Geneva Whitlow
Clarkson,KY
Summary
Detail-oriented Benefit Verification Specialist with a strong background in insurance investigations and patient access, dedicated to enhancing operational efficiency through meticulous document management and collaboration. Proven ability to ensure HIPAA compliance while effectively resolving issues, fostering a culture of patient understanding and trust. Expertise in streamlining processes to improve service delivery and support organizational goals. Committed to delivering high-quality results that positively impact patients and healthcare providers.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Benefit Verification Specialist
PharmaCord
Clarkson, KY
01.2026 - Current
- Conducted detailed insurance benefit investigations for specialty medications, verifying commercial, Medicare, and Medicaid coverage to determine eligibility, prior authorization requirements, and patient financial responsibility.
- Interpreted complex payer policies, formulary restrictions, step therapy requirements, and coverage limitations to support timely patient access to therapy.
- Collaborated with providers, specialty pharmacies, case managers, and internal patient support teams to communicate verified benefits and next steps clearly and efficiently.
- Identified coverage gaps and escalated cases for prior authorization, appeals, or patient assistance programs to ensure patient access to necessary therapies.
- Utilized payer portals, EMR systems, and CRM platforms to accurately document verification outcomes while maintaining HIPAA compliance.
- Managed high-volume caseloads, meeting productivity and quality standards while ensuring timely processing of benefit verifications.
- Reduced delays in therapy initiation by ensuring accurate and complete benefit documentation on first submission.
- Communicated coverage details and cost expectations to patients with empathy and professionalism, enhancing patient understanding and trust.
Document Management Specialist
PharmaCord
Clarkson, KY
09.2025 - 01.2026
- Reviewed faxes, referrals, prescriptions, and clinical documents to ensure accuracy and completeness, facilitating timely patient care.
- Processed and indexed high-volume medical documentation to support specialty pharmacy and patient access programs.
- Ensured accurate patient profile creation and data entry while maintaining strict HIPAA compliance.
- Verified required documentation for prior authorization and enrollment processing.
- Uploaded and organized documents within CRM and electronic medical record (EMR) systems.
- Routed documentation to appropriate internal teams to prevent case delays.
- Conducted audits of documentation to uphold quality assurance standards, ensuring regulatory compliance and accuracy.
- Met daily productivity and turnaround time metrics in a fast-paced, remote environment.
- Collaborated with cross-functional teams in benefit investigation, case management, and reimbursement support to streamline processes and enhance service delivery.
Data Entry Coordinator
AmerisourceBergen
Louisville, KY
01.2020 - 09.2025
- Managed intake and processing of high-volume patient referrals, ensuring accuracy prior to downstream clinical and pharmacy review.
- Entered, scanned, indexed, and audited healthcare documentation within internal systems.
- Verified and updated patient demographics and provider information, ensuring completeness of required referral forms.
- Flagged discrepancies, missing information, and errors for timely correction.
- Maintained strict HIPAA compliance while handling protected health information (PHI).
- Exceeded daily productivity and accuracy standards, enhancing operational efficiency in a fast-paced healthcare environment.
- Assisted patients with general inquiries while ensuring confidentiality and compliance with HIPAA regulations.
- Provided patient-facing phone support, answering incoming calls and professionally routing inquiries to appropriate departments.
- Indexed over 600 images per day
Education
Bachelor's degree - Criminal Justice
University of Cincinnati-Main Campus
Ohio02-2026
High school diploma or GED - General Studies
North Bullitt High School
Shepherdsville, KY05-2013
Skills
- Benefit eligibility assessment
- Referral management
- Data verification
- File management expertise
- Experience with document management solutions
- Accurate data entry
- Timely data processing
- Data quality assurance
- Experienced with Microsoft Office applications
- Experienced in data analysis with Excel
- Skilled in Microsoft Word functionalities
- Policy interpretation
- Healthcare regulations
- Accuracy and precision
Accomplishments
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Resolved product issue through consumer testing.
- Conflict Resolution - Responsible for handling customer account inquiries, accurately providing information to ensure resolution of product/service complaints and customer satisfaction.
- Conflict Resolution - Accountable for managing customer account inquiries, accurately delivering information to ensure the resolution of product/service issues and customer satisfaction.
Certification
- Pharmacy Technician, 11/01/19, 03/01/26
- Registered Pharmacy Technician
Timeline
Benefit Verification Specialist
PharmaCord
01.2026 - Current
Document Management Specialist
PharmaCord
09.2025 - 01.2026
Data Entry Coordinator
AmerisourceBergen
01.2020 - 09.2025
High school diploma or GED - General Studies
North Bullitt High School
Bachelor's degree - Criminal Justice
University of Cincinnati-Main Campus