At Accredo, I manage 100+ daily clinical and coverage cases in Zendesk while maintaining a 98% accuracy rate in documentation and processing.
I review authorization criteria, analyze reimbursement trends including billing and claim denials, and enter prior authorizations to support accurate claims adjustments. I also use Epic, Cerner, RxClaim, and CRM platforms to verify member information and track payment requests.
Previously at CEC Group, I supported individuals needing prescribed medications through phone and email, collected eligibility documentation, and reported project progress in Microsoft Excel and Word.
My customer support background also includes resolving escalated account access, billing, and service issues, documenting interactions for compliance, and collaborating across teams to improve the customer experience.
