Service Representative Customer

LAKESHIA PIERCE

**** * ******* ** *** *** Arlington, TX 76014 · 918-***-****

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

EXPERIENCE

APRIL 2022 – PRESENT

SR. COORD, INDIVIDUALIZED CARE, AMGEN

-Verify medical and pharmacy benefits

-Send approved refills to Sonexus Health Pharmacy

-Working missing information making sure all necessary documents have been received to verify benefit.

OCTOBER 2021– APRIL 2022

CONTRACTOR CASE MANAGER, cardinal health

· Reviewed cases to assist patient on getting reenrolled for 2022

· Viewed BI case to ensure the insurance is still the same as previous year

· Viewed Alternate Funding to ensure the patient is above FPL 145%

· Contacted patient and/or HCP office for missing info on enrollment form

JULY 2021– OCTOBER 2021

PATIENT SERVICE REPRESENTATIVE, NEW YORK CITY DEPARTMENT OF HEALTH

Helped callers who had questions about COVID-19 vaccine

· Escalated calls to RNs for medical inquiry questions

OCTOBER 2020– FEBRUARY 2021

FOLLOW UP SPECIALIST, USA MEDICAL PARTNERS

Followed up on billed claims with multiple different insurance companies

· Answered with client questions about the program

· Submitted appeals, if necessary

JUNE 2015– OCTOBER 2020

PATIENT SERVICE REPRESENTATIVE, ASCENSION ST JOHN

Reviewed online appointments for accuracy

· Updated lab bills and diagnosis codes

· Processed clinic billing for office

· Verified insurance eligibility

· Entered medical records

SEPTEMBER 2010– APRIL 2015

CUSTOMER SERVICE REPRESENTATIVE, FMS

Processed payments

· Set up payment plans

· Helped with questions about medical bills

AUGUST 2001– AUGUST 2010

PHARMACY TECHNICIAN, MED-X DRUG

Entered new & refill prescriptions

· Assisted with filling prescriptions

· Called insurance to start prior authorizations

EDUCATION

2022

DIPLOMA, WILL ROGERS HIGH SCHOOL

SKILLS

BILLING

CUSTOMER SERVICE

MEDICAL BILLING

INSURANCE VERIFICATION

ICD-10

CPT CODING

MEDICAL BILLING KNOWLEDGE

MEDICAL TERMINOLOGY

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