Prior Authorization Van Driver
Resume:
Hello
I’m LaShell Rush
Meridian, MS
*******@******.***
Experience
Neutrino Tech Systems;Remote - Program Specialist II
● Provide dedicated, personalized support delivered over the phone and via online portal.
● Complete investigations and answer questions regarding insurance benefits, including information about coverage and out-of-pocket costs. Collaborate with patients and doctors to assist with issues related to payments, reimbursements, payment denials, and appeals. Make outbound calls to customers for additional information.
● Assist with prior authorization and medical necessity processes, benefit verification and prior authorization assistance.
● Administer comprehensive searches for alternate reimbursement resources, such as state and federal assistance programs, and enrollment assistance for qualified patients.
● Respond to inquiries from customers, sales representatives and business partners, and follow up on requests in a timely, courteous and professional manner. Maintaining a positive attitude and a helpful approach to customers and clients.
● Enter orders, change orders, track shipments, and enter customer notes to complete customer/consumer transactions. To include maintaining logs and records as required.
● Process patient assistance applications according to business rules of the program.
● Other tasks and projects as assigned
7/2014-6/2021
iQor, Meridian, MS;Remote - Trainer
● Partner with department leaders to identify training needs for new hires and existing employees
● Partner with management team to keep appropriate personnel appraised on ever changing policies and procedures to ensure a consistent customer experience
● Conduct new hire classes on a regular basis including the preparation of all training materials and facilities associated with each class
● Conduct recurrent training classes, meetings, team exercises, group discussions, videos, and lectures)
● Work with internal Quality Assurance teams to conduct informal/formal training needs, assessments, identify training gaps and drive improvements to training curriculum and or delivery
● Create, implement and maintain training material required for the development of product knowledge, process awareness, system expertise, and call handling skills
● Identity and implement new practices and processes that are “best in field”
● insure 100 percent adherence to all company policies and procedures
● Maintain discretion and confidentiality in all areas pertaining to systems, data, and proprietary information, whether internal or customer specific
● Interpret a variety of instructions provided in written, oral, diagram or schedule forums and seminars during times of policy, procedure and or protocol updates
● Modify teaching style to accommodate different learning techniques that may present in new hire and current employees
● Handle a wide range of incoming calls related to billing, account information, and technical support
2
● Work from home intaking calls providing technical support, account assistance, billing inquiries and upsell
● Maintain and update customer information and document account
● Calmly resolve and de-escalate any issues
● Maintain call metric goals and adherence to schedule
● Provides feedback reports on call issues related to downtime and/or training issues
● Upsells to customers as necessary
2/2013- 5/2014
Alliance Health Center, Meridian, MS - Mental Health Tech/Recreational Therapist
● Work under direction of RN’s to help patient comply to and meet treatment goals
● Assessing admitted patients
● Observe patients inside and outside of group settings
● Facilitate groups, while documenting patient behavior and interactions
● Organizing treatment plans to fit patient’s criteria
● Exhibited exemplary behavior toward and employees
● Providing superb quality care to all clientsExhibiting superb communication skills with management, coworkers, and patients
● Promptly answering all inquiries
● Providing a safe living environment
Education/Awards
Meridian Community College 1/2006 Associates Degree; Dean's List Mississippi State University 1/2008 Bachelor’s Degree; Cum Laude; President of Association of Social Workers; Excellence in Research; Mississippi Social work Student of the Year; Phi Alpha Honor Society; Iqor 2015 Asurion VIP Associate Award 2019 Outstanding Performance
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