PROFILE

College student, who readily adapts to change, works independently and exceeds expectations

while juggling multiple priorities without compromising quality seeks professional opportunity.

EDUCATION

University of Maryland University College, Adelphi, MD Expected May 2018

B.A. Communications

Trinity Washington University, Washington, DC August 2013-December 2015

Communications Studies

Sherwood High School, Sandy Spring, MD Graduated May 2012

EXPERIENCE

Kelly Services - Client :

Lash Group- AmerisourceBergen, Rockville, MD October 2017- Present

Benefit Verification Specialist

Contacts insurance companies on behalf of the physician's office to verify patient specific benefits.

Completes data entry and/or appropriate forms to document patient benefit coverage.

Collects and reviews all patient insurance information needed to complete

the benefit verification process.

Completes electronic validation of pharmacy coverage and medical eligibility.

Completes quality review of work as part of finalizing product.

Verifies patient specific benefits and precisely documents specifics for various payer plans

including patient coverage, cost share, and access/provider options according to Program specific SOPs.

Aline Staffing Agency- Client :

Lash Group- AmerisourceBergen, Rockville, MD December 2016- July 2017

Reimbursement Specialist

Responsible for claim submission, claim status, collection activity, appeals, and

payment postings.

Collects and reviews all patient insurance information needed to complete billing, collections

and appeal processes.

Utilize various means for collections such as phone, fax, mail, and online methods.

Maintains frequent phone contact with provider representatives, third party customer service representatives, pharmacy staff, and case managers.

Analyzes, reports, and communicates any reimbursement trends and delays.

Coordinate with team members within the department to obtain appropriate medical records as they

relate to the reimbursement process.

Caremetx, Bethesda, MD April 2016 – December 2016

Data Entry Specialist

Maintain effective systems to support the timely release of accurate information to

diverse clients.

Intake program specific correspondence including mail and faxed documents.

Log information into appropriate database and triage program specific

mail to the appropriate reimbursement case advocate, reimbursement specialist

and/or management team.

Responsible for payer research and territory assignment management.

Distributes reports daily disseminating information to appropriate

distribution vendors, reimbursement case advocate, reimbursement specialist

and/or management team.

Work on problems of moderate scope where analysis of data requires a review

of a variety of factors. Exercise judgment within defined standard operating

procedures to determine appropriate action.

Follow up with insurance companies for Prior Authorizations intended for specialty medications.

Gaithersburg County Government, Gaithersburg, MD June 2015 - July 2015

Inclusion Companion (Summer employment)

Actively and responsibly supervise assigned participant(s) and assists the

individual with accessing and participating in all facets of the program,

activity or event.

Serve as an advocate for disabled individual within the program, activity, or event.

Coordinate with the program director/leaders to adapt activities when necessary.

Maintains behavior protocols when necessary.

Uses a task analysis approach to activities when necessary.

Communicates daily/weekly with individual’s parents or counselors.

Assists in basic program duties if disabled individual does not require one-on-one

attention during the entire activity, program, or event.

Complete paperwork and reports.

Retail, Radio Shack, Derwood, MD May 2014 - December 2014

Greet visitors.

Use database to track and find out of stock items for customers.

Assist customers with purchases.

Assigned key holder for the Derwood location.

Make daily deposits.

Retail, Forever21, Bethesda, MD November 2013 - January 2014

Greet visitors.

Stock items.

Create and maintain floor displays.

Assist customers with purchases.

Office Assistant, Sherwood High School September 2011 – May 2012

Greet visitors.

Answer and direct phone calls and inquiries.

Maintain filing systems; paper and electronic.

Distribute mail, coordinate mass mailings and prepare correspondence for signature.

Assist office staff with faxing, copying and collating documents.

SKILLS

Proficient in the use of MS Word, PowerPoint and Excel.

Excellent research skills.

References are available upon request.

Contact this candidate