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Prior Authorization Van Driver

Location:
Meridian, MS
Salary:
14.00
Posted:
March 20, 2024

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Resume:

Hello

I’m LaShell Rush

Meridian, MS

601-***-****

ad4g1b@r.postjobfree.com

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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