Desiree Tunzi
Mesa
Summary
Dynamic professional with extensive experience at Express Scripts, specializing in customer satisfaction and insurance verification. Demonstrated expertise in optimizing workflows and managing data entry with high efficiency. Recognized for resolving complex issues and enhancing client support, facilitating effective communication between healthcare providers and patients. Committed to delivering exceptional service while maintaining accurate records.
Overview
11
11
years of professional experience
Work History
Customer Service Representative
Express Scripts
Mesa
05.2023 - Current
- Assisted customers with inquiries regarding prescription orders and benefits.
- Resolved issues through coordination with pharmacy teams and healthcare providers.
- Tracked service requests and interactions using customer management systems.
- Processed prescription refills and new orders with accuracy and efficiency.
- Handled escalated concerns by delivering timely solutions to clients.
- Maintained comprehensive records of customer interactions for reference.
- Collaborated with departments to resolve complex problems, ensuring customer satisfaction.
- Performed administrative tasks, including filing, updating databases, and generating reports.
Insurance Authorization Specialist
Revenetix
05.2018 - 12.2020
- Facilitated prior authorization support for physicians and healthcare providers per payer guidelines.
- Accurately entered patient data related to claims and authorizations into system.
- Evaluated clinical criteria to determine approval or denial of pre-authorization services.
- Verified eligibility and ensured compliance with authorization requirements for service providers.
- Contacted insurance carriers to secure prior authorization for tests and procedures.
- Prepared denial letters outlining reasons for denial and potential appeal options.
Administrarive Assistsant
DC Scanning Solutions
03.2014 - 01.2017
- Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
- Executed record filing system to improve document organization and management.
- Scheduled office meetings and client appointments for staff teams.
- Managed paper and electronic filing systems by routing various documents, taking messages and managing incoming and outgoing mail.
Education
GED -
Chandler High School
Chandler, AZ05.2013
Skills
- Appointment scheduling and client support
- Workflow development and optimization
- Insurance verification and processing
- Customer satisfaction and feedback
- Data entry and management
- Medical records administration
Timeline
Customer Service Representative
Express Scripts
05.2023 - Current
Insurance Authorization Specialist
Revenetix
05.2018 - 12.2020
Administrarive Assistsant
DC Scanning Solutions
03.2014 - 01.2017
GED -
Chandler High School
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