About
I have over 25 years of experience working in customer service and enrollment support roles across healthcare, pharmacy, and government-related programs. Most recently, I worked as an Enrollment Representative at Chenega Professional & Technical Services from 2024 to 2026.
My work involves using government enrollment systems like DOES, handling prior authorizations with CPT diagnosis codes, and supporting Medicare and pharmacy benefit programs. I have experience with inbound and outbound calls, application processing, and proprietary software for prescription refills and premium payments.
What I'm looking for
A remote customer service position
Experience
Enrollment Representative
Chenega Professional & Technical Services
Aug 2024 – May 2026
Duties included:
Via inbound phone calls provided enrollment, claims, and prior authorization support to sponsors, beneficiaries, and providers throughout Tricare’s military network Enrolled sponsors, beneficiaries, and their families into DOES (the government’s enrollment system) Added diagnosis codes (CPT) on existing prior authorizations Changed servicing providers on existing prior authorizations
Enrollment SystemsPrior AuthorizationCPT Codes
Customer Service Representative
CPSC Solutions (Temp through Insight Global)
Jan 2022 – Jul 2024
Duties included:
Via inbound phone calls provided application support to California residents who applied for either our mortgage relief or property tax relief programs As part of the outbound group made outbound calls to those who were previously approved through our programs to let them know of changes that were done to the program letting them know they might allow the applicant to be eligible again
Inbound CallsOutbound CallsApplication Processing
Customer Service Representative
Solari (Temp through Insight Global)
Sep 2021 – Jan 2022
Duties included:
Via inbound phone calls provided locations in Arizona where the general public could go to have their Covid-19 vaccines done
Inbound CallsCustomer ServiceHealthcare Support
Patient Assistance Counselor
McKesson (Temp through RemX)
Nov 2018 – Aug 2019
Duties included:
Via inbound phone calls assisted patients who had a need for financial assistance for the drugs Enbrel and Repatha allowing them to understand how to apply to McKesson’s assistance program Processed 10-15 applications per day for financial assistance. They were submitted by both patients and their doctor’s offices Made outbound calls to both patients and doctor’s offices in attempts to gather information that was missing from the submitted applications
Financial AssistanceInbound CallsOutbound Calls
Customer Service Representative
American Traffic Solutions
Aug 2017 – Mar 2018
Duties included:
Answering questions from users of Hertz vehicles and PlatePass concerning what it is, how to use it, and what the administrative fee is and how it was set up Giving credits for overcharges on the administrative fee when necessary Receiving inbound calls concerning red light, parking, and other violations from Hertz renters and explaining what and why Processing and emailing red light violations from Florida to the Review team
Customer ServiceInbound CallsViolation Processing
Customer Care Specialist
Magellan Rx Medicare
Sep 2016 – Aug 2017
Duties included:
Enrolling Medicare beneficiaries in to Magellan's Medicare Rx Basic Plan Answering questions about Medicare Part D benefits and copay stages Completing online prescription refills through Magellan Rx Using the same software to approve and execute early refills when necessary Taking premium payments over the phone using proprietary software Utilizing the pharmacy Help Desk software to answer questions concerning claims
Medicare Part DPrescription RefillsPharmacy Help Desk
Pharmacy Services Representative
CVS Specialty Pharmacy
Jan 2016 – Apr 2016
Handled 50 calls per day from patients across the United States who utilized CVS mail order to receive their medications through the mail The medication types included Enbrel, Humira, Botox, Simponi, Avonex, and Aubagio
Customer ServicePharmacy ServicesCall Handling
Education
Minneapolis Community and Technical College
Associate of Arts · Graphic Design
1995 – 1995
Southern Oregon University
Bachelor of Science · Communications
1993 – 1993
Dixie State College of Utah
Associate of Arts · Graphic Arts
1991 – 1991
Skills
Patient AssistanceMedicare RxCPT CodesFinancial AssistancePremium PaymentsPrescription RefillsPharmacy Help DeskMedicare Part DApplication ProcessingOutbound CallsInbound CallsClaims SupportCustomer ServicePrior AuthorizationEnrollment Systems
Languages
English (Native or bilingual proficiency)