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Click here or scroll down to respond to this candidateCandidate's Name
Gilbert, AZEMAIL AVAILABLEPHONE NUMBER AVAILABLEA hardworking employee with customer service, multitasking, and time management abilities. Devoted to giving every customer a positive and memorable experience. A highly motivated employee with a desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Authorized to work in the US for any employerWork ExperienceLicensed Insurance AgentGoHealth - Chicago, ILAugust 2021 to November 2023 Conducted customer needs assessments to identify appropriate coverage levels and options. Processed policy changes, renewals, cancellations, claims and other related paperwork accurately and timely. Performed routine follow-up calls to assess customer satisfaction with products and services. Responded to customer inquiries and problems to promote great service. Engaged customers and provided high level of service by carefully explaining details about documents. Explained coverage options to potential policyholders, answering questions or concerns. Achieved repeat business and referrals through personalized services. Insurance Verification SpecialistsAlliances Walgreen Prime RX - Bannockburn, ILSeptember 2020 to April 2021 Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers. Maintained accurate documentation on all pre-authorization requests, denials, and appeals. Interpreted Explanation of Benefits statements from various insurers and communicated relevant information with other departments as needed. Responded promptly to customer inquiries regarding their benefits and eligibility status. Participated in training sessions on new software programs used for verification purposes. Navigated through multiple online systems to obtain documentation. Liaised between physician, site of service and billing department to obtain appropriate documentation. Customer Service SpecialistCVS Health - Chandler, AZAugust 2019 to February 2020 Assisted customers with questions in regards to New Prescriptions and existing refilling request processing Claims Via Mail Order. Kept records of customer complaints via Federal status and regulations Managed customer accounts to Keep profiles current for billing purposes Assisted with technical support duties via Website Caremark.com Assisted customers with a warm and professional attitude Processed Order via USPS providing Turn around Time to assure Members receive medication on time Monitored claims and physician-related services making outbound calls to Express urgency that new prescription have been Emailed Faxed or Phoned to pharmacy. Handled billing issues and order inquiries for Monthly Premiums and account balances owed due to nonpayment Expired payment methods. Handled High inbound calls taking Phone enrollments doing Annual Special and Initial enrollment Periods, and outbound calls when necessary to follow up when Problem solving requires additional Attention.Pharmacy TechnicianWalgreens - Park Ridge, ILMarch 2016 to February 2018 Prepared medications for dispensing by counting, pouring, labeling, and verifying doses. Performed data entry for patient profiles, billing information and prescription orders into the pharmacy software system. Provided customer service to patients by answering questions about medications and health-related topics. Retrieved medication from shelves based on physician orders and delivered them to pharmacists for review. Ensured compliance with all federal, state, local laws and company policies related to pharmacy operations. Received payment from customers and processed credit card transactions when necessary. Collaborated with other healthcare professionals such as nurses or physicians regarding drug therapies or treatments for patients. Answered telephones to respond to questions or requests. Entered prescription information into computer databases. Operated cash registers to accept payments from customers. Assisted customers by answering questions, locating items or referring to pharmacist for medication information.EducationHigh school or equivalent in General StudiesEvanston Twp High School - Evanston, IL1996 to 2000Skills Pharmacy Tech (3 years) Prior Authorization (Less than 1 year) inventory Billing (3 years) Customer Service (8 years) Pharmacy (3 years) Data Entry (5 years) CSR (8 years) Call Center (2 years) Customer Care (7 years) Customer Support (3 years) Computer Literacy Insurance Verification Technical Support Phone Etiquette HIPAA Computer NetworkingCertifications and LicensesLicensed Insurance AgentSeptember 2021 to PresentInsurance Producer LicenseLife & Health Insurance License |
