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Trevin User

@trevinuser

Experienced benefits verification and prescription drug program specialist with strong regulatory and customer-service focus.

United States
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What I'm looking for

I am seeking a role in healthcare benefits or prescription program operations where I can apply CMS/Medicare expertise, mentor staff, and deliver compliant, customer-focused solutions.

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

EV
Current

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.

EV

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 logoAC

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

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Trevin User - Benefits Verification Specialist - Everise | Himalayas