LaKashia Turner

ad2g7f@r.postjobfree.com

601-***-****

Qualifications

• Excellent written communication skills with a strong command of grammar and language

• Customer service experience

• Ability to multitask and navigate multiple systems simultaneously

• Tech-savvy

• Reliable high-speed internet connection and a suitable home office setup

• Customer service oriented and committed to ensuring optimal client outcomes.

• Manages time and prioritizes duties in fast-paced, multi-task environments.

• Effective problem solver, able to assess needs and identify solutions.

• Strong written, verbal, and interpersonal skills for effective communication and documentation.

• Follows policies, procedures, and guidelines to assure consistent quality. Maintains and ensures patient privacy and confidentiality.

• Microsoft Word and Excel proficient.

• Inbound and Outbound Call handling

Experience

August 2022 - December 2023

Continuum Aetna Remote - Patient Intake Administration Representative

● Keeps records of all complaints, appeals, and grievances' data entry requirements.

● Creates case files for each grievance, appeal, and complaint while ensuring all regulations and

organizational policies are followed.

● Investigates complaints and disagreements for all business lines from suppliers, members, or

authorized representatives. Verifies categories and puts information into the data management

tracking system after reviewing the details provided by members and providers.

● Ensures that cases are on track and resolved within the regulatory turnaround time by maintaining

a case assignment work-list.

December 2021 - August 2022

SGS Consulting CVS Health Baytown, TX - Patient Intake Benefits Verification Representative

● Interacting with insurance companies, clients, and pharmacy benefit managers via phone and website portals.

● Examines information supplied by members and providers; confirms categories; and inputs data into data management tracking system.

● Process orders from clients and patients, responding to fax and phone messages.

● Evaluate the patient's needs, record requests for referrals to help with care coordination, and give

details about available supplies and equipment.

● Examined new patient and recurring patient insurance benefits.

● Communicate insurance coverage to referral sources and patients, as well as with patients, and talk to them about the forms needed for billing.

● Demonstrates proficiency managing email in an Outlook account, and using remote communication software such as Skype Microsoft Teams and WebEx; able to demonstrate proficiency with Word, Excel, and experience documenting within an electronic health record like EPIC

● Keep track of case assignments to make sure that they are completed and closed.

October 2020 - March 2021

SpectraForce Technoloyg Amersource Bergeron Remote - Benefits Verification Specialist

● Respond to 50+ phone and fax inquiries while processing orders from referral sources and patients.

● Determine the patient's needs, keep a record of referral requests for care coordination, and give

details about available supplies and equipment.

● Insurance benefits for both new and returning patients have been confirmed.

● Inform patients and referral sources of your insurance coverage; additionally, talk with them about

the necessary billing paperwork.

● Ensured that every piece of insurance-related data was collected completely and precisely.

● Answer inquiries from clients and patients by doing research. December 2019 - August 2020

PL Marketing Houston, TX - Surge Team Member Merchandiser

● Helping customers is important. Showing excellent collaboration is also important.

● Execute the plan for each category and aisle on your own.

● occasionally travel overnight

● Communicating with the supervisor often about retail prospects (P.L. Marketing Set Team Leader)

● providing suggestions for new products might assist in locating possibilities to boost sales.

● Merchandising expertise and the capacity to read, comprehend, and apply plan-o-grams should be used.

● Timely completion of all plan-o-gram tasks; appropriate tagging of all sections.

● Work according to the plan in all departments of a store. Education

Ultimate Medical Academy - Associate of Science Degree in Health Sciences

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