Shana Ottey has over 10 years of experience in customer service roles in the healthcare industry. She has worked as a Benefit Investigator at CVS Caremark, a Triage Support Specialist at Blue Cross Blue Shield of RI, a Medical Claims Clerk at Brooks Pharmacy, and as a Shelter Assistant at the Urban League of RI. She has strong skills in Microsoft Office, customer service, and problem solving. She has certifications as a Pharmacy Technician, Medical Administrative Assistant, and Nursing Assistant.

1. Shana E Ottey
337 Point Street Apt C - Providence, RI 02903
shanaottey@hotmail.com - 401-523-9874, (Home) 401-278-4115
WORK EXPERIENCE
Benefit Investigator
Cvs Caremark - Lincoln, RI 2012 -2015
Create accounts for customers of Cvs.com and assist customers with filling/refilling prescriptions
• Called pharmacy vendors and insurance companies to verify coverage
• Prepare prior authorizations and fax them to insurance companies for expedited review
• Create cases for triage
• Called patients to report benefits and follow up with payment information, then process for delivery
• Entered patient's payments via credit or FSA card
• Credentialing
Triage Support Specialist
Blue Cross Blue Shield of RI - Providence, RI 2008 – 2011
Triage referrals sent from various sources to start a care plan for members.
• Created cases for nurses or psychiatrist with referrals received via fax or email and sent them in a timely manner
• Maintained and updated information in database for verifications purposes
• Scanned Medicare surveys that provided health information
• Answered calls from patients, doctor's, transplant facilities, and on-site nurses
• Created informative care plan packets based on patient's medical condition, then sent them to the patient
Medical Claims Clerk
Brooks Pharmacy - Warwick, RI 2006 - 2007
Processed and reviewed medical claims and rejections from insurance companies
• Retrieved information from database and processed claims
• Responsible for mailing claim forms, credentialing, attach rejection letters to appropriate parties
Shelter Assistant
Urban League of RI - Providence, RI - 2002 - 2007
Supervised clients in all aspects of in-house social services
• Entered clients personal information in database based on interviews
• Responsible for providing housing and treatment center information
• Directed and monitored clients in all aspects of shelter services
SOFTWARE/SYSTEM SKILLS
Ten years cumulative Customer Service experience in a variety of settings
• ICSA Certified in Customer Service
• Proficient in Microsoft Office
• Strong interpersonal and problem solving skills
EDUCATION
CVS Caremark Pharmacy
Smithfield, RI Certified Pharmacy Technician 2012
Katherine Gibbs Medical Administrative Assistant 1999
Providence,RI
Hospital Association ofRI Certified Nursing Assistant 1994
Providence, RI