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Customer Service Representative

Location:
Phoenix, AZ
Posted:
January 15, 2024

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Resume:

Phoenix, AZ, *****, Andrew US +* ***-***-Hobbs ***8 ad2r1q@r.postjobfree.com

WORK HISTORY

Customer Service Representative at Medimpact Healthcare Systems, Inc. 10/2009 - 07/2023 (14 years)

Handled incoming calls from prescribers, pharmacies, members and clients in a call center environment.

Assisted with pre-authorizations, appeals, grievances, member benefits, billing, Medicare and member reimbursement

Customer Service Representative at Acclivity Healthcare 04/2008 - 06/2009 (1 year)

Provided pharmaceutical reimbursement and support to patients, payers and providers

Obtained benefit and authorizational information from pharmacy benefit managers

Coordinated referrals for patient co-payment assistance programs Organized inbound prescriptions, authorizations, determinations and appellate documentation from payers and providers

Correspondent Analyst II at Triwest Healthcare Alliance Corp. 03/2005 - 03/2008 (3 years)

Provided military healthcare entitlement information to treatment facilities, active duty service members, family members and retirees Conducted thorough claim, enrollment, appeals and grievances from beneficiaries and providers utilizing strong analytical, research and problem solving skills

Resolved issues in a timely manner and drafted clear and concise resolution correspondence

Quality Inspection and Production at The Workforce & Staffing Solutions 09/2002 - 12/2004 (2 years)

Performed various temporary functions

Marketing Sales at DialAmerica Marketing Inc.

02/2002 - 05/2002 (3 months)

Customer service, telemarketing and sales

Admitting/Dismissal Clerk at Baylor/Richardson Medical Center 03/2000 - 11/2000 (1 year)

Customer service, medical pre-billing, admission, outpatient registration, ER registration, collection, training and insurance verification Admitting Representative at St Marks Medical Center/University of Utah Hospital and Clinics/Salt Lake Regional Medical Center 01/1996 - 09/1999 (4 years)

Customer service, medical pre-billing, admission, outpatient registration, ER registration, collection, bed control, PBX and insurance verification Admitting Clerk at Davies Medical Center

11/1993 - 06/1995 (2 years)

Customer service, medical pre-billing, admission, outpatient registration, ER registration, collection, training, insurance verification and imaging clerk Admitting Counselor and Representative at Midway and Mesa General Hospitals (Summit Health)

03/1992 - 09/1993 (2 years)

Customer service, ER registration, admission, outpatient registration, training and insurance

EDUCATION

De Anza College

Graduated 1995

Associate Degree in Speech Communication Emphasis: Business/Organizational Communication

University of Utah

Graduated 1999

Bachelor's Degree in Speech Communication Emphasis: Organizational Communication



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