Summary
Overview
Work History
Education
Skills
Timeline
Generic
Jennifer Clayville

Jennifer Clayville

Sierra Vista

Summary

Dynamic Case Manager at CoverMyMeds/McKesson with proven problem-solving skills and expertise in benefits administration. Enhanced team efficiency through comprehensive training, while improving patient satisfaction by resolving medication coverage issues. Adept in case documentation and medical terminology, ensuring compliance and confidentiality in all interactions.

Healthcare professional prepared for role with Proficient in medical coding, insurance guidelines, and effective communication.

Overview

16
16
years of professional experience

Work History

Case Manager

CoverMyMeds/Mckesson
10.2009 - Current
  • Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
  • Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
  • Increased team efficiency by providing comprehensive training on prior authorization procedures for new hires.
  • Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
  • Saved patients time and frustration by proactively resolving any issues or discrepancies in their medication coverage.
  • Maintained the confidentiality of sensitive patient information, adhering strictly to HIPAA regulations and safeguarding medical records appropriately.
  • Responded to inquiries from healthcare providers regarding prior authorization requests.
  • Developed and maintained productive working relationships with healthcare providers.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Performed various administrative tasks by filing, copying and faxing documents.
  • Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
  • Resolved escalated customer issues, restoring confidence in company's commitment to service excellence.
  • Improved patient satisfaction by accurately verifying benefits and providing timely responses to inquiries.
  • Expedited claim approvals by promptly submitting necessary documentation to insurance providers.
  • Reduced claim denials with thorough insurance eligibility assessments prior to service provision.

Education

Associate of Applied Science - Nursing

Cochise College
Sierra Vista, AZ
01-2030

Skills

  • Problem-solving
  • Case management
  • Time management
  • Case documentation
  • Benefits administration
  • Special projects
  • Authorizations
  • Medical terminology knowledge
  • Benefit coverage
  • Utilization review experience
  • Pharmacology
  • Medical coding

Timeline

Case Manager

CoverMyMeds/Mckesson
10.2009 - Current

Associate of Applied Science - Nursing

Cochise College
Jennifer Clayville