Nancy Blake Email & Phone Number

Conway, Arkansas, United States

Handles upto 100-120 calls a dayProficient in Medicare Part D regulations and CMS guidelines, ensuring compliance with government standards for drug benefits and pharmacy operations.Expertise in processing Prior Authorization requests and handling drug benefit exceptions to ensure patient access to necessary medications.Skilled in coordinating with Pharmacy Benefit Managers (PBMs) to verify coverage, manage formularies, and resolve claim disputes.Strong knowledge of ICD-9 and ICD-10 medical coding standards, used to accurately code diagnoses and medical services for proper reimbursement and record-keeping.Experienced in analyzing and applying correct codes to enhance billing accuracy and reduce claim denials.Extensive understanding of HIPAA regulations to safeguard patient confidentiality and maintain the security of electronic health records (EHR).Proficient in medical terminology, enabling effective communication and documentation of patient care and medication-related inquiries.Managed high inbound call volume from healthcare providers and patients, providing timely and accurate information regarding drug benefits, eligibility, and prior authorization.Background in pharmacy operations, with a focus on medication dispensing, formulary adherence, and patient counseling on Medicare Part D drug benefits.

Adhere to all HIPAA regulations, maintaining confidentiality of patient information during all communications and documentation processes.Facilitate the prior authorization process by coordinating with providers and insurance companies to ensure that required approvals are obtained for treatments, procedures, or prescriptions.Provide accurate information to customers regarding drug benefits and prescription coverage under Medicare Part D, while working with pharmacy benefit managers (PBM) to resolve prescription-related issues.Utilize ICD-9 and ICD-10 codes to review and verify claims, ensuring that they are processed accurately and in accordance with medical billing standards.Handle 70-90 inbound and outbound calls daily, providing professional and timely customer support regarding Medicare benefits, claims, and billing inquiries.Act as a liaison between customers and pharmacies to resolve issues related to prescription drug orders, refills, and benefit coverage.Assist customers with Medicare Part A, B, and D claims, answering questions, providing status updates, and resolving issues in accordance with policy guidelines.Monitor and track the status of authorizations, ensuring timely submission of necessary documentation and communication with providers to avoid delays in patient care

North Little Rock, Arkansas, United States

Conway, Arkansas

Answering phone.

Conway, Arkansas

Verify insurance of patients, scheduling appointments, input patient data into system, taking payments and input billing into system, various other duties. (OfficeMate program used for all purposes)

Morrilton, Arkansas

It's a good day when you can help someone else have a better one.

Bigelow, Arkansas

Assigned employees to specific duties to best meet the needs of the store. Counted cash drawers and made bank deposits. Hired, trained and evaluated personnel in sales and marketing. Interviewed job candidates and made staffing decisions. Reordered inventory when it dropped below predetermined levels. Planned budgets and authorized payments and merchandise returns. Generated repeat business through exceptional customer service. Conducted store inventories once per quarter. Examined merchandise to verify that it was correctly priced and displayed. Instructed staff on appropriately handling difficult and complicated sales.

Conway, Arkansas

Helping businesses reorganize to become more cost effective and/or customer supportive. Time management

Little Rock, Arkansas

Entering license information is in database for insurance agencies and agents. Keeping records up to date. Printing letters for billing and renewals of licenses. Entering new clients into system.

Greenbrier, Arkansas

Answering phones, greetings customers, credit checks on potential customers. Working with banks and mortgage companies to establish loans for customers. Gathering information on land and homes available for FHA Loans. Setting up construction on land with contractors,accepting bids on work to be performed, I various office duties, as needed. Ordering supplies, brick,mortar, sand and any other items needed to finish preparation of land.

Conway, Arkansas

Managing medical charts, keeping up to date, ordering medical supplies and medication. Maintain budget for supplies used in care of residents.

Conway, Arkansas

General office duties, I keeping tally of receipts and handling trust money, employee files, insurance, payroll.

Conway, Arkansas

General office duties, coordinate travel for senior staff, inventory control for office, prepare ISO9000 documentation, update database with customer specifications, train CSR's on new database. Greet and screen visitors.

Norfolk, Virginia

Construction of new buildings on military bases, is primary role of company, I helped ensure we stayed on good standing with all dealings with the military personnel. Accounts payable and receivable, allocated expenses, prepare financial records and tax reports, handle bank deposits, purchase orders, operate accounting system, maintain payroll files, working knowledge of costs for bidding, prepare documentation of building supplies for government contracts.. Ensure that all projects are delivered on-time, within the scope and within budget. Develop a detailed project plan to monitor and track progress. Manage changes to the project scope, project schedule and project costs using appropriate verification techniques. Report and escalate to management as needed, any reasons the project fell behind schedule. Manage the relationship with the client (United States Navy) and all individuals involved. Perform risk management to minimize project risks. Create and maintain comprehensive project documentation. Meet with clients to take detailed briefs and clarify specific requirements of each project. Meet budgetary objectives and make adjustments to project constraints based on financial analysis. Develop comprehensive project plans to be shared with clients. Processed warranty information for all covered products. Directed work of as many as 40 employees focused on completion of building construction.