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Call Center Services Specialist

Location:
Chicago, IL
Posted:
November 28, 2024

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Resume:

LISA CANTWELL

**** **** **** *****, *** ***

Eagan, MN 55121

786-***-****

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

OBJECTIVE

90% OF MY WORK EXPERIENCE IS IN HEALTHCARE. SUCH AS: VERIFYING, UPDATING, ADDING INSURANCE. FILING, REVIEWING, SUBMITTING CLAIMS. ASSISTING MEMBERS,PATIENTS, UNDERSTAND THEIR BENEFITS AND/OR MEDICARE BENEFITS. ALSO WORKING IN CALL CENTERS. EXPERIENCE IN EXCEL, WORD, TEAMS, OUTLOOK, 2-3 MONITORS AT ONCE. CALCULATOR, NAVIGATING THROUGH SEVERAL DIFFERENT PROGRAMS AT ONCE.

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Prime Therapeutics

Member Services Specialist

September 2019-October 2022

Call pharmacies to put in overrides for medications, such as vacation, authorizing prior auths, patients out of medications. Worked in a call center taking 45-100 calls per day.Verified Insurance along with benefits such as Deductible, copays. If patients lost their medication or needed a early refill, or were going on vacation, I would verify if they were able to get those medications and put in the appropriate authorizations. I would do this either with the patient or the pharmacists. I would also call the pharmacies to put in overrides as well. Either for early refills, or vacations depending on the circumstances.

Help members understand Medicare, including Coverage Gap, different Medicare phases.

DOORDASH

NOV 2022-October 2023

Picking up food

Skills

48WPM

12000 KPH

Experience in Word, Epic, Excel,Teams, Outlook

Remote

Customer service Representative 15yrs

Team player

Works well in remote, team player, organized

Dependable

Medical coding and terminology

EDUCATION

Burnsville Sr High School

Burnsville, MN

Diploma received 1990



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