CASE MANAGER
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I am a dedicated organized and methodical individual. I have good interpersonal skills, excellent team worker, and I am keen and very willing to learn and develop new skills. I am reliable and dependable and often seek new responsibilities within a wide range of employment areas.
CASE MANAGER - CONNECTIVE RX - PITTSBURGH, PA
(2023-01)
I acts as a liaison to help patients with chronic illnesses navigate their treatment by assisting with insurance approvals, developing action plans, and providing education. I coordinate with patients, physicians, and insurance companies to overcome barriers to therapy, including managing insurance approvals, denials, and appeals, and helping with financial assistance program applications. My role involves understanding insurance processes and keeping up with payer trends to ensure patients can start and continue their prescribed therapies.
BENEFITS/CLAIMS SPECIALIST - AETNA/CVS SPECIALITY PHARMACY - PITTSBURGH, PA
(2018-08 - 2023-01)
I'm responsible for reviewing and processing insurance claims, which includes verifying coverage, ensuring compliance with policies, and accurately determining benefit payments. My role requires strong analytical and problem-solving skills to handle a variety of claims, often involving and navigating complex systems and communicating with healthcare providers and policyholders.
PAYROLL SPECIALIST - KANE REGIONAL OF ALLEGHENY COUNTY - PITTSBURGH, PA
(2008-01 - 2018-08)
I handles payroll processing, including calculating and distributing wages, managing deductions, and ensuring legal compliance for a large number of employees. Key responsibilities include data entry for new hires and changes, auditing time sheets, preparing payroll reports, and providing customer service to employees regarding payroll questions. This role requires a strong focus on accuracy, confidentiality, and up-to-date knowledge of relevant payroll laws and benefits.
Associate Degree - Liberal Arts - Community College Of Allegheny (2018-08 - 2021-12)
Continuing Education - BSN - Point Park University
