nita nita
@nitanita
Detail-oriented healthcare support professional with strong claims coordination skills.
What I'm looking for
As a detail-oriented and customer-focused professional, I have developed strong expertise in healthcare support, insurance claims coordination, and patient services. My experience includes handling high-volume claims inquiries, verifying insurance coverage, and ensuring HIPAA compliance. I pride myself on my problem-solving abilities and my capacity to navigate multiple systems to guarantee accurate documentation and processing of medical claims and prescription benefits.
Currently, I serve as a Customer Care Representative at CVS Caremark, where I manage a significant volume of inbound calls related to prescription claims and insurance coverage. My role involves liaising with insurance companies and pharmacies to resolve discrepancies and ensure seamless benefit coordination. Previously, I worked as a Medical Office Assistant, where I verified patient insurance and supported patients with billing and authorization inquiries, further solidifying my commitment to providing exceptional patient care.
Experience
Work history, roles, and key accomplishments
Customer Care Representative
CVS Caremark
Sep 2023 - Present (1 year 10 months)
Handled a high volume of inbound calls regarding prescription claims, insurance coverage, prior authorizations, and refill requests. Liaised with insurance companies, prescribers, and pharmacies to resolve claim discrepancies and ensure accurate benefit coordination.
Front Desk Receptionist
European Wax Center
Apr 2023 - Present (2 years 3 months)
Scheduled and modified client appointments while responding to insurance or payment-related inquiries. Handled cash and credit transactions while maintaining accurate daily sales and appointment logs.
Ambassador - Airport Security & Member Services
Al Clear
Mar 2019 - Present (6 years 4 months)
Verified identity documents and scanned biometric data to assist in secure, expedited airport access. Prevented security breaches by ensuring compliance with screening protocols and provided personalized customer service.
Medical Office Assistant
Internal Medicine Group Inc
Jun 2018 - Present (7 years 1 month)
Verified patient insurance and explained coverage for services and medications. Managed patient check-in, took vital signs, updated EMRs, and ordered prescriptions.
Concessionist/Bartender
Cinemark Movie Theater
Nov 2013 - Present (11 years 8 months)
Processed high-volume transactions and handled customer concerns while maintaining attention to accuracy and service standards. Managed concession sales and bartending duties.
Education
Degrees, certifications, and relevant coursework
Hiram College
Bachelor of Arts, Psychology
2014 - 2018
Studied the principles of psychology, including human behavior, cognitive processes, and research methodologies. Gained a comprehensive understanding of psychological theories and their applications.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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