Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Ursula Marshall

Orlando,FL

Summary

Dynamic leader with extensive experience in insurance verification and team management as a Benefits Investigation Team Lead at AssistRx. Demonstrated success in enhancing operational efficiency and accuracy in credentialing and medical billing processes. Proficient in Microsoft Access, with a strong ability to foster collaboration within teams. Known for driving process improvements while maintaining high compliance standards.

Overview

20
20
years of professional experience
1
1
Certification

Work History

Benefits Investigation Team Lead

AssistRx
Orlando, US
09.2022 - Current
  • Company Overview: To ensure our providers have the required qualifications to provide care.
  • Leading a team of 12 to 22, verifying benefits for patients, locating correct billing information for Medicaid, Medicare, commercial, and government plans, and utilizing resources for patients who are in need of financial assistance.
  • Served as third-party hub for pharmaceutical corporation.
  • Credentialing Specialist

Insurance Adjuster

Tetra Tech
Orlando, US
11.2020 - 06.2022
  • Processing insurance claims for FEMA
  • Quality Assurance Officer
  • Maintaining
  • Negotiated and settled claims according to information presented through reports, research, and data verification.
  • Informed claimants about the claims process and answered questions regarding policies.

Recruiter/Trainer

Supervisor of Elections
Orange County, US
01.2020 - 11.2020
  • Company Overview: Orange County, FL
  • Negotiated salaries and other employment terms with successful applicants.
  • Conducted in-depth interviews with top candidates to assess skills and fit.
  • Coordinated background checks on successful candidates prior to offer acceptance.
  • Training All Poll workers

Precertification Specialist Supervisor

Aetna Insurance Company
Orlando, US
09.2016 - 01.2018
  • Specialty precertification specialty, doing prior authorizations for specialty medications
  • Conducted regular audits of credentialing files to ensure accuracy and completeness.
  • Collaborated with internal teams regarding provider contracts and agreements.
  • Completed enrollments into Medicaid, Medicare and private insurance plans.

Pharmacy Technician/Benefits Investigator Supervisor

DaVita RX (Specialty Pharmacy)
Orlando, US
12.2015 - 01.2018
  • Verifying benefits for patients, updating Providers recorders for proper billing purposes
  • Medicare Part B claims (buy and bill) Commercial and government plans generating invoices for providers offices and specialty insurance hubs
  • Communicated with insurance representatives to complete claims processing or resolve problem claims.
  • Ensured HIPAA compliance by maintaining confidentiality of all patient information.

Medical Billing Specialist

Walgreens Specialty Pharmacy
Orlando, US
11.2014 - 07.2017
  • Verifying insurance for patients
  • Processed re-credentialing applications for existing providers according to contractual requirements.
  • Ensuring claim information was accurate for processing
  • Conducted regular audits of credentialing files to ensure accuracy and completeness.

Aetna Specialty/ Pharmacy Tech

Xerox Services
Orlando, US
02.2013 - 11.2015
  • Providing Customer Service to members for their mail order service for Well Care insurance for medicare part D members
  • Providing Quotes on medications, Enrolling members into health plans
  • Viewing and determining coverage, adjudicating claims, submitting prior authorizations and appeals for SilverScript members

Pharmacy Cashier

CVS Pharmacy
Orlando, US
12.2008 - 10.2012
  • Assisting customers inside the retail pharmacy, providing prices on medication and determining coverage, also assisting the pharmacist on filling medication
  • And normal cashier duties

Leasing Agent/Front Desk Asst.Manager

Club Orlando
Orlando, US
01.2009 - 01.2012
  • Checking Guest in and out of the system, preparing leases for new tenants, showing apartments, filing paperwork, answering phones, maintaining front service area
  • Monitored rent collection activities and pursued delinquent accounts.
  • Detailed application requirements and answered questions from prospective tenants.

Admin Assistant/Data Entry

Orlando Sentinel
Orlando, US
02.2005 - 12.2008
  • Interact with customers to provide information about their past due accounts, and about inquiries about products and services and resolve complaints
  • Facilitated communication between different departments within the organization.
  • Proofread content for typo-free emails and documentation.
  • Handled incoming and outgoing correspondence, including email, mail, and package deliveries, ensuring timely distribution.

Education

High school or equivalent -

Jones High School
Orlando, FL
01.2005

Skills

  • Insurance Verification
  • Safe Driving Practices
  • Pharmacy Technician Experience
  • Medical Billing
  • Property Leasing
  • Microsoft Access
  • Typing
  • Yardi
  • Microsoft Outlook
  • Medical Records
  • Credentialing specialist
  • ICD-10
  • Insurance procedures
  • Document review
  • Application management
  • Credentialing documentation
  • Facility support

Certification

  • Sterile compounding
  • Certified Notary Public

Timeline

Benefits Investigation Team Lead

AssistRx
09.2022 - Current

Insurance Adjuster

Tetra Tech
11.2020 - 06.2022

Recruiter/Trainer

Supervisor of Elections
01.2020 - 11.2020

Precertification Specialist Supervisor

Aetna Insurance Company
09.2016 - 01.2018

Pharmacy Technician/Benefits Investigator Supervisor

DaVita RX (Specialty Pharmacy)
12.2015 - 01.2018

Medical Billing Specialist

Walgreens Specialty Pharmacy
11.2014 - 07.2017

Aetna Specialty/ Pharmacy Tech

Xerox Services
02.2013 - 11.2015

Leasing Agent/Front Desk Asst.Manager

Club Orlando
01.2009 - 01.2012

Pharmacy Cashier

CVS Pharmacy
12.2008 - 10.2012

Admin Assistant/Data Entry

Orlando Sentinel
02.2005 - 12.2008

High school or equivalent -

Jones High School

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Ursula Marshall