Kaity Koch
@kaitykoch
I’m a Reimbursement Specialist and certified pharmacy technician who improves medication eligibility accuracy and call quality.
What I'm looking for
I’m a certified Pharmacy Technician and Reimbursement Specialist focused on getting specialty medication eligibility confirmed quickly and correctly. Since 2020, I’ve worked on eligibility verification for patients by leveraging Salesforce/Patient Connect, the NPI Registry, and CPR+.
I conduct benefit verifications by making outbound calls to pharmaceutical and medical insurance companies, and I collect patient health and insurance details by contacting doctors’ offices. I consistently maintain strong operational performance, including a month call quality average over 95% and 100% monthly attendance.
Before my current role, I handled prior authorizations and audits as a certified Pharmacy Technician. At Anthem and Humana, I processed high-volume queues, managed inbound call lines, and maintained above-target quality scores for both phone handling and fax/CoverMyMeds case audits.
I bring a compliance-first mindset built on HIPAA and medical terminology expertise, with experience across medical records, EMR systems, and quality assurance. I’m energized by work that requires attention to detail, clear documentation, and dependable, patient-focused communication.
Experience
Work history, roles, and key accomplishments
Reimbursement Specialist
Eversana
Oct 2020 - Present (5 years 7 months)
Confirmed patient eligibility for specialty medications using Salesforce/Patient Connect, the NPI Registry, and CPR+ and completed benefit verifications with outbound calls to insurers. Maintained 95%+ month call quality and 100% monthly attendance.
Certified Pharmacy Technician
Anthem, Inc.
Jul 2018 - Dec 2019 (1 year 5 months)
Reviewed faxed prior authorization forms and CoverMyMeds submissions to determine patient eligibility for specialty medications, handling inbound phone authorizations and making outbound calls to prescribers. Maintained 97%+ monthly quality for phone handling and fax/CoverMyMeds case audits.
Certified Pharmacy Technician
Humana
Apr 2016 - Jul 2018 (2 years 3 months)
Processed and typed up to 100 prescriptions daily from an inbound fax queue and handled mail-order Medicare calls (up to 120/day). Maintained <10-minute average call time, <2-minute average hold time, and 98%+ monthly phone quality.
Education
Degrees, certifications, and relevant coursework
Colerain High School
High School Diploma, General Studies
2009 - 2013
Earned a high school diploma in General Studies at Colerain High School from 2009 to 2013.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
Skills
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