Customer Service Prior Authorization

JARICA STOKES

Customer Service & Collections Professional

Ph: 407-***-****. Miami, Fl 33196 Email: ************@*****.*** I am an experienced and talented professional with over 15 years of exceptional customer service and collections experience. My goal is to build rapport and retain satisfied customers while providing a one call resolution.

PROFESSIONAL EXPERIENCE

Amerinational Management Services (Orlando, Florida) Collections Manager

07/2016 to 07/2018

Oversee a group of Collection Account Managers and assist with the supervisory duties of other departments. I handle escalated issues and irate customers. It is my responsibility to ensure all account managers in my department consistently meet their quotas and metrics to excel. I organize spiffs and bonus structures to keep everyone mentally focused on the bottom line. We as a department must call customers and collect on past due accounts, set up payment arrangements, follow up on accounts as needed and leave a lasting positive impression on each customer. I also handle the training for my department and conduct interviews and assist in the hiring process.

Xerox Healthcare Services (Orlando, Florida) 12/2014 to 11/2016 Pharmacy Tech

Take incoming calls from customers and fax Prior Authorization from prescribers and members to determine medical coverage determinations and appeals for Medicare part D. Use of multiple medical software systems such as PeopleSafe and RxClaims, and the use of formularies and guidelines to know what criteria must be met to determine if a medication will or will not be covered by Medicare part D. Process medical coverage overrides for approvals and make sure they are paying on the retail pharmacy level to avoid a delay with the member getting the necessary medication in a timely manner. Exercise proper time management skills to meet quality and production standards.

Eisenburg, Whitman & Associates (Orlando, Florida) 09/2012 to 2/2013 Collections Supervisor

Collect on outstanding debt ( credit cards, utilities, title loans, etc.) Focus on a one call close to get PIF and/or Good Faith Payment on the call with arrangements set forth on short term basis with the total balances settled in full. Maintain the morale of the collectors and implement new ways of being a productive and successful collections firm. Remain bottom line focused while meeting the proper compliance guidelines. Build rapport with debtor and employees. SELF EMPLOYMENT

STAR LIFE CREDIT RENOVATION

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Credit Education and Repair

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2019 to CURRENT

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