Summary
Work History
Skills
Timeline
Generic

AUNDRESHA DEAN

Meridian

Summary

Detail-oriented professional with expertise in Medicaid regulations and claims processing. Proven ability to ensure documentation accuracy while providing exceptional customer service and patient education. Dedicated Medicaid Specialist skilled in claims processing and compliance with Medicaid regulations. Experience in coordinating with healthcare providers to streamline claim submissions and enhance client support. Committed to delivering accurate documentation and improving patient experiences.

Work History

remote Medicaid specialist

CVS/caremark
remote
  • Assisted clients in completing Medicaid applications and understanding eligibility requirements.
  • Reviewed client documentation for accuracy and compliance with Medicaid regulations.
  • Coordinated with healthcare providers to gather necessary information for Medicaid claims.

Remote Claims Rep

Sunlife
Remote
  • Processed insurance claims using company-specific software and procedures.
  • Reviewed policy details to determine eligibility for claim approval.
  • Documented claim status updates in the internal database for tracking purposes.
  • Collaborated with team members to resolve complex claims issues effectively.
  • Processed a high volume of claims efficiently while maintaining quality standards.

Pharmacy Help Desk

Kelly Services
Remote
  • Compounded medications accurately following established protocols and safety guidelines.
  • Assisted pharmacists in filling prescriptions and managing inventory levels.
  • Educated patients on medication usage and potential side effects effectively.
  • Maintained cleanliness and organization in the pharmacy workspace consistently.
  • Handled customer inquiries with professionalism and courtesy at all times.
  • Monitored expiration dates of medications to ensure compliance with regulations.
  • Prepared medications for dispensing by counting, pouring, labeling, and verifying doses.

Skills

  • Medicaid regulations
  • Claims processing
  • Documentation accuracy
  • Patient education
  • Inventory management
  • Customer relationship management
  • Customer service
  • Quality assurance
  • Attention to detail
  • Problem resolution
  • Data entry proficiency
  • Claims review
  • Payments posting
  • Medical terminology

Timeline

remote Medicaid specialist

CVS/caremark

Remote Claims Rep

Sunlife

Pharmacy Help Desk

Kelly Services
AUNDRESHA DEAN