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Click here or scroll down to respond to this candidateCandidate's Name
Email: EMAIL AVAILABLEContact: PHONE NUMBER AVAILABLEFredericksburg, Virginia Street Address
LINKEDIN LINK AVAILABLEProfessional Summary:5 years of working experience in Customer service and office assistance in Food, Retail, Healthcare and Insurance Domain.Energetic, outgoing, fast learner, people oriented and has strong organizational skills to join a fast-paced work environment.Motivated and innovative person with best efforts to create versatility and Friendly environment.Excellent customer relations and team building skills.Good at multi-tasking and working well under tight deadlines with high efficiency.Excellent troubleshooting, project management and problem-solving skills.Quick learner with the ability to grasp new technologies.Possess good communication skills, Self-motivated, Task oriented.Self-starter with strong communication and presentation skills.Desire to work with an excellent establishment where expertise can be proved.Authorized to work in the US for any employer.Work Experience:Employer: Kelly ServicesClient Name: Abbvie EndocrinologyPosition: Insurance Specialist (Remote)Duration: 06/10/2024- PresentRoles and Responsibilities:#Provide subject matter expertise and best-in-class customer service for all outbound customer calls to drive first call resolution. Provide insurance coverage, verification details prior authorization statues and alternate funding options for existing and newly launched products. Provide offices with current plan forms, portals, and websites for prior authorizations and appeal submissions. Clearly communicate and educate customers on results of the investigation#Investigate and problem solve for patients experiencing escalated issues such as disadvantaged or complex access, savings card/copay card challenges or non-preferred formulary issues. Where necessary, complete a benefit investigation, contact the HCP and/or patient or potentially the filling pharmacy or payor.#Quickly learn and execute business process and system changes for all drugs and channel sources as applicable. Maintain an understanding of current business procedures, deviations, and case processing for all brands and channel sources for Insurance Specialist I role to support as needed.#Documents information in the appropriate system of record and formats. Accurately communicate insurance details to HCP and patients via phone, other electronic communication methods and fax, as per established policies and procedures.#Identify potential Adverse Event situations for reporting to Pharmacovigilance ensuring AbbVie meets FDA regulations.#Support changing business priorities by being flexible in executing or overseeing completion of specific tasks to support the patients, products, or services we provide for all current and new products.#Work cross-functionally to identify and share opportunities for process and productivity improvements. Liaise between healthcare providers, insurance companies, AbbVie Patient Access Support field repos, Ambassadors, filling pharmacies and patients to administer the Patient Support Service programs. Educate healthcare providers, AbbVie Patient Access Support field representatives, filling pharmacies, and patients on access processes specific to their patient's insurance plan.#Meet or exceed department standards relative to performance metrics. Maintain a work environment that upholds privacy standards required by law and AbbVie policy.#Understand and comply with all required training, including adherence to federal, state, and local laws, SPII policies and guidelines, and the policies and procedures of AbbVie Access Support and AbbVie. Perform additional tasks, activities, and projects as deemed necessary by management.Employer: Spectraforce Technologies IncClient Name: AmerisourceBergenPosition: Benefits Verification Specialist (Remote)Duration: November 2022 to February 2024Roles and Responsibilities:#As a Benefit Verification Specialist my role was to make outbound calls to verify insurance benefit for patients.# As a Benefits Verification Specialist my role was to ask appropriate questions regarding patients benefits and complete data entry and/or appropriate forms to document patients benefits coverage.# Reviews all patient insurance information needed to complete the benefit verification process.# Triages cases with missing information to appropriate program associate.# Verifies patient specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options.# Following HIPPA used on-pram and cloud software, successfully exchange and document patient information with carrier and providers.# Identifies any restrictions and details on how to expedite patient access.# Documenting and initiating prior authorization process, claims appeals.# Completes quality review of work as part of finalizing product.# Reports any reimbursement trends/delays to management.# Performs related duties and special projects as assigned.# Had experience of using CRM tools to verify insurance benefits.Employer: My Eye ZonePosition: Front Desk ReceptionistDuration: June 2022 to July 2022Roles and Responsibilities:# As a Front Desk Receptionist my role was to provide essential support and administrative services to the office, the doctors, and the patients in a fast-paced doctors office.# Greet patients and escort them to the treatment room, making sure patients are comfortable and prepare the feet for an exam by physician.# Open and prep exam rooms each morning/ Close and clean exam rooms at end of day.# Perform patient check in/out procedures, to include entering demographic/insurance information into an EMR system, collecting any outstanding copays/balances.# Prepare charts for upcoming appointments and process medical records requests in an efficient manner.# Complete pre-authorizations. Using CRM tools, obtain or review a patient's medical history, current medications and allergies.# Record any changes in their medical condition.# Replenish supplies doing inventory management.Employer: MacysPosition: Retail Cosmetics Sales Beauty AdvisorDuration: October 2021 to March 2022Roles and Responsibilities:# As a Retail Cosmetics Sales Beauty Advisor I was responsible for providing a great customer experience during all Buy Online Pickup in Store transactions, ringing and processing return merchandise, performing other assigned duties in accordance with procedures and standards.# Proactive in assisting customers who are using devices to shop and compare, whether Macys devices or their own.# Assist customers in all aspects of total store fulfillment and have the ability to satisfy the needs of our digital and physical customers by making appropriate partnerships when necessary.# Provide an exceptional customer experience by ensuring the customer is always the # 1 priority.# Acknowledge Customers in a friendly and helpful manner upon Customers entry into the area.# Knowledgeable of POS/MPOS procedures and proficient in all transactions including BOPS Pickup.# Customer Returns, Non-Congruent Chits, Search and Send, My Client and More@ Macys tablet app.# Demonstrate knowledge of store products and services to drive sales and minimize returns.# Sell gift cards and work to resolve customers Macys card issues, as needed.# Follow stores audit policies and procedures.# Adhere to Asset Protection and inventory control and compliance procedures and follow shortage programs and procedures.Employer: Dairy Queen:Position: CashierDuration: November 2019 to October 2021Roles and Responsibilities:# Provide excellent guest experiences through phenomenal customer service, evidenced by high number of regular sales to my shift# Consistently exceed sales goals by effectively managing sections and multi-tasking.# Hospitality & Culinary Management# Front- & Back-of-House Operations# Teambuilding/Training/Supervision# Inventory Management# Guest Service Excellence# Profit & Growth Strategies# Operating Fast Cash Register.Computer Proficiency:# MS Office- Word, Excel, PowerPoint, Outlook# Google Drive, Docs, Forms, Gmail, Sheets.Education:Masters in English- National University of BangladeshCertificates and Diploma:Certificate Diploma in Cyber Security and Networking Foundations- Germanna Community College, Fredericksburg, Virginia-22408 |
