A detailed-oriented worker with extensive knowledge of Medicaid and Medicare procedures. 5 years of pharmacy experience. Motivated to deliver exceptional customer service proven to result in successful business outcome. State registered and PTCB certified, with strong communication skills, excels in teamwork, conflict resolution and making sound decisions under pressure.
Experienced in processing Medicare and Commercial claims
Knowledge of HIPAA regulations
Strong attention to detail
Ability to communicate effectively with others verbally and strong writing skills
Ability to work well under pressure and within time constraints
Experience with Microsoft Access, Word, Excel, PowerPoint and Outlook
assisted living, attention to detail, data entry, email, fax, HIPAA regulations, home health, hospice, Insurance, inventory, prepare meals, Microsoft Access, Excel, Outlook, PowerPoint, Word, Pharmacy Technician, Public Health, telephone, 50 wpm, strong writing skills
January 2011-CurrentCertified Pharmacy Technician | Health Information Designs, Reviewer | Auburn, AL
Approved or denied prior authorizations for Texas Medicaid.
Prescription Drug Monitoring data entry for the Alabama Department of Public Health.
Coordinated Medicaid medication criteria with doctors and nurses to expedite prescription orders.
Efficiently communicated and processed high volumes of order request from nurses, doctors, insurance companies and pharmacist via telephone, fax and email to process prior authorization claims, verify prescriptions and take new prescription request.
Appropriately resolved customer issues, complaints, questions and insurance claims.
June 2010-September 2010Externship | Turenne PharmMed Co | Montgomery, AL
Long term care pharmacy, medical supply distributor, equipment rental agent, and Medicare Part B provider.
Worked with a licensed pharmacist serving the needs of long term care and assisted living facilities, home health agencies, hospice organizations, durable/home medical equipment providers, and other healthcare-related institutions and companies nationwide.
Managed pharmacy inventory through proper medication ordering, returns and inter-store transfers.
January 2010-June 2010Client Training Specialist | Arc | Wetumpka, AL
Maintain clean environment for patients and staff.
Cautiously and safely prepare meals for patients.
Safeguard patient information according to Health Insurance Portability and Accountability of 1996.
Advanced DiplomaTallassee High School
Pharmacy Technician Program
Certified with National Pharmacy Technician Certification Board
License 5701-0701-0217-666 (09/2011 - current)
Registered with Alabama State Board of Pharmacy
T31632 (06/2010 - current)