Se'Erika Boone
Roanoke Rapids
Summary
Dedicated Customer Service Specialist providing skills to prioritize and multi-task in fast-paced working environment. Successfully works as part of team to reach personal and business goals. Known for successfully handling escalated customer support issues.
I also provided expert support to members and healthcare providers by resolving benefit inquires, prior authorizations, and formulary questions with accuracy and empathy. During my time with CVS Caremark working as a remote agent I processed and verified prescription claims, ensuring compliance with HIPAA, insurance regulations, and plan-specific coverage guidelines.
Overview
2
2
years of professional experience
Work History
Customer Service Representative
CVScaremark
Lee's Summit
06.2023 - 06.2025
- Managed pharmacy benefits operations and client relationships.
- Analyzed pharmacy claims data for accuracy and compliance.
- Coordinated with pharmacies to ensure benefit implementation.
- Developed strategies for cost-effective drug utilization.
- Collaborated with healthcare providers on formulary management.
- Provided support in resolving escalated pharmacy issues.
- Worked with insurance companies to process claims, resolve problems and obtain payments.
- Collaborated with internal staff members across multiple departments in order to ensure accurate processing of claim forms.
- Monitored medication pricing trends in order to determine appropriate reimbursement rates.
- Evaluated customer needs and proposed specific benefits options.
Education
High School Diploma -
Northampton County High School
Gaston, NC05-2019
Skills
- Formulary management
- Customer relationship management
- Claims processing
- Client relationship building
- Pharmacy network management
- Attention to detail
- Problem solving
- Effective communication
Timeline
Customer Service Representative
CVScaremark
06.2023 - 06.2025
High School Diploma -
Northampton County High School
Similar Profiles
Tc (Titecia) GalianoTc (Titecia) Galiano
Pharmacy Benefits Manager at CVScaremarkPharmacy Benefits Manager at CVScaremark
Jessica CantrellJessica Cantrell
Appeals Specialist at CVScaremarkAppeals Specialist at CVScaremark
Melody Attaway BlackMelody Attaway Black
Pharmacist at CVScaremarkPharmacist at CVScaremark
CALEB MARTINCALEB MARTIN
Shift Supervisor at CVScaremarkShift Supervisor at CVScaremark
Alexander DixonAlexander Dixon
Warehouse Worker at AmazonWarehouse Worker at Amazon