BENESHA J. MACKEY

City & State: Arlington, TX ***10 Cell: 702-***-****

Email: ad2xvp@r.postjobfree.com

PROFESSIONAL SUMMARY

Responsible, punctual, organized, and productive professional when working with little to no supervision. Initiative-taker, motivated, outgoing with professional Customer Service experience in a fast-paced setting. Hard-worker, team-player with expertise in completing various tasks, and offering staff support. Excellent customer service by always being an empath, attentive, using good judgment and going above and beyond.

SKILLS

• Customer Service

• Call Center knowledge

• Knowledge of operating systems

(Microsoft Windows, Linux, Excel, Power

point, Rx Claim)

• Ability to work independently, initiative-

taker or as part of a team.

• Citrix/ Virtual desktop (VDI)

• Success at respecting and meeting deadlines

• Diligence and quality.

• Office skills (Email/Fax/chat)

• Claims/Appeal status

• GPS

• Scheduling

• Data Entry (35 WPM)

• High volume phone lines

(Inbound/Outbound)

• Avaya/Amcom/Genesys/Android cell

• Salesforce

• Epic EHR/Allscripts EMR systems

• HIPAA verification

• Clinical Review Engine (CRE)

EXPERIENCE

C4 staffing agency (Prime Therapeutics), Arlington, TX 10/2023 - 1/2024

Non -certified, Entry level Pharmacy Technician - Remote Work from home in a call center setting using company equipment for training. Med D review criteria to determine if the request is approved or denied. Data entry in the claims system using CRE to ensure appropriate claims are resolved. Provide clinical outcomes to the member and the member’s physician within client specific turnaround times. Research in confluence and respond to calls and emails. Perform outreach to members, pharmacies, and physician’s offices to obtain all necessary information related to requests. Send corresponding letters via fax or mail to prescribers and members. Systems that are utilized is CRE, Cover My Meds, RX Claims, BET Website (Benefits Editor Tool), Right Fax, WebEx, Microsoft Office (Excel, Word, PowerPoint, Outlook) and Medicare tools. Assure appropriate HIPPA verifications. Communicate with (TAL) training assist line, (CAL) call assist line, also using Microsoft teams chat and email to reach out to the team and/or team leads for assistance with questions and concerns. Completed mandatory company provided training on-line courses. Next Level Business Inc.

(Molina HealthCare), Arlington, TX

07/2022 - 6/2023

Provider Services Associate - Remote

Work from home in a call center setting using company equipment. Access the VDI program using Genesys phone system to receive inbound calls provider calls for Molina Healthcare providers. Use salesforce tools to assist providers to gather information on their patients such as benefits enrollment, claims and appeal status. Data entry input, email, and fax. Assures appropriate HIPPA verifications. Communicate in Microsoft teams to the team and team leads to get assistance with questions and concerns.

Rhino Medical Staffing, San Jose, CA

02/2022 - 07/2022

Abbott Employee Covid-19 Testing

Performed rapid antigen tests and high complexity PCR swab tests at a local business. Duties include testing, data entry and sending patient results. Adheres to company policies and procedures including all CDC regulations.

Managed Staffing, San Jose, CA

09/2021 - 02/2022

CVS Outreach Coordinator II - Remote

Make outbound calls and take inbound calls for members to encourage them to make an appointment with their primary care physician to manage their preventive care and chronic conditions before the year is up. If necessary, assist the members in making the appointment with their primary care physician. Document the outcome of each phone call in our database. All other duties as assigned. Ryzen Solutions, San Jose, CA

10/2020 - 9/2021

Stanford Patient Admin Customer Service

Record patients' medical information and report symptoms or changes in patients' conditions using Allscripts. Answers non-clinical CRMs, AMCOM's Answers non-clinical patient messages by email and/or outgoing phone calls, escalating where appropriate. Assures appropriate HIPPA verifications. Communicate with the charge nurse, and ability to respond to urgent patient needs. SCI (NAPA Auto Parts), Baton Rouge, LA

08/2019 - 10/2020

Independent contract driver

Delivered packages to customers, obtained customer signatures in exchange for their packages. Also took returns to the store and gave a receipt to the client for credit. Desert Pediatrics, Las Vegas, NV

10/2018 - 08/2019

Front & Back Office Medical Assistant

Verifying insurances, Scheduling, Check in and outpatients. Answering phones on multiple lines, and other basic office duties. Took vitals, gave injections, roomed, and took patient data using Epic EMR system and cleaning rooms. Assisted providers with patients. EDUCATION

Medical Administrative Assistant associate degree

Ultimate Medical Academy - (Graduate May 2024)

Google IT Support Professional Certificate - Job Train, Menlo Park, CA 7/2021 Medical Assistant Certificate - Nevada Career Institute, Las Vegas, NV 9/2018 Diploma - Palo Alto Senior High School, Palo Alto, CA Customer service, Medical Assistant, Phones, multiple phone lines, Medical Administrative assistant, MA, administrative assistant, fax, email, Data entry, 35 WPM, Driver, Delivery driver, Basic office duties, Customer Service, windows, Excel, Email, Fax, Remote, Work from home, WFH, Training, Attention to detail, EPIC, Data Entry 35 WPM, HIPAA, Prior Authorization, claims, appeals, Rx claims

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