Administrative Assistant Insurance Specialist

Professional Summary: Administrative Assistant professional with customer service, receivable/payable, employee scheduling, and training experience. Worked in both health care and retail settings. Able to handle multiple tasks at once and prioritize work in an orderly fashion. Presently employed through Kelly Services at Express Scripts as an Insurance Specialist.

Skills and Abilities

· Experienced with authorization status, appeal status for specialty PAH medication, claims status, benefits verification on Immune Disorder Medication(s)

· Understands HIPPA and the importance of protecting identifying information

· Able to hear a customer’s concern(s) and meet their needs

· Quick learner with new computer programs

· Proficient in all Microsoft office products

· Excellent clerical support skills

· Conflict resolution

· Data entry

Employment Experience

Customer Service Specialist -Outbound Phone Rep- Benefit Verification 12/2019 to 11/2022

Cvs Specialty Pharmacy- Ridc Park- Sean Malloy /Ron Reed, Josh Ruby/ in Benefit Verification

I Make outbound calls to patients to do New Patient Enrollment, and refills schedule orders,

Doctor’s Schedule deliveries.

I Have been a Chat Monitor and helping fellow team mates with questions

I have had a couple team mates shadow me

I also did Benefit Verification thru several systems.

Started the Authorization Process thru Cover My Meds

Insurance Specialist – Temporary contract position 9/2018 to 3/2019

Kelly Services/Express Scripts, Lindsay Foster, Supervisor, Susie Baird, Lead

· Telephone calls to clients and follow up on authorization status

· Run claims and review whether they are paid or rejected

· Benefits verification on Immune Disorder Medication(s)

Integrated Customer Communications Specialist 2004-2012

Coventry Health Care

Utilized multiple operating system including IDX,HAPA,CHC, Navigator, GMIS, Blood Hound, and Recoveries

Worked in an inbound call center for health insurance claims

Accurately recorded data in data base management systems

Sent patients Explanation of Benefits (EOBs) as needed

Processed claims in a timely manner

Trained new employees

Administrative Assistant 2004

Dr. Louis K Hauber Psychologist

Scheduled clients to be seen by the doctor and avoided scheduling conflicts

Copied, faxed and provided additional clerical support

Answered telephone in a professional manner

Office Manager 2003-2004

Ashley Manor Personal Care Home

Maintained accounts receivable /accounts payable ledgers for the accountant

HR Support: aided in the hiring and termination of employees and payroll

Scheduled employees to assure high level of care for residents

Created and maintained confidential files

Education

Butler County Community College Diploma in Medical Billing and Coding

References available upon request

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