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Candidate Information
Title Customer Accounts Case Manager
Target Location US-NC-Spring Lake
Email Available with paid plan
Phone Available with paid plan
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105 Greeley Circle, Spring Lake 23890Cell: PHONE NUMBER AVAILABLEEmail: EMAIL AVAILABLETo whom this may concern,I am a very sharp individual, who is willing to bring attention to detail and excellent skills to your company. My education and training makes me an ideal candidate for this position.My educational background has prepared me for the role of this job. My study of sociology has given me a solid background so that I can perform this job to the best of my ability. I am eager to contribute my enthusiasm to work with this company. I am also looking forward to bringing the skills that I have to the company by working as a team player and committing myself to this company.I am certain that my resume will give you a more understanding of my qualifications for this amazing opportunity. Thank you and I would appreciate the opportunity to work and learn from you and your talented team. I look forward to hearing from you soon.Sincerely,Sequia Lynnette WareLynnette WareEducation:Fayetteville State UniversityBachelor of Arts in Sociology Graduated: May 2015Internship: Fayetteville, NCDepartment of Social Services January 2013  May 2013Open and maintain customer accounts by recording account informationManage large amounts of incoming callsKeep records of customer interactions, process customer accounts and file documentsPrepare product of service reports by collecting and analyzing customer informationWork Experience:AbbVie Endocrinology: Remote PositionInsurance Specialist:Answer calls regarding insurance claimsAnswer questions about our productsVerify documentation and eligibility of benefitsMaintain client files!Stay up to date on complex insurance regulationsPerform other administrative support duties as neededMckesson: Remote PositionCase Manager: September 2021-October 2022Work with healthcare providers and patients to assist with appeal management for claim denials.Work with physicians and payers to advocate for product-specific coverage. Ability to communicate product benefits and efficacy to positively influence payer policy.Capability to monitor drug coverage policies for multiple payers. Review case outcomes to analyze and identify payment and denial trends as well as key findings for client reporting.Conduct external research to identify appropriate alternate funding sources for inclusion to the internal resource database for future reference purposes.Ability to effectively respond to escalated issues and complex cases referred from other Reimbursement employees or manufacturer representatives.Continuum Global Solutions: February 2020-September 2021Customer Service Agent: Remote positionExplain products or services, prices and answer patient questionsObtain patient information, such as address, name and payment information by using Citrix and EpicEnter orders into the computer, schedule appointments for patient testingManage large amounts of incoming calls daily.Triangle Brick: June 2017- December2019Front Desk Clerk: Moncure, NCAnswer phones, direct calls, and assist customersEntering data into aspirate fields; databases, records and filesEnsure that all documents and material received in the samples department are of satisfactory qualityCommunicate with clients of any schedule changes, cancellations or additionsTrack inventory and Process orders based on the buyers preferred shipping system Process orders through Citrix (ERP system)Special SkillsComputer-literate performer with extensive software proficiency covering wide variety of applicationsAbility to deal with customers and other employees in a professional mannerProficient in typing skills and have the ability to type 40 words per minuteAbility to work on strict and short deadlines; able to set priorities and deal effectively with shifting priorities

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