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Open to opportunities

Nina Karr

@ninakarr

Dedicated healthcare call center professional focused on first-call resolution and HIPAA-compliant support.

United States
Message

What I'm looking for

I’m looking for a HIPAA-focused healthcare support role where I can own high-volume calls, resolve claims and eligibility questions quickly, document accurately, and help patients access medications with empathy in a fast-paced remote environment.

I’m a dedicated, detail-oriented healthcare call center professional with 6+ years supporting patients and members in high-volume environments. I’m known for first-call resolution, compassionate communication, and accuracy when handling sensitive health information.

Most recently, I worked as a Pharmacy Benefit Specialist (Remote) at TTEC (OptumRx), where I handled inbound calls assisting members with prescription benefits, coverage, and medication pricing. I resolved complex issues including claims, prior authorizations, and pharmacy network questions, while verifying eligibility and benefits using multiple systems.

Before that, I served as a Patient Access Specialist at TEKsystems, completing inpatient and outpatient registrations with a strong focus on accuracy and financial clearance. I verified insurance eligibility and benefits, collected patient financial responsibility payments, and coordinated with patients, families, and providers to resolve account and access issues.

I also built my customer service foundation as a Customer Service Representative at Mom’s Meals (PurFoods Company) and earlier with Iowa Medicaid. I handled escalated claims, eligibility, and benefits calls, educated customers on healthcare plans and authorization processes, supported website/account access, and maintained thorough, compliant documentation throughout.

Experience

Work history, roles, and key accomplishments

TO

Pharmacy Benefit Specialist

TTEC (OptumRx)

Oct 2024 - Jan 2026 (1 year 3 months)

Handled high-volume inbound calls supporting members with prescription benefits, coverage, and medication pricing. Verified eligibility and resolved complex issues involving claims, prior authorizations, and pharmacy network questions while maintaining HIPAA compliance and accurate documentation.

TE

Patient Access Specialist

TEKsystems

Jan 2022 - Oct 2024 (2 years 9 months)

Performed inpatient and outpatient registrations with a focus on accuracy and financial clearance. Verified insurance eligibility and benefits, collected patient financial responsibility payments, and coordinated with patients, families, and providers to resolve account and access issues while maintaining HIPAA compliance.

Education

Degrees, certifications, and relevant coursework

SS

Scavo High School

General Studies Diploma, General Studies

Earned a General Studies Diploma from Scavo High School in Des Moines, Iowa.

Tech stack

Software and tools used professionally

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