Summary
Overview
Work History
Education
Skills
Timeline
Generic

Tynia Shanchell

Kissimmee,FL

Summary

Experienced Health Insurance Professional with over 5 years of experience in Specialty Pharmacy. Well-versed in healthcare insurance practices, compliance standards and operations. Highly skilled at handling patient issues and questions. Excellent reputation for resolving problems and improving customer satisfaction. Collaborator with proven success as a team player, building patient rapport and preserving data integrity.

Overview

10
10
years of professional experience

Work History

Insurance Verification Specialist

AllianceRX Walgreens
Orlando, FL
07.2018 - Current
  • Assure timely verification of insurance pharmacy benefits prior to patient medication therapy.
  • Contact with insurance carriers to discuss policies and individual patient benefits.
  • Obtain and process patient copayments and out of pocket responsibility.
  • Coordinate and enroll patients seeking financial assistance and grant programs.
  • Resolve insurance coverage claim rejections.
  • Receive/place inbound/outbound calls to patients and physicians regarding medication orders and pharmacy services.
  • Providing excellent customer service in call center environment.

Patient Care Coordinator

CVS Specialty Pharmacy
Orlando , FL
04.2016 - 07.2018
  • Acted as main inbound call point of contact for patients, doctors and hospital staff scheduling specialty medication refills.
  • Worked closely with patients to deliver excellent and direct individualized patient care.
  • Processed pharmacy benefit plans, investigated and resolved queries and complaints about inexact orders.
  • Delivered excellent patient experiences and direct care with focus on outstanding, empathetic communication.
  • Coordinated patient data collation with various external referral sources. Maintained confidentiality of patient data and condition to safeguard health information.

Licensed Health Insurance Agent

Optum, Inc
Orlando, FL
09.2013 - 04.2016

Performed needs analysis to obtain information required to make appropriate health insurance product recommendations.

Enrolled and verified insurance coverage by telephone and online chat to guarantee proper health benefits and estimate patients' financial responsibilities.

  • Explained features, disadvantages and advantages of policies to promote insurance sales.
  • Customized health insurance programs to suit individual clients, and boosting sales.

Education

Associate of Applied Science - Human Resources Management

University of Phoenix
Tempe, AZ
09.2019

Associate of Applied Science - Medical Billing And Coding

University of New Orleans Annex
New Orleans, LA
04.1999

Skills

  • Excellent Customer Service
  • Collaborative Relationships
  • Communication and Interpersonal Skills
  • Financial Counseling
  • Organizational Skills
  • Multi-tasking Skills
  • Coordination and Scheduling

Timeline

Insurance Verification Specialist

AllianceRX Walgreens
07.2018 - Current

Patient Care Coordinator

CVS Specialty Pharmacy
04.2016 - 07.2018

Licensed Health Insurance Agent

Optum, Inc
09.2013 - 04.2016

Associate of Applied Science - Human Resources Management

University of Phoenix

Associate of Applied Science - Medical Billing And Coding

University of New Orleans Annex
Tynia Shanchell