Brandon Lopez Moroyoqui
Glendale
Summary
Accomplished Case Manager adept at handling high caseloads without sacrificing quality of care. Operates exceptionally well in high-pressure environments. Recommends best resources and courses of action to benefit patient needs and return each to optimal quality of life.
Overview
9
9
years of professional experience
Work History
Case Manager
CoverMyMeds
Glendale
09.2021 - Current
- Coordinated patient medication prior authorization requests with healthcare providers.
- Facilitated communication between patients and insurance companies for coverage issues.
- Managed case files using electronic health record systems for accurate documentation.
- Scheduling shipments for patients' medications
- Completed welcome calls for patient's and worked cases through to facilitate their access to the medication.
Insurance Specialist/Senior Account Coordinator
CoverMyMeds
Phoenix
01.2017 - 09.2021
- Managed patient medication prior authorization requests for timely processing.
- Collaborated with healthcare providers to gather necessary documentation.
- Assisted clients in understanding insurance coverage and benefits clearly.
- Conducted benefit investigation to obtain benefit for certain medications
- Helped train new agents
- Checked status of the prior authorization request from doctors
- Became a SME (Subject Matter Expert)
- Assisted other agents with issues and questions they had
- Obtained medication status with Pharmacies
Customer Service Representative
CoverMyMeds
Phoenix
01.2017 - 09.2021
- Received inbound calls from patients, providers, and Pharmacists
- Created cases for new enrollments and made them complete or incomplete
- Sent out faxes to providers on their enrollments
- Collaborated with cross-functional teams to improve customer service workflows.
- Provided timely feedback to management regarding recurring customer concerns.
- Trained new team members on best practices for customer support interactions.
- Answered customer inquiries and provided accurate information regarding products and services.
- Tracked orders from start to finish to ensure timely delivery of goods or services.
- Resolved customer complaints promptly and efficiently.
Education
Lorenz University
Skills
- Team collaboration
- Problem solving
- Conflict resolution
- Attention to detail
- Time management
- Training development
- Problem-solving
- Patient management
- Active listening
- Community resources
- Verbal and written communication
- Empathy and compassion
- Relationship building
- Decision-making
- Fluent in english and spanish
Languages
Spanish
Professional
A1
Timeline
Case Manager
CoverMyMeds
09.2021 - Current
Insurance Specialist/Senior Account Coordinator
CoverMyMeds
01.2017 - 09.2021
Customer Service Representative
CoverMyMeds
01.2017 - 09.2021
Lorenz University