Jennifer Clayville

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.