Experience

Agency for Health Care Administration

• United States
• Hospitals and Health Care
• 200 - 300 Employee

• Medical Healthcare Program Analyst

  • Oct 2021 - Present



Any

• Administrative



Accredo

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Resolution Team Lead

  • Aug 2011 - Present

  Serve as a technical expert to call center team to assist with efficient resolution of member and client related issues. Provide direction and guidance to less experienced team members. Act as liaison services to other ESI departments. Recognizes and recommends improvements to processes and procedures. Assist Front End Pharmacy with the resolution referrals, including coverage exclusions, replacements, eligibility issues, input orders from start to finish, process re-bills, pre-input Rx clarification, post input Rx corrections, or any Front End process needing assistance. Act as a liaison between pharmacists, pharmacy, account management, customer service, and the patient to research and resolve problems that arise.



Spherion- 21st Century Insurance

• Claims Representative

  • May 2010 - Jan 2011

  Duties included projecting a professional company image through phone interaction, answered phones and responded to customer requests, transfer customer calls to appropriate staff, data entry, handling customer complaints, identify, research, and resolve customer issues using the computer system Documented and alerted the supervisor of trends in customer calls and completed other various customer service duties and special projects as assigned. Duties included projecting a professional company image through phone interaction, answered phones and responded to customer requests, transfer customer calls to appropriate staff, data entry, handling customer complaints, identify, research, and resolve customer issues using the computer system Documented and alerted the supervisor of trends in customer calls and completed other various customer service duties and special projects as assigned.



Apple One Temporary Employment- Wyndham Consumer Finance

• Financial Services Representative

  • Oct 2009 - Mar 2010

  Duties included the ability to interpret data from multiple locations and determine if a receivable is collectable, negotiate payment arrangements, accepted payment over the phone to satisfy balance due, to function effectively in a fast paced, high volume, detail-oriented environment, compliance with the monthly schedule of tasks that are required in order to facilitate the collection process and achieve departmental goals, and the ability to consistently complete call cycles. Duties included the ability to interpret data from multiple locations and determine if a receivable is collectable, negotiate payment arrangements, accepted payment over the phone to satisfy balance due, to function effectively in a fast paced, high volume, detail-oriented environment, compliance with the monthly schedule of tasks that are required in order to facilitate the collection process and achieve departmental goals, and the ability to consistently complete call cycles.