Tammy Lewis
@tammylewis
I’m a senior healthcare customer support specialist delivering calm, accurate phone, email, and chat member assistance.
What I'm looking for
I’m a remote member support professional with 10+ years of experience helping members and customers by phone, email, and chat. I focus on healthcare benefits, claims support, eligibility verification, and prior authorizations—using accuracy and empathy to resolve complex issues.
I’ve worked in fast-paced virtual environments where I document interactions and maintain CRM-ready records across multiple systems. From verifying eligibility and researching coverage to explaining pharmacy benefits and next steps, I consistently troubleshoot concerns, meet strict turnaround requirements, and escalate complex cases when needed.
Experience
Work history, roles, and key accomplishments
Claims Benefits Specialist
American Specialty Health
Verified member eligibility and benefits across multiple systems by researching coverage details and documenting findings for accurate claims decisions. Maintained detailed records to meet compliance and turnaround requirements and reviewed member information to identify discrepancies and support timely resolutions.
Virtual Customer Service Representative
ModSquad
Provided remote customer support by phone, email, and chat to help customers resolve account, claims, and service-related questions. Documented customer interactions and resolutions and escalated complex issues as needed while maintaining accurate, empathetic service.
Customer Service Representative
United Healthcare / Optum Rx
Resolved complex member questions related to prescription drug claims, refills, and prior authorizations while explaining pharmacy benefits and next steps. Navigated internal systems to research member accounts, document interactions, and provide accurate support for sensitive healthcare and pharmacy-related concerns.
Education
Degrees, certifications, and relevant coursework
Tammy hasn't added their education
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Tech stack
Software and tools used professionally
Availability
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Job categories
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