Summary
Overview
Work History
Education
Skills
Timeline
Generic

Tasha Holmes

Durham

Summary

Detail-oriented healthcare professional with 7+ years of experience in specialty pharmacy support, patient services, and benefits coordination. Fast learner with the ability to work independently in high-volume, compliance-driven environments. Strong understanding of commercial and government insurance coverage, benefits investigation, and specialty pharmacy program policies and procedures. Skilled in patient advocacy, provider communication, case management, and ensuring timely medication access while maintaining HIPAA compliance and accuracy.

Overview

9
9
years of professional experience

Work History

Patient Care Coordinator

Valeris
Morrisville
04.2023 - Current
  • Coordinate with specialty pharmacies, providers, and patients to support timely medication access and therapy adherence.
  • Managed patient cases with strong attention to detail, facilitating clear communication of coverage information to enhance patient understanding.
  • Conducted benefits investigations for commercial and government insurance plans to clarify patient coverage and minimize out-of-pocket costs.
  • Reviewed insurance requirements, program policies, and eligibility guidelines for manufacturer assistance programs to ensure patient access to necessary resources.
  • Maintain accurate documentation within Salesforce while ensuring HIPAA and compliance standards are met.

Customer Experience Associate

Conduent
Cary
11.2019 - 04.2023
  • Supported members with benefit-related inquiries for FSA, HSA, HRA, and commuter accounts, enhancing member understanding and satisfaction.
  • Explained insurance-related policies, account coverage, and enrollment procedures with accuracy and professionalism.
  • Handled high-volume inbound calls, ensuring accurate documentation of interactions in CRM systems to maintain comprehensive member records.
  • Resolved issues efficiently, prioritizing customer satisfaction and compliance while demonstrating strong attention to detail.

Youth Counselor

Virginia Home for Boys and Girls
Richmond
07.2017 - 09.2019
  • Coordinated individualized care plans with multidisciplinary teams to enhance patient outcomes in healthcare setting.
  • Maintained accurate documentation and utilized de-escalation techniques to effectively manage crisis situations.
  • Facilitated group discussions to promote emotional expression and conflict resolution.
  • Developed individualized care plans to address specific needs of youth residents.
  • Implemented recreational activities to encourage teamwork and social skills development.

Education

A.A.S. - Business Administration

Durham Technical Community College
Durham

Certified Nursing Assistant (CNA) -

Asher Comprehensive Training Center

Skills

  • Specialty Pharmacy Support
  • Insurance Coverage Verification
  • Benefits Investigation
  • Prior Authorization Support
  • Commercial & Government Insurance Plans
  • Patient & Provider Communication
  • Program Policies & Procedures

Timeline

Patient Care Coordinator

Valeris
04.2023 - Current

Customer Experience Associate

Conduent
11.2019 - 04.2023

Youth Counselor

Virginia Home for Boys and Girls
07.2017 - 09.2019

A.A.S. - Business Administration

Durham Technical Community College

Certified Nursing Assistant (CNA) -

Asher Comprehensive Training Center
Tasha Holmes