VERNAIJUOR HARRIS
Ocala
Summary
Motivated professional eager to embrace new challenges. Demonstrates a strong work ethic and adaptability, excelling in dynamic environments. Proven ability to work independently and rapidly acquire new skills.
Overview
9
9
years of professional experience
2
2
Certifications
Work History
Intake Prep Imager
Centene Corporation
06.2023 - Current
- Analyzed medical records and other documents to determine the approval of requests for authorization.
- Input all patient data regarding claims and prior authorizations into the system accurately.
- Performed procurement of baseline laboratory results, and other related documentation, to assist the clinical team in initial clinical care planning.
- Completed intake assessment forms and filed clients' charts.
- Collected, verified, recorded, and processed client demographics, insurance payments, and referral information.
- Liaised between clients, healthcare providers, and referral sources to maintain continuity of care, and associated staff to check documentation for proper signatures.
- Documented complaints and grievances in a timely manner.
- Responded to emails efficiently and accurately.
- Met or exceeded the company's performance and quality with 99% or greater.
- Maintained confidential patient, employee, and company information in compliance with company policies and regulatory requirements.
- Completed day-to-day duties accurately and efficiently.
- Prioritized and organized tasks to efficiently accomplish service goals.
- Collaborated closely with team members to achieve project objectives and meet deadlines.
Onboarding Specialist
CarepathRX
02.2024 - 04.2025
- Conducted a health and medication review with the patient that includes a thorough review of their list of medications, administration instructions, and the collection of key health information.
- Inputted accurate data entry of a patient's prescription information to ensure that the patient will receive the appropriate medications.
- Achieved key performance metrics, as set forth by the management team.
- Created a positive first impression of ExactCare and the unique services we provide.
- Educated facilities, institutions, and patients about ExactCare.
- Managed the patient assessment process to grow the business and maintain referral relationships.
- Maintained accurate records and prepared reports for the consistency of information to be shared with the ExactCare team.
- Called prospective patients daily, scheduled them for telephonic reviews, and conducted patient follow-up calls.
- Participated in daily team huddles, attended training sessions, and other ad-hoc meetings as needed.
- Open lines of communication with the management team.
- Embodied ExactCare Core Values in all communications and interactions.
Pharmacy Technician
WALGREENS BOOTS ALLIANCE
Orlando
01.2021 - 06.2023
- Answered over 100 incoming phone calls per day, and addressed questions from patients and healthcare providers.
- Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
- Provided accurate advice to patients on the use of medications, potential side effects, and other safety concerns.
- Provided superior customer service to members and providers by responding to inquiries in a timely, accurate, and professional manner.
- Reviewed medical records to identify diagnoses and procedures.
- Adjudicated prescription claims electronically, assisted with determining if the correct insurance was entered, if prior authorization was required, patient copay, and various related items, and documented all information.
- Entered prescriptions with a less than 2% error rate.
- Provided excellent customer service, addressing inquiries and resolving issues promptly.
- Processed insurance claims for prescription medications using pharmacy software systems.
- Teamed with peers, technicians and pharmacists to prioritize and complete orders.
- Performed data entry for patient profiles, billing information and prescription orders into the pharmacy software system.
Guest Service Representative
DISNEY WORLD
Lake Buena Vista
06.2017 - 01.2022
- Resolved guest complaints and discrepancies promptly and courteously.
- Welcomed guests upon arrival with professionalism and friendliness.
- Addressed guest inquiries, complaints, and special requests to enhance customer satisfaction.
- Oversaw front desk operations and managed guest needs in a fast-paced environment.
- Maintained and updated 50-80 customer records by accurately entering data in database.
- Utilized problem-solving skills to navigate challenging situations with dissatisfied customers.
Education
Associate of Arts -
Valencia College
Orlando, FL05.2021
Skills
- Effective verbal and written communication
- Medical record analysis
- Patient assessment
- Data entry
- Claims processing
- Quality assurance
- Time management
- Critical thinking
- Microsoft Office proficiency
- Demographic analysis
- Multi-tasking
- Attention to detail
- Active listening
- Medical terminology
- Issue resolution
- Customer account management
- Problem solving
- Team collaboration
- Leadership development
- Insurance verification
- Record keeping
- Self-Directed
- Organization and time management
- Networking
- Social perceptiveness
Certification
• CPhT-Certified Pharmacy Technician
• HIPAA Certified
• HIPAA Certified
Timeline
Onboarding Specialist
CarepathRX
02.2024 - 04.2025
Intake Prep Imager
Centene Corporation
06.2023 - Current
Pharmacy Technician
WALGREENS BOOTS ALLIANCE
01.2021 - 06.2023
Guest Service Representative
DISNEY WORLD
06.2017 - 01.2022
Associate of Arts -
Valencia College