Insurance Microsoft Office

PROFESSIONAL PROFILE

Self motivated professional with 15+ years of accomplishments in Health administration and pharmacy. I am enthusiastic, team player with solid communication and consumer relation skills. Results-oriented decision maker, able to set and achieve goals in a fast-paced work setting. Maintains a good rapport between associates and clientele. Highly adaptable to change.

Skill Areas

Client/patient relations Outreach Planning Microsoft Office

Case Management Data Collection PA/Pre Cert

Insurance verification Data Entry Cap Programs

Benefit explanation Multi Task Imaging

Admissions/Intake Reports PHI/Hipaa/Security

Work History

CHISCA

Community Health Interventions & Sickle Cell Agency 12/15/15-08/31/16

Outreach specialist, licensed FL Nagivator for the health insurance marketplace. Assisted with application and plan enrollment for AFA. Access Certitified for DCF application assistance. Coordinated/Attended outreach events, Health fairs, case management, data collection/entry, Submitted reports. Assisted clients on a day to day bases in Sanford, Winterpark, and Eatonville.

Access Medi-equip

Temp Benefit Analyst 07/15-10/15

Verified Major Medical benefits for Medtronic’s Durable Medical Equipment. Initiated PA/Appeals Medicaid, Medicare, Workman’s Comp and commercial plans.

BioSolutia 11/12-06/2015

Insurance verifier, Intake Coordinator /Assistance Support-Assisted new clients in the process of obtaining orders, offering assistance/support as needed. Case management..Verification of insurance benefits and initiating prior authorizations as needed. Coordinated communication between prescriber, Patient, Insurance Companies and specialty pharmacy to ensure efficient process in obtaining product. Accounts receivable

Express Scripts Curascript (SP) 12/01-03/10

Senior Eligibility Associate, Admissions Rep, CAP programs coordinator

Admissions/patient care coordination (case management) insurance verification, patient education.Processing payments and ran hourly reports related to monitor process flow and status updates on CAP programs. Accounts receivable

Awards/Accomplishments

Award constant promotions for “Outstanding Workmanship, Telephone etiquette, Creativity and overall performance”. Perfect Attendance award. Licensed Navigator for the state of Florida. Access Certified to assist clients with DCF applications.

Education

Grand Canyon University 09/15- current

University of Phoenix 05/06-05-07

Seminole State College General Ed 99-2001

Evans High School 89-93

References Available Upon Request.

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