Location: United States
Sector: Healthcare, Doctor, Nurse, Social
Job search (short statement...):
I’m Eliese, a healthcare and tech support professional with 5+ years of experience simplifying medical processes, resolving complex issues, and keeping things organized. I excel in remote roles, thrive as a neurodivergent professional, and bring strong skills in member engagement, campaign participation, and empathetic communication.
Experience:
TMF Health Quality Institute -Remote
Dispute Resolution Reviewer I Feb 2025 - Present
•Evaluate denied healthcare claims to ensure decisions are fair and based on established guidelines and documentation.
•Compose clear and concise summaries of findings, supported by thorough research.
•Communicate effectively with patients and providers, maintaining empathy and clarity throughout interactions.
Devoted Health-Remote
Member Service Guide II Nov 2023 - Nov 2024
•Assisted Medicare members and their providers in comprehending benefits and resolving issues effectively.
•Collaborated with cross-functional teams to streamline services and reduce missed appointments.
•Identified patterns in healthcare data to rectify billing discrepancies and participated in initiatives such as Project Guided , D2me Outbound Campaign and Community guides-internal community.
Express Scripts Pharmacy-Remote
Pharmacy Technician Support Rep Mar 2020 - Nov 2023
•Responded to patient inquiries and resolved issues with a focus on empathy and effective communication.
•Assisted in training initiatives and conducted quality checks to ensure consistent service delivery.
•Managed prescription processing and related pharmacy tasks with precision and accuracy.
Education:
Saint Louis Community College 2024
Associate of Arts, General Studies
Languages:
English only CV attached: CV_9120
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Posted by:
Eliese B  11/08/2025
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