Customer Service Prior Authorization
Resume:
Tamre Adams
Pittsburgh Pa, *****
************@*****.***
HEALTHCARE QUALIFICATIONS
Providing exceptional customer service determining customer needs and providing appropriate solutions
Familiarity with pharmacy terminology, prescription medications, and insurance coverage (Medicare, etc)
Assist customers and communicate with Supervisors via phone, email, and chat platforms
Phone triage utilizing multiple computer systems simultaneously on multiple screens while on phone with members
Refill requests
Utilizing problem solving/critical skills and business analytic strategies
Trained in Salesforce, Compass, PeopleSafe and other CRM tools to manage adherence, call lists, and track progress
Assist clients with daily living activities in home/facility Administer medications
Meal preparation Therapeutic exercises
Companionship
Wound Care/Palliative Care
Front/Back office duties Clean/Stock exam rooms
Responsible for patient flow of office Follow-up calls
Phlebotomy/Injections Hospice care
Collect payments/ Bookkeeping Medication management
Inventory
Client liaison support
Billing and Coding Housekeeping
Personal Services Small businesses/organizations Insurance/Prior Authorizations
ADDITIONAL EXPERIENCE
Handle all general office duties/business affairs
Balance ledgers
Insurance and Bonds
City travel to/from demolition sites
Accounting/Bookkeeping Secure/Complete contracts
Meet/Greet Clients
Building/Residential Blueprints
Obtain building permits
Secure licensing/title transfers
Collect payments
Bank deposits
Follow-up calls
Liaison for owner, bldg. inspector, lawyer
Itemizing/Spreadsheets
Initiate all PA1 Call before you dig requests
Balanced owner’s business checking/ business credit accounts
EDUCATION
SuranceBay Anti-Money Laundering for the Insurance Industry
03/07/2024
Insurance Department Commonwealth of Pennsylvania
Lines of Authority: Life, Fixed Annuities, Accident, Health\Medicare
Effective: 02/23/2023 - 10/31/2025
Point Park University
BA Business Management 2008-2010
Western School of Health and Business Careers
Medical assistant of Specialized Technology 2004-2006
CCAC South Campus
Ultrasound Technician 2003-2004
HISTORY
CVS Caremark Pharmacy Benefits Representative 10/2023-05/2024
Family First Life (Final Expense)/Aetna Supplemental Sales Agent (Independent) 02/202*-**-****
Manageable Meanings Office Administration 04/2021- 02/2023
Private Duty Client (No Contract) Hospice Care 08/2021- 06/2022
Hands 2 Help Home Health Aide 06/2020-08/2021
Security Systems of America Dispatch 11/2019-5/2020
AeroTec. Benefit Verification Specialist (contract) 11/2016-2/2017
Caremaxx LLC Nursing Assistant 02/2016-09/2016
Private Duty Nurse’s Aide 01/2014-07/2015
Private Duty Nurse’s aide 02/2014-03/2015
Allen Demolition LLC Office Administrator 12/2014-03/2015
The Care Registry Nurse’s Aide 05/2013-11/2014
Hands 2 Help Seniors Services Personal Care Attendant 10/2012-06/2013
Care Unlimited LLC Nurse’s Aide 04/2011-06/2012
Patients First Healthcare Solutions Nurse’s Aide 01/2010-11/2010
Shadyside Dermatology Medical Assistant UPMC Temp Services 08/2009-01/2010
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