Macy Hunt

Applied extensive knowledge of prescription drug reimbursement, including insurance plan types, PBM, and major medical benefits, to process prior authorizations and appeals. Managed a high volume of inbound and outbound calls in a fast-paced environment, ensuring clear and accurate documentation of cases according to program guidelines.

Handled phone calls for authorization appointment scheduling, answered questions, and managed messages and call forwarding. Communicated with facilities, patients, and case managers to obtain necessary clinical information and documentation for non-emergent transports and appointments.

Obtained prior authorizations via portals, fax, phone, and email, and assisted patients with appointment scheduling, insurance verification, and paperwork completion. Managed patient payments, reconciled accounts receivable, prepared financial reports, and resolved billing discrepancies while adhering to HIPAA regulations.

Provided comprehensive customer service to patients, addressing questions and complaints, and coordinated with clinical staff for timely patient care. Performed data entry into electronic health record systems, verified insurance eligibility, and facilitated communication among healthcare professionals and patients.

Assisted clients with personal care activities, administered medications as instructed, and reported changes in client conditions to supervisors. Monitored vital signs, recorded daily notes on client conditions and treatments, and provided compassionate care to improve patient outlook and daily living.

Studied Biology with a focus on Health Science. Gained foundational knowledge in biological principles relevant to healthcare.