potential sales opportunities, leading to a more streamlined service department process and greater customer involvement.
- Prepared and distributed daily and monthly performance summaries, guaranteeing accurate oversight of departmental statistics and prompt communication of results.
Customer Support Specialist
1 Year 3 Months- Supported new hires with a comprehensive onboarding experience, ensuring they integrated effectively.
- Addressed and resolved customer queries and concerns about account adjustments and password resets, leading to increased customer satisfaction.
- Executed payment processing and performed document checks for semi-annual reviews, upholding financial accuracy and regulatory compliance.
Medical Biller specialist
1 Year 11 Months- Resolved approximately 100-150 Medicare and Medicaid claims daily, guaranteeing efficient and correct service delivery.
- Drove account recovery initiatives through effective communication channels (calls, emails) and managed vulnerable accounts, ensuring detailed record-keeping and reporting.
- Aided clients with financial difficulties by directing them to crucial support systems, including food assistance programs, homelessness prevention services, and various social resources.
Customer Service Sales Retention
5 Months- Formulated and enacted strategies aimed at reducing customer churn, enhancing retention by employing both proactive and reactive engagement methods.
- Collaborated with internal departments to construct compelling business cases for retention programs, established incentive structures to maximize employee output, and reviewed retention data to furnish detailed weekly performance reports, including churn analysis.
- Interpreted retention data to create thorough weekly performance reports, which included an analysis of customer churn.
Provider Service Specialist
4 Years 5 Months- Addressed an average of 70-100 provider and customer inquiries daily through high-volume call management.
- Executed the processing and reprocessing of 100-150 daily claims, maintaining accuracy in CPT, ICD9, HCPC, LONIS, and DRG coding.
- Facilitated claim payments by investigating and resolving denied claims in conjunction with management offices.
Education
High School Diploma - General Education
Skills
Salesforce
Claims Processing
Medicaid Billing
Accounts Receivable Management
Denial Resolution
Claims Follow-Up
Medical Terminology
Knowledge of PAR Collection Processes
Data Analysis
Computer Skills
Mathematical Skills
Customer Service
Communication Skills
Empathy
Problem-Solving
Time Management
Attention to Detail
Multitasking
Analytical Thinking
Confidentiality
Interpersonal Skills
Hospital Billing
Insurance Collections
Results-Oriented
HIPAA
EHR Systems
Healthcare Reimbursement
Medical Billing and Coding
Certification
Pharmacy Technician, Nj Consumer Affairs, 08/2020
Languages
Advanced
Timeline
Medical/ Pharmacy Technician Biller Specialist
Aspen Specialty Pharmacy (Asembia) Contract
04.2026 - 08.2026Read More
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01.2024 - 09.2025Read More
Customer Support Specialist
Progressive Insurance
03.2023 - 06.2024Read More
Medical Biller specialist
AmeriHealth Caritas LLC
04.2021 - 03.2023Read More
Customer Service Sales Retention
Charter Communication
11.2020 - 04.2021Read More
Provider Service Specialist
Beacon Health Options
05.2016 - 10.2020Read More
Independence High School
High School Diploma from General Education
Read More
Personal Information
Title: Patient Account Representative