Care Coordinator

Ticketing System Management: Efficiently managed and tracked support tickets, ensuring all inquiries and issues were documented, prioritized, and resolved within service level agreements (SLAs).

With extensive experience as a Care Coordinator, I have managed the prior authorization process for medications and services, ensuring timely and accurate submissions to insurance providers. My responsibilities included: Verifying Insurance Eligibility: Proficient in checking patient insurance eligibility and coverage details to ensure that services and medications are covered. Submitting Prior Authorizations: Skilled in submitting prior authorization requests through platforms like CoverMyMeds (CMM) and other related tools, ensuring the necessary documentation is provided to secure approvals. Collaboration with Providers and Pharmacies: Worked closely with healthcare providers and pharmacies to gather required documentation, confirm medication availability, and resolve authorization issues.

I have gained substantial experience working with Electronic Health Record (EHR) systems to manage patient data, streamline care processes, and ensure efficient coordination between healthcare providers.