Candidate Information Name Available: Register for Free Title Patient Benefit Specialist Target Location US-NC-RALEIGH Email Available with paid plan Phone Available with paid plan	20,000+ Fresh Resumes Monthly     View Phone Numbers     Receive Resume E-mail Alerts     Post Jobs Free     Link your Free Jobs Page     ... and much more Register on Jobvertise Free
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PROFESSIONAL SUMMARY

Billing Analyst Experienced Medical Scheduler professional with strong leadership and
relationship-building skills. Skilled Patient Benefit Specialist with experience in
the healthcare industry. Familiar with CPR, IDX, EMR, Excel.


SKILLS

     Strong verbal communication                           Powerful negotiator
     Extremely organized                                   Self-motivated
     Conflict resolution                                   Team leadership



WORK HISTORY

MCKESSON SPECIALITY HEALTH MCKESSON
Patient Benefit Specialist | Cary , North Carolina | November 2015 - September 2017
     Complete benefits investigations within time constraints using information entered by Patient
     Care Coordination team and following up with the providers office is information is missing.
     Contact patient's major medical or pharmacy payor to verify eligibility
     Utilize all available resources to obtain insurance coverage information for ordered services
     Communicate with providers regarding patient updates and document in the pharmacy
     information system
     Communicate, when applicable, with patients regarding their pharmacy benefit coverage and out
     of pocket responsibilities


WAKE ENDOSCOPY CENTER RALEIGH MEDICAL GROUP
Management Care Representative | Raleigh , North Carolina | January 2012 - November 2015
     Raleigh Medical Group-Wake Endoscopy Ctr.
     Managed the computerized managed Care System and maintains Electronic referrals in EMR.
     Schedules all referrals appointments and documents this information on the referrals request form
     and practice management system.
     Collaborates with the primary care provider to resolve issues related to specialist availability and
     patients needs.
     Sends all completed referral forms to the Medical Records department for filing in patient chart.
     Maintains up to date knowledge of insurance company requirements.
     Obtain eligibility and benefits information.


Care Coordinator | January 2006 - January 2012
     Management /Precert - Carolina Center for Specialty Surgery.
     Obtain eligibility and benefit information.
     Pre-certification for insurance.
     Obtain authorizations for surgeries and procedures.
     Post checks to patients account.
     Collect co-pays and deductibles.
     Assist patients with payment plans.
     Processes payments from insurance companies and prepares a daily deposit.
     Scheduling for multiple doctors.
     Check in/out patients.



EDUCATION

ASSOCIATE OF APPLIED SCIENCE
Carolinas Health Services
Charlotte, NC | 2003
Vance Senior High Henderson, NC         1984