Nina Karr
@ninakarr
Dedicated healthcare call center professional focused on first-call resolution and HIPAA-compliant support.
What I'm looking for
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
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.
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.
Customer Service Representative
Mom’s Meals (PurFoods Company)
Oct 2019 - Jan 2022 (2 years 3 months)
Managed inbound and outbound calls for meal orders and customer account updates. Entered and updated customer information in internal systems, coordinated with case managers via phone/email/fax, and resolved concerns while documenting interactions accurately.
Customer Service Representative
Iowa Medicaid
Jul 2017 - Sep 2019 (2 years 2 months)
Handled escalated member and provider calls regarding claims, eligibility, and benefits. Educated customers on healthcare plans and authorization processes, assisted with website/account access issues, and ensured accurate documentation with timely follow-up.
Education
Degrees, certifications, and relevant coursework
Scavo High School
General Studies Diploma, General Studies
Earned a General Studies Diploma from Scavo High School in Des Moines, Iowa.
Availability
Location
Authorized to work in
Job categories
Skills
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