Aja Terrell

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.

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.

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.

Provided excellent customer service in a remote setting, answering 80 to 100 calls daily regarding unemployment benefits registration and applications. Processed claims and assisted applicants in filling out forms.

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.

Scheduled and dispatched chauffeurs and premium transportation vehicles, addressing issues promptly and accommodating customer requests. Meticulously documented task details and maintained complete and accurate records.

Upheld excellent verbal and written communication abilities, utilizing soft skills and customer service acumen to address a broad spectrum of issues and escalations. Complied with PII and HIPAA regulations for patient interactions via phone or email.

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

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

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.

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.

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.

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

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