Jasmine Peaches
@jasminepeaches
Coverage determination and appeals representative specializing in prior authorizations, accurate documentation, and high-volume healthcare support.
United StatesWhat I'm looking for
I’m a Detail-oriented Coverage Determination & Appeals Representative with experience handling remote healthcare support, including coverage determination and redetermination cases. I submit prior authorizations, review clinical requirements, and document case activity accurately in internal systems while managing timely standard and expedited requests.
I also bring a strong customer service foundation from chat and outbound calls with members and providers, backed by attention to detail and problem solving in high-volume environments. As a Trainer and Learning Advocate, I support onboarding and coaching new team members, helping them succeed quickly and confidently.
Experience
Work history, roles, and key accomplishments
Coverage Determination Rep
CVS Caremark
Jan 2020 - Present (6 years 5 months)
Promoted from Rep I to Rep II based on performance, accuracy, and productivity while serving as a trainer and learning advocate for new team members. Processed coverage determination/redetermination cases remotely, submitting prior authorizations, reviewing clinical requirements, documenting activity in internal systems, and handling standard and expedited requests via chat and outbound calls.
Sales Support Generalist
Victoria's Secret
Jan 2017 - Jan 2023 (6 years)
Selected as a trainer to assist with onboarding and coaching new employees, while serving as a brand ambassador through promotions and customer engagement. Provided high-quality customer service, handled transactions, supported store operations, and maintained organized inventory and sales floor standards.
Education
Degrees, certifications, and relevant coursework
Provine High School
High School Diploma, High School
Earned a High School Diploma from Provine High School.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Job categories
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