Aja Terrell - Representative II, Med D Prior Auth IB Phone Tech - ICONMA Staffing/CVS Health – Caremark | Himalayas
Aja TerrellAT
Open to opportunities

Aja Terrell

@ajaterrell

Dynamic customer service professional with healthcare administration expertise.

United States

What I'm looking for

I am looking for a role that values teamwork and offers opportunities for professional growth.

I am a dedicated customer service professional with over five years of experience in healthcare administration. My background includes a strong focus on enhancing member services and streamlining operations through effective problem-solving and analytical thinking. I have a proven track record of improving member satisfaction and operational efficiency by utilizing multiple software systems and meeting government-mandated timelines.

Throughout my career, I have excelled in roles that require exceptional communication skills, both internally and externally. I have managed inbound and outbound calls in fast-paced environments, ensuring that all interactions are documented clearly and accurately. My experience includes handling prescription drug reimbursement processes, Medicare benefits, and appeals processing, where I have consistently met or exceeded quality standards.

As I continue to grow in my career, I am eager to leverage my skills in a challenging role that allows me to contribute to a team focused on delivering high-quality service and support to members. I thrive in environments that value collaboration and innovation, and I am committed to fostering positive relationships with clients and colleagues alike.

Experience

Work history, roles, and key accomplishments

IC

Representative II, Med D Prior Auth IB Phone Tech

ICONMA Staffing/CVS Health – Caremark

Oct 2024 - May 2025 (7 months)

Managed prescription drug reimbursement processes, including prior authorizations and appeals. Handled inbound and outbound calls, providing excellent service to providers, patients, and partners while documenting cases clearly and accurately.

AH

Concierge Experience Member Associate

Alignment Healthcare

Jun 2023 - Jun 2024 (1 year)

Conveyed plan procedures, benefits, and essential details to members, handling requests for provider changes, transportation, or other assistance. Addressed complaints and ensured all incoming calls were answered within departmental average time frames.

MH

Customer Care Associate/Medi-Calrx

Magellan Healthcare

Oct 2021 - Jan 2023 (1 year 3 months)

Assisted clients and providers with programs, policies, and procedures, managing incoming calls to confirm eligibility, advise on benefits, and authorize services. Conducted insurance verification, pre-certification, and pre-authorization tasks efficiently.

SE

Remote Tier 1 Agent /Customer Service Representative

Senture California EDD

Sep 2020 - Mar 2021 (6 months)

Provided exceptional customer service in a remote setting, managing 80 to 100 calls daily regarding EDD registration and unemployment benefit applications. Processed claims and guided applicants through form completion.

Education

Degrees, certifications, and relevant coursework

EC

Educational Cultural Complex

Certificate, Accounting/Business Office Management

2016 - 2017

Studied Accounting and Business Office Management, gaining foundational knowledge in financial record-keeping and office administration. Developed skills essential for managing business operations.

EC

Everest College

Diploma, Medical Assisting

2008 - 2009

Completed a Medical Assistant Diploma program, acquiring skills in clinical and administrative tasks in a medical office. Prepared for assisting healthcare professionals.

NC

Northwest Career College

Certificate, Medical Billing and Coding

2025 -

I will complete a program in Medical Billing and Coding, acquiring skills in processing medical claims and understanding healthcare coding systems. I will focus on accurate documentation and reimbursement procedures.

NC

New Regal Health Career

Certificate, Nursing Assistant/Home Health Aide

2010 - 2010

From June 2010 to August 2010 I obtained certification as a Certified Nursing Assistant and Home Health Aide. Focused on providing direct patient care and assistance in various healthcare settings.

NC

Northwest Career College

Associate of Science, Healthcare Administration

2025 -

I will complete a program in Healthcare Administration, focusing on the operational and administrative aspects of healthcare facilities. I will gain knowledge in managing healthcare services and systems.

LL

Los Angeles Urban League

Certificate, Computer Applications

2006 - 2007

Participated in the AT&T Digital Computer Academy, focusing on Microsoft Office proficiency. Developed essential computer skills for professional environments.

CS

Crenshaw Adult School

GED, General Education

2006 - 2006

Obtained a General Education Development (GED) credential, demonstrating proficiency in core academic subjects. This credential is equivalent to a high school diploma.

Tech stack

Software and tools used professionally

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