Starr Hill
@starrhill
Detail-oriented Benefit Verification Specialist with strong customer service skills.
What I'm looking for
I am a dedicated Benefit Verification Specialist with extensive experience in customer service and healthcare support. Currently, I work at Amgen, where I verify member coverage and assist with prior authorization processes. My role involves obtaining detailed information about members' plans and ensuring that all necessary data is accurately recorded and communicated.
Previously, I served as a Customer Service Agent at Evolent Health, where I provided assistance to customers regarding their billing and coverage inquiries. My background also includes managing group homes for individuals with special needs, where I ensured their safety and well-being while training new staff and handling administrative tasks. My diverse experience has equipped me with strong problem-solving skills and the ability to work effectively in fast-paced environments.
Experience
Work history, roles, and key accomplishments
Benefit Verification Specialist
Ashton Carter (Amgen)
May 2022 - Present (3 years 1 month)
Obtained detailed member information regarding their plans and verified member coverage. Acquired detailed prior authorization information, including approvals, denials, and allowed units, while also assisting with data intake and special projects.
Customer Service Agent
Evolent Health (Premera BCBS of AK&WA)
Apr 2018 - May 2022 (4 years 1 month)
Assisted customers with billing inquiries and provided detailed information about their health plans. Verified member coverage with providers and disclosed claim information to both providers and members.
Family Teacher
West TN Family Solutions
Jul 2008 - May 2020 (11 years 10 months)
Managed various group homes for adults with special needs and behavioral challenges, ensuring their safety and meeting all their needs. Trained new staff, managed payroll, scheduling, and ensured timely data entry and filing.
Direct Support Staff
Open Arms Care
Oct 2006 - Jul 2008 (1 year 9 months)
Responsible for assisting individuals with their daily needs, including bathing, meal preparation, and outings. Followed therapy plans to ensure comprehensive care for individuals.
Eligibility Specialist
Med Arms
Jun 2003 - Aug 2005 (2 years 2 months)
Collected medical insurance information from various data sources, verified details, and filed claims if information matched. Ensured services rendered were billable per insurance and verified member coverage before medical procedures.
Education
Degrees, certifications, and relevant coursework
University of Phoenix
BS in Social Worker, Social Work
Currently pursuing a Bachelor of Science in Social Work, focusing on social welfare, human behavior, and intervention strategies. Developing skills for professional practice in social services.
Frayser High School
High School Diploma, General Studies
Completed high school education, gaining foundational knowledge across various subjects. Developed essential academic and life skills.
Concorde Career College
Associates Degree, Unknown
Obtained an Associates Degree, focusing on specialized coursework relevant to a chosen field. Acquired practical skills and theoretical understanding.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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