Carlette Sewell

Insurance Verification Coordinator with Acaria Health Speciality Pharmacy @Centene Corporation

Orlando, FL, US

Verifying patient pharmacy benefit insurance coverage, to ensure drug medications are covered by an individual’s provider-private, commercial, government (Medicare, Medicaid, Tricare)• Helps patients arrange payment for specialty medication that are not covered by their insurance companies, discussing different financing options to fit their budgets. •Identify demographic information, clinical/progress notes that are missing in ScriptMed and inform ordering physician’s office about it to avoid insurance approval with Pre-Certification. • Complete Medical prior authorization request form for specialty drug medication. • Establish contact with the customer service department to resolve issues concerning rejected test claim processing • Access Evolve pharmacy benefit manager portal to verify prior authorization approval.• Seek pharma assistance for patient’s medications• Ensure timely processing of benefit information and seek assistance from management when necessary.• Work cordially in a team and participate in meetings, sharing ideas and information.• Notify patients when drug medication is approved by the health plan.

University of Central Florida

Bachelor of Health and Public Affairs, Health/Health Care Administration/Management