A Hepburn

Managed over 60 patient interactions daily, assisting with scheduling, medication access, and insurance inquiries. Achieved consistent 98% call quality and compliance with HIPAA standards, resolving prescription delays through direct coordination with providers and pharmacy staff.

Reviewed and processed medication prior authorizations across multiple health plans and states. Collaborated effectively with insurance companies and provider offices to resolve complex claim issues quickly.

Completed over 200 prior authorizations and insurance appeals, significantly accelerating medication access for patients. Researched copay cards, grants, and foundation support to reduce out-of-pocket costs and coordinated prescription fulfillment with specialty pharmacies and providers.

Entered and processed over 150 prescriptions daily from handwritten, electronic, and phone orders with high accuracy. Maintained prescription integrity while verifying insurance and medication histories.

Handled over 300 formulary and non-formulary prior authorization requests efficiently. Supported member access by resolving benefit issues and escalating urgent cases to ensure timely medication delivery.

Managed prescription processing, third-party billing, and insurance resolution across diverse pharmacy settings. Updated EMRs, handled refills, and provided comprehensive customer service and patient support.

Completed a comprehensive high school curriculum. Focused on foundational academic subjects to prepare for future educational and professional pursuits.