Responsible for collecting both medical and prescription insurance information for each Patient and confirming their unique coverage level for the Special Handling Team.
Mastered the process of obtaining Prior Authorizations for all Pharmacy Benefit Management plans - following up with Doctor's offices to ensure all of our mutual Patients are made priority.
Complete understanding of ScriptMed, Emdeon Pharmacy, Zitter, Covermymeds, Sharepoint, Navinet, Availity, Sharepoint and all Microsoft Office applications.
Familiarized myself with Blue Card rules for Highmark Major Medical verification.
Outbound calls to insurance plans to determine cause and resolution for common test claim rejections or obtaining an override that cannot be done by our internal system.
Exceeding initial expectations and meeting deadlines of all tasks given by direct supervisor. Developed the ability to complete mass quantities of assignments quickly without losing any quality of my work.
Ability to de-escalate calls on my own without ever needing to transfer someone to a senior or supervisor despite being asked on several occasions.
Explained that I wanted more responsibility than was expected of me. Worked directly with my supervisor to ensure I was utilizing my full potential.