Zaira Spencer

Initiated prior authorization requests with accurate documentation of medical necessity and clinical information.

Handled intricate medical claims by evaluating CPT, ICD-10, and denial codes.

• Engage directly with clients to deliver information on services and products, accurately process orders, and handle account cancellations
• Document comprehensive records of customer interactions, detailing inquiries, feedback, and respective resolutions
• Address and resolve customer complaints, ensuring client satisfaction and maintaining high-quality service standards

• Delivered patient consultations on medication usage, dosage instructions, and supplementary health products, enhancing customer understanding and safety
• Managed pharmacy inventory, consistently maintaining optimal stock levels to support patient prescription needs
• Administered COVID-19 vaccinations as part of a critical public health initiative, contributing to community health efforts during the pandemic

• Monitored patient vital signs and documented any significant changes, ensuring timely intervention by medical personnel
• Assisted multidisciplinary teams, including doctors and therapists, in providing comprehensive care to individuals with a variety of mental health challenges
• Conducted initial patient interviews, gathering critical mental health and treatment histories to inform personalized care plans
• Reported observations of patient behavior and progression to healthcare professionals, contributing to the refinement of therapeutic interventions