Post Job Free
Sign in

Customer Service Prior Authorization

Location:
Huntsville, AL
Posted:
August 02, 2024

Contact this candidate

Resume:

Letia Turner

Customer Service Specialist

Huntsville, AL 35810

***********@*****.***

+1-256-***-****

Willing to relocate: Anywhere

Authorized to work in the US for any employer

Work Experience

Medication Technician

AdhereHealth LLC-Remote

December 2022 to November 2023

Update insurance information. Request refills for members. Enroll Mail Order Services. Reach out to Provider & Pharmacist.

Automated Dialer 75-80 calls a day

Prior Authorization Specialist

Asembia/Aspen Pharmacies-Remote

June 2022 to December 2022

Outbound calls to insurance companies, doctors offices or patients. Schedule deliveries, refill medications, verify benefits, run test claims, start/stop/cancel/or complete prior authorizations

Senior Account Specialist

ATT/DIRECTV-Huntsville, AL

June 2021 to May 2022

Answer inbound calls and SAVE customers from disconnecting. Offered deals to customers based off company loyalty. Reviewed and change account information for mobility. Assisted customers of bill payment or promise to pay.

Customer Service Representative Closure

Prime Therapeutics-Remote

November 2020 to April 2021

Run test claims pull mbrs account info send letters to member and provider Prior Authorization Agent/Customer Service Rep for Horizon Blue Cross Blue Shield/Pharmacy Tech

Alorica-Huntsville, AL

December 2017 to July 2020

I work for the Prior Authorization Department. I am an Agent. Inbound calls adjust claims complete Rx's refill for members. Worked with Disability patients, Medicare, Medicaid recipients CNA - Certified Nursing Assistant

Elder Care Services of Decatur-Huntsville, AL

August 2017 to March 2018

Bath, dress, cook, and assist with feeding resident then transport to school. Pick up from school prepare a snack assist with feeding then transport home

CNA - Certified Nursing Assistant

BrightStar Care-Huntsville, AL

August 2017 to January 2018

Bath, dress, cook, and assist with feeding resident then transport to school. Pick up from school prepare a snack assist with feeding then transport home

Cna/Companion

Redstone At Home-Huntsville, AL

February 2016 to June 2016

Assisted with grooming, standing, sitting, going to the restroom. Assisted with eating, going to and from activities

CNA

South Hampton Nursing and Rehab-Owens Cross Roads, AL August 2014 to January 2016

Bath, dress, cook, and assist with feeding resident then transport to school. Pick up from school prepare a snack assist with feeding then transport home

Factory Worker

Cinram Manufacturing-Huntsville, AL

October 2011 to December 2011

Lined movies up and made sure their wasn't any rips or tears in the movie cases AT&T Customer Service Rep

AT&T-Greenwood, MS

April 2005 to September 2007

Called customers to sell at&t service to them . I also worked on any bill problems the customers may have had. I also changed services for the customers or added services for them Education

High School Diploma in General Studies

Ramsey High School - Ramsey, IL

August 1997 to May 2001

Skills

• Ive worked in nursing all my life so theres not too much i cant do (10+ years)

• Customer Service

• Health Insurance

• Vital Signs

• Medication Administration

• Insurance Sales

• Medication Administration

• Vital Signs

• Sales (1 year)

• Senior Care

• Microsoft Excel

• Microsoft Word

• Phone etiquette

• Typing

• Leadership (2 years)

• English

• Computer literacy

• Pharmacy technician experience

• Hospital Experience

• Home Care

• Laboratory Experience

• Medical Billing

• Compounding Medications

• HIPAA

• Microsoft Outlook

• Medical Terminology

• Medical Records

• Patient Care

• Triage

• Live chat

• Office experience

• Communication skills

• Microsoft Office

• Patient monitoring

• Customer support (2 years)

• VPN

• Help Desk

• Medical Coding

• ICD-10

• Technical Support

• Conflict management

• Analysis skills

• Retail sales

• Avaya

• ICD-9

• Active Directory

• CPT Coding

• Telemarketing

• Insurance Verification

• Computer skills

• Front desk

• Time management

• Data entry

• Multi-line phone systems

• Word processing

• Clerical experience

• EMR Systems

• Epic

• Medical Office Experience

• Typing 30 WPM (4 years)

• Outbound calling (5 years)

• Cold calling (3 years)

• Automatic Dialer Calls (4 years)

• Telemarketing

• Sales

• Customer service

• Live chat

• Leadership

• Hospitality

• Help desk

• Retail sales

• Insurance sales

• Upselling

• HIPAA

• Medical coding

• ICD-9

• ICD-10

• Medical terminology

• Hospital experience

• Clerical experience

• Medical records

• Front desk

• Telecommunication

• Order entry

• Typing

• VPN

• Remote access software

• Salesforce

• Oracle

Certifications and Licenses

CNA

June 2001

Pharmacy Technician

January 2018 to January 2019

CPR

Certified Nursing Assistant (CNA)

PTCB Certification

Pharmacy Technician Certification

Pharmacy Technician License

State Tested Nursing Assistant

Certified Medication Aide

Medical Billing Certification

Driver's License

August 2020 to February 2024



Contact this candidate