Customer Service Access Specialist

Perkins Kabumah Email: adwm9p@r.postjobfree.com

Cell: 682-***-****

Skills

•Microsoft Outlook

•Microsoft Excel/Office

•Budgeting and Pricing

•Strong Communication Skills

•Tech Savvy

•Search Engine Optimization

•English and Korean

•Attention to detail!

• Critical thinking

•Multitasking and navigation to multiple systems and databases

•Review and process applications

•customer service

•Strong Decision-Making

• handle multiple computer applications in a fast-paced collaborative team

•Technical Expertise

Professional Experience

Spectra Force Technologies/Amerisource Begun - Remote, TX 2020 - 2023 Patient Access Specialist

•Provides advanced services to patients, providers, and caregivers.

•Review and process applications

•Billing and coding support to providers

•Claims assistance, tracking and submission.

•Engage with patients to identify and address adverse situations.

•Prior authorization assistance and tracking.

•Coordination of benefits.

•Customer service to patients

•Benefit verification result call.

•Critical thinking, attention to detail Advanced alternate coverage research.

•Worked on Appeals/Denials cases

•Intakes and reports adverse events as directed.

• Handle multiple computer applications in a fast-paced collaborative team.

•Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly.

•Processes any necessary correspondence.

•Coordinates with internal and external service providers to ensure services are performed in accordance with program policy and within expected service level agreements (SLA’s).

•Maintains confidentiality regarding all patient sensitive information.

•Works on problems of moderate scope where analysis of data requires a review of a variety of factors. Exercises judgment within defined standard operating procedures to determine appropriate action.

Pearl Interactive Solutions -Remote 2019 -2020

Claim Specialist

●Researching electronic files, imaged records and/or accessing the appropriate external systems,

●reading and interpreting processing guidelines determining the accuracy of the original claim

●determination and taking the necessary actions to finalize the case file. Perform claim correction

●activity of the initial claim determination when an additional payment or a reduction in payment Correction is necessary.

●Reviewing additional documentation (e.g. office notes, test results, medical records, etc.) submitted with the request to determine if this information should be forwarded to a clinician for additional consideration or will use the additional documentation to make the redetermination decision.

Amazon - Irving, TX March 2018 to April 2019 Customer Returns Associate

•Conducted research to address shipping errors and packaging mistakes.

•Directed logistics operations, including shipping and receiving of wide range of products daily.

•Monitored and complied with strict budgets by negotiating freight in alignment with needs and specifications.

•Built continuous improvement culture that attracted and retained high-performing employees while reducing costs.

•Managed monthly freight cost reporting processes.

•Expedited resolutions of shipping errors and packaging mistakes.

•Prepared updated shipment reports for executives and clients.

•Led value-added customer service team that consistently over-delivered customer expectations.

Education

Masters in Cyber Security and digital Forensic at Grand Canyon University February 2023- August 2024

Masters in divinity at Daehan Theological University South Korea 07/05/2017 -03/15/2019

Bachelor of Arts in Art History at University of Buea Cameroon October 2012 to March 2016

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