Patient Services Dispatcher & Benefits Verification

LISA HUCKS

************@*****.*** 803-***-**** Colombia, SC 29205 WWW: Bold Profile

Summary

Eager to apply my extensive healthcare experience and customer service skills in a Patient Services Representative role, I am dedicated to enhancing patient satisfaction and streamlining administrative processes.

Skills

Remote Patient Services - $17 an hour / Remote Benefits Verification Specialist

Customer First, and One Call Resolution

Inbound and outbound call service to patients, caregivers, and HCPs

Recertification / Annual Review of Renewing Patients and Qualifying New Patients for Assistance for the Current Calendar Year

Ability to work independently and as a team member

Navigate multiple apps, screens, and the internet proficiently

Prepare and process applications for alternate coverage

Familiarity with government, state Medicare benefits, and Prescription Part D coverage

Knowledge of current FPL'S

Data entry, record creation

Problem solving, effective communication, organization, detail orientation

Policy and procedure modification

Documentation and control

Relationship building

Database administration

Account reconciliation

Data retrieval systems

Records management

Database management

Document control

Experience

Self Employed Columbia, SC

After School Care

09/2018 - Current

BABYSITTING & PRIMARY CARE GIVER OF NOW MY 5 Ability YEAR OLD GRANDSON

Guided children through engaging and productive activities to foster fun learning environment.

Communicated daily with children's parents or guardians about daily activities, behaviors and related issues.

MMC GROUP Irving, USA

Patient Services Representative

09/2023 - 03/2024

Company Overview: One of the biggest, most successful drug manufacturing companies in the world.

www.pfizervyndalink.com

Remote Patient Services - $17 an hour / Remote Benefits Verification Specialist.

Customer first and one call resolution, inbound and outbound call service to patients, caregivers, and HCPs, recertification, annual review of renewing patients, and qualifying new patients for assistance in the current calendar year.

Registered patients by completing over-the-phone interviews to obtain demographic, insurance, and medical information.

Ability to work independently and as a team member, navigate multiple apps/screens and the internet proficiently, prepare and process applications for alternate coverage, Pfizer Patient Assistance Program, commercial copay savings card, and interim care program for patients who express hardship affording medications.

Familiarity with government, state Medicare benefits, and Prescription Part D prescription coverage, along with specialty pharmacies and mail order drug companies, policies, procedures, especially HIPAA compliance, multi-line cloud-based connector, Avaya 1X Communicator, warm transferring and conference call skills, wrap-up call skills, and documentation.

Completed registration procedures for patients, expertly inputting information to meet provider, facility and legal requirements.

Implemented patient satisfaction surveys to identify areas for improvement.

Participated in team meetings to discuss new initiatives or process improvements.

Applied HIPAA privacy and security regulations while handling patient information.

Utilization of resources, Microsoft 365, Fusion Database System, Excel, PowerPoint, Microsoft Teams application daily use, Microsoft email daily use, communication with distribution for triages/shipments of medication for and to patients, de-escalation of calls, escalation of calls, problem solving, effective communication, organization, and detail orientation.

Collaborated with insurance companies to resolve billing discrepancies and pre-certification issues.

Data entry, record creation, data intake, document review, person account creation, benefit verification, creating prior authorizations, alternate coverage research, alternate coverage, missing information cases, temporary PAP, PAP creation cases, and processes for the determination of eligibility or denial of assistance services.

Knowledge of current FPLs, knowledge of all the various medical and pharmacy companies' policies and procedures, recognizing reportable and non-reportable adverse events and quality product complaints, and reporting to Drug & Safety.

Edit, correct, and update database system information, answering inquiries, and/or obtaining information, communication with other departments within the Pfizer organization, leadership, and management.

Program Supervisor: Brenda Garza, ******.*****@*******.*** 888-***-****.

Jennifer Lee, MMC Onsite Supervisor/Recruiter, Email: ****@******.***

Labor Ready

Customer Service/Laborer

11/2011 - 03/2016

Company Overview: Labor staffing company

Website not provided

I was lead and driver of other employees to various job assignments from warehouse to retail

I was their call to person for special or big client assignments because I was dependable, trustworthy, organized and would make sure the assignment was done properly

I was also entrusted to drive the company van, have a gas card and distribute paychecks on occasion

Labor staffing company

Website not provided

$8-9 hr

Star Player Express

Manager

09/2009 - 03/2013

Company Overview: State approved transportation business

Website not provided

I managed and operated a state approved transportation business, customer service, dispatch

State approved transportation business

Website not provided

$26,000 annual

STANDARD CORPORATION

Head QA / Inventory Control

01/2001 - 05/2005

Company Overview: Company involved in shipping and receiving

Website not provided

I worked my way up from the only female forklift, clamp, Cheery Picker operator until management saw I was doing so well in shipping and receiving they had everybody become trained and certified

I was promoted to Head QA conducting daily cycle counts, research, discrepancy resolution, checking behind the other Cycle Counters Tally sheets and locations of product physically and with Cherry Picker, audits of loaded trailers

Then promoted to Inventory Control in charge of 3 warehouses of Sam's / Wal-Mart product which included daily reconciliation of inventory in Excel format, weekly emails of inventory status to all warehouse supervisors, on occasion would travel to other warehouse locations to investigate and was in charge of all OS&D's, etc

Company involved in shipping and receiving

Website not provided

$12.10 hr

Education and Training

EASTECH

DIPLOMA in Phlebotomy Technician, Laboratory

09/1990

Related coursework: Anatomy and Physiology, Medical terminology, Medical regulations (OSHA & Blood Borne Pathogens, Biohazard, Data Entry

KEE BUSINESS COLLEGE

CERTIFICATE in Medical Office Assistant, Medical Science

04/1988

Related coursework: Anatomy and Physiology, Phlebotomy, Medical Terminology, Medical Transcription, Typing, Medical Office Procedures and Policies, Microsoft Word

References

Brenda Garza, ***********@*******.***, 888-***-****

Morgan Bullock, 803-***-****

Michael Salley, 843-***-****

Ronnie Dozier, ******.**********@*****.***

Contact this candidate