Customer Service Representative

Joni Feacher

Professional Profile

*+ years of Healthcare Customer Service Experience

Insurance Verification, Prior Authorizations, Claims Processing

Refill prescriptions, Explanation of benefits, Eligibility

Ability to work in a fast paced environment and strong data entry skills

Knowledgeable with various Healthcare Insurances and HIPAA guidelines

Proficient in Microsoft Office; Word, Excel and Outlook

Professional Experience

June 2018 – Present Maximum Potential Orlando, FL

Affiliate Broker Representative

June 2017 – June 2018: Personal time-off due to medical reason

April 2016 – June 2017 CVS Specialty Pharmacy Orlando, FL

Patient Service Representative

Handled high volume of inbound calls assisting various members and providers

Assisted and obtained prior authorizations requests by contacting providers and doctor’s offices

Discussed insurance plans and coverage to members

Obtained members eligibility and verified insurance

Worked with doctors, providers, caregivers to initiate process and receive payment on claims

Filled/refilled medications and prescriptions

Assisted customer with new patient enrollment

Performed data entry and updated patients information

Processed orders and ensured that medications are shipped

October 2015 – April 2016 Optum Orlando, FL

Customer Service Representative (Contract)

Answered high volume of inbound and outbound calls

Helped customers regarding health insurance application

Verified insurance coverage and eligibility

Contacted insurance carriers and doctor’s office for authorizations requests

Updated member’s information in the system

November 2014 – October 2015: Personal time-off

May 2014 – November 2014 Hodges Group Home Orlando, FL

Behavioral Specialist (Contract)

Monitored patients' physical and emotional well-being and reported unusual behavior to medical staff

Aid patients in performing tasks, such as bathing or keeping beds, clothing, or living areas clean

Restrained violent, potentially violent, or suicidal patients by verbal or physical means as required

Lead prescribed individual or group therapy sessions as part of specific therapeutic procedures

Issued medications from dispensary and maintain records in accordance with specified procedures

Keep records of customer interactions, details of inquiries, complaints, as well as actions taken

April 2011 – April 2013 Orlando Angels Academy Orlando, FL

Teachers Assistant/Floater

Education

East High School, Rochester, NY

High School Diploma

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