Trevin User
@trevinuser
Experienced benefits verification and prescription drug program specialist with strong regulatory and customer-service focus.
What I'm looking for
I am a benefits verification and prescription drug program specialist with hands-on experience in commercial, Medicare, and Medicaid plan verification, prior authorizations, and CMS Part D processes. I have navigated payer portals and EHR/EMR systems such as Epic and Cerner, trained and mentored new hires on CMS and HIPAA standards, and consistently delivered accurate, compliant results.
I bring dependable performance, problem-solving ability, leadership in onboarding and mentoring, and strong customer-service skills including chat and email support and E-Tech assistance. I am proficient in MS Office (Word, Excel, PowerPoint) and comfortable working with medical terminology, CPT/ICD-10 codes, PBM processes, and payer eligibility workflows.
Experience
Work history, roles, and key accomplishments
Benefits Verification Specialist
Everise
Jan 2024 - Present (1 year 8 months)
Verified commercial, Medicare, and Medicaid benefits and navigated payer portals and EHR/EMR systems to ensure eligibility and prior authorization compliance for medical and pharmacy coverage.
Prescription Drug Program Specialist
Everise
Jan 2024 - Jan 2025 (1 year)
Processed CMS Part D prescription drug overrides, submitted prior authorizations, trained new hires on CMS and HIPAA standards, and supported agents and members via chat and email to resolve medication coverage issues.
Education
Degrees, certifications, and relevant coursework
Augusta Technical College
GED, General Studies
2015 -
Completed GED program and coursework at Augusta Technical College with a minor in General Studies.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
Interested in hiring Trevin?
You can contact Trevin and 90k+ other talented remote workers on Himalayas.
Message TrevinFind your dream job
Sign up now and join over 100,000 remote workers who receive personalized job alerts, curated job matches, and more for free!
