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My ExperienceWork ExperienceJob TitlePharmacy/Patient Benefits SpecialistCompanyCencora Global ServicesLocation Remote10/2023- 12/2023Role Description:Process pharmacy claims, setup shipments, process credit card/cash payments for medications, reconcile. Authorize applications/ patient and physician offices. Referrals, authorizations, utilization management. Follow through until patient delivery is completed. Act as a liaison for patient, facility, physician offices, pharmacy. Daily achieved results equals 93%.Job TitlePharmacy Claims Billing SpecialistCompanyExpress Scripts/ IBM/ CignaLocationRemoteFrom9/2021To12/2022Role DescriptionProcess pharmacy claims, follow up insurance information of patient, phone calls to patient and manufacturers for accurate information for successful claims processing. Bill and process credit card payments for medications. Benefits verification, patient liaison, navigator, provide insurance benefits/verification, payment options, referrals, authorizations to the patients, etc. Daily results achieved 94% with an anticipated quota of 25-30 clean claims.Work ExperienceJob TitleAdministrate Office Assistant/Medical SecretaryCompanyMatthews Radiation OncologyLocationMatthews, NCFrom08/2006To10/2020Role DescriptionManage and participate and perform duties to include appointment setting, insurance verification, and medical documentation for perspective patients. Customer service, problem solving. Liaison between physicians, therapists, referring medical providers. Prior authorizations for specialty treatment for cancer, i.e. providing diagnosis codes, metrics, for treatment, dosimetry specs, and follow up for future treatments, schedule or refer for procedures/surgery to outside hospital facilities/surgery centers. While following up on referrals. Output of quality achieved daily well exceeded 95-100%. Retrieving radiology/medical information and creating CDs for radiation therapy. (During Transcription for facility i.e. editing and mailing out correspondence to referral sources- Contractor.) 100% daily with a patient load of 65 70 scheduled per day..Work Experience 3Job TitleDocumentation ExtractorCompanyHIM Documentation Reviewer ServiceLocationRemoteFrom1/2015To1/2017Role DescriptionExtract medical information, i.e. lab reports, Radiology reports, medications, treatment plans for proper chart processing for EMR. Provided information for physicians, pharmacy, insurance companies. Total achieved results 25 charts per event.Work Experience 4Work Experience 4Job TitleTranscriptionistCompanyTranscription Variations UnlimitedLocationCharlotte, NCFrom1/1997To1/2015Role DescriptionManaged and Owner of Remote Transcription Service for medical facilities/hospitals, global organizations, US Military/ commercials, plays. First to introduces digital transcription to physicians for outside transcription services. Managed 5 part-time employes with a daily chart completion rate of 45.EducationSchool or UniversityCentral Piedmont Community College Business ConceptsDegreeAssociatesField of StudyBusiness EducationOverall Result (GPA)90Education 2Central Piedmont Community College- Matthews CampusDegreeCivil LawField of StudyCommerce/ Loan and title closings.Overall Result (GPA)AFrom2021To (Actual or Expected)2021 and 2022SkillsPaymentsReimbursementCreditBillingHealthcare ContractsClaims ProcessingInsurance AuthorizationsInsurance UtilizationData ExtractionTranscriptionResearchHealthcare experience- 20+Managerial xs 15 years.Certification: NOTARY PUBLIC- State of North Carolina - #202126400185