MAHOGANY MORRISON
**** ***** **** *****, *********, North Carolina, 28273, US • 980-***-**** • ********.********@*****.*** Reimbursement Counselor with [10] years of experience providing support to customers. Detail-oriented and knowledgeable about case studies. Expert at accurately submitting insurance claim information for prompt processing. Offering a reputation for collaborating with patients to create care plans that fit their needs and budget. With an organized, service-oriented, and analytical nature, excellent verbal and written communication skills are a must. Diabetes management
Maintaining records
Caseload management
Communications - Some college (No degree)
North Carolina Agricultural and Technical State University - Greensboro, NC Associates - Some college (No degree)
Clinton Junior College - Rock Hill, SC
Reimbursement Counselor - August, 2012 to July, 2022 AmerisourceBergen - Fort Mill, SC
Worked on strategic planning as part of the practice executive team and ensured that practice operations were in line with the organization's mission, vision, and goals.
Did some research on patient benefits to help with insurance questions. Kept track of patient reactions to drugs and meticulously documented the progress of those taking part in clinical trials. Looked into and reported problems with patient care or conditions that could jeopardize a patient's well-being. Continually improved my knowledge, skills, and performance based on feedback and self-identified professional development needs. Kept patient finances, records, and health statuses confidential. Collaborated with the contracting department to resolve payer issues. Verified Benefits for the Sanofi Patient Connection Team for 5 years specifically for patients with diabetes assessing for copay assistance. Verified coverage for drugs such as Aubagio, Lantus, Apidra, Toujeo Summarized detail information from the benefit verification about the coverage the patient was eligible for in Patient Plus software and later on Salesforce
Learned how to report adverse events in a timely and effective manor Communicated with providers office about patient demographics and insurance if there was a decrepancy Reviews all patient insurance information needed to complete the benefit verification process.
• Triages cases with missing information to appropriate program associate.
• Verifies patient specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options.
• Identifies any restrictions and details on how to expedite patient access.
• Could include documenting and initiating prior authorization process, claims appeals, etc.
• Completes quality review of work as part of finalizing product.
• Reports any reimbursement trends/delays to management.
• Performs related duties and special projects as assigned.
• Applies company policies and procedures to resolve a variety of issues. Verified coverage for patients with Medicaid, Medicare, and commercial insurance Professional Summary
Skills
Education
Work History
Home Care Specialist - August, 2008 to July, 2011
Atrium Health - Charlotte, NC
Immediately informed [Home care Nurse] of any unusual or urgent circumstances in the patients' condition or environment. Kept track of patient care, condition, progress, and problems to report, and I talked to my supervisor or case manager about my findings. Voter Registration Specialist - August, 2004 to August, 2008 Mecklenburg County Board of Election - Charlotte, NC Did clerical work such as typing, answering phones, and filling out forms. Gathered data and documents from sources that had previously been entered into the system. Flight Attendant - March, 1999 to September, 2004
U.S. Airways - Charlotte, NC
Served beverages and food from the refreshment cart and informed passengers about in-flight amenities. Explained how to use safety equipment and answered questions from passengers. Reassured and comforted passengers during turbulent flights and unavoidable delays. Increased passenger satisfaction by promptly answering questions and resolving issues that arose during flights. Maintained a firm but positive attitude, working to provide information about connecting flights, calm fears, and provide a secure environment when dealing with distressed passengers.
Operated in strict accordance with all airline and federal aviation regulations to ensure that all safety and security procedures were followed. Data Entry Representative - December, 1998 to March, 1999 Vanguard Investment Group - Charlotte, NC
Obtained scanned documents and entered them into a database. Added documents to file records and created new records to support filing needs. Increased data-entry productivity by keeping detailed logs of data projects, identifying issues, and improving them. Looked through source documents to find information for each data entry field.