Anne Franchezka Apostol

Handle client concerns, Offer suitable solutions and alternatives within the allotted period, and then follow up to make sure the issue has been resolved., Maintained client interaction logs, and handled customer accounts.

I was responsible for receiving calls from plan members with concerns such as billing, pharmacy, or medication checks for coverage and cost. This also includes helping the members with prior authorization and coverage determination as well as getting their plan documents such as welcome kits, formularies, and explanation of benefits, etc. Also involved in assisting the members with prescription refills and scheduling appointments which includes working with their provider’s office and hospital for claim verifications and corrections