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Cust Care Rep I, Rx Prior Authorizations-Non Cl Resume Example

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OA
CUST CARE REP I, RX PRIOR AUTHORIZATIONS-NON CL
Professional Summary

Capable pharmacy team member proficient in assisting pharmacists with preparing prescriptions and meeting customer needs. Safety-oriented and well-organized with solid experience coordinating with insurance providers, prescribers and individuals to address issues. Good relationship-building and multitasking skills.

Skills
  • Updating medication histories
  • Confidentiality and HIPAA
  • Pharmacy and customer records management
  • Patient confidentiality
  • Drug safety
  • Payment collection
  • Product Restocking
  • Retail Merchandising
  • Documentation and reporting
  • Inbound Customer Service
  • Prepare bubble packs
  • Processing payments
  • Manual and automated medication dispensing
  • Answering customer questions
  • Credit card processing
  • Customer assistance
  • Refund Handling
  • Medicare and Medicaid process
  • Customer Complaint Resolution
  • Customer Relationship Management
Work History
02/2019 to CurrentCust Care Rep I, Rx Prior Authorizations-Non Cl Company Name | City, State
  • Performed various pharmacy operational activities with strong commitment to accuracy, efficiency and service quality.
  • Implemented new guidelines that minimized administrative errors
  • Processed over 150 prescriptions per day in busy pharmacy achieving decreased customer wait times and maintaining excellent customer satisfaction.
  • Provided consultations and answered inquiries from patients, healthcare professionals and physicians regarding drugs, potential side effects and specified use.
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
  • Preserved revenue streams by utilizing strong communication and negotiation skills, offering refunds as last resort to maintain customer satisfaction.
  • Consulted with outside parties to resolve discrepancies and create effective solutions.
  • Answered customer telephone calls promptly to avoid on-hold wait times.
  • Educated customers how to use company systems, complete forms and obtain desired services.
  • Contributed to company achieving and holding industry-leading customer service ratings.
  • Enhanced productivity by staying on top of call scripts and maintaining control over direction of conversations.
  • Evaluated customer information to explore issues, develop potential solutions and maintain high-quality service.
  • Adhered to company policies and scripts to consistently achieve call-time and quality standards.
  • Maintained accurate and current customer account data with manual forms processing and digital information updates.
10/2015 to 02/2020PHARAMCY TECH Company Name | City, State
  • Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems and locating items.
  • Coordinated verification and filling of more than 250daily prescriptions in high-volume pharmacy environment.
  • Liaised with other pharmacies to eliminate issues related to product expiration.
  • Resolved non-routine issues like third party billing, computer system and customer service issues.
  • Set up and modified patient profiles in PAHUB to include current information such as medications and insurance details.
  • Performed various pharmacy operational activities with strong commitment to accuracy, efficiency and service quality.
  • Helped pharmacist clear problematic prescriptions and address customer questions to keep pharmacy efficient.
  • Consulted with insurance company representatives to complete claims processing, resolve concerns and reconcile payments.
  • Restocked pharmacy shelves with current merchandise to drive consistent peripheral sales.
  • Verified patient data and billing information to discover and resolve erroneous bills due to system errors.
  • Monitored ordering of pharmacy medication stock to maintain streamlined inventory and low overhead.
  • Calculated dosage, filled prescriptions and prepared prescription labels with absolute accuracy.
  • Stocked, labeled and inventoried medication to keep accurate records.
  • Assisted patients in minimizing medical expenses by recommending generic alternative prescription medications.
  • Ordered medicines daily to replenish stock and increase inventory in anticipation of need.
  • Counted, measured, and compounded medications following standard procedures.
  • Processed incoming drug orders.
  • Prepared bills for insurance companies.
  • Coordinated with insurance representatives to process claims and calculate correct co-pay information for patients.
  • Collected co-payments or full payments from customers.
03/2015 to 10/2016Service Desk AssociateCompany Name | City, State
  • Helped customers complete purchases, locate items and join reward programs to promote loyalty, satisfaction and sales numbers.
  • Restocked, arranged and organized merchandise in front lanes to drive product sales.
  • Engaged in user support interactions via telephone, chat and email platforms.
  • Entered service tickets into incident tracking system to facilitate faster problem identification and resolution.
  • Identified system hardware, network infrastructure and connectivity issues that prevented execution of user-initiated tasks.
  • Responded to user operational issues with desktop computers, laptops and mobile electronic devices to enable problem resolution.
  • Attended weekly team meetings to enhance product and service knowledge and gain insight into beneficial issue resolution strategies.
  • Resolved common user concerns by utilizing preset issue resolution scripts.
  • Addressed user customer service concerns and decided when to escalate problems to specialist team members.
  • Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
  • Maintained transaction security by verifying payment cards against identification.
  • Welcomed each new arrival pleasantly and confirmed reservations and identification.
  • Planned coverage needs and organized services to support incoming special events.
  • Answered multi-line phone system to respond to inquiries and transfer calls to correct departments and personnel.
  • Provided guests with above-and-beyond service, including making outside venue reservations and setting up tours.
Education
09/1999High School DiplomaSt Joseph , City
Certifications

STATE CERTIFIED PHARAMCY TECHNICIAN

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Resume Overview

School Attended

  • St Joseph

Job Titles Held:

  • Cust Care Rep I, Rx Prior Authorizations-Non Cl
  • PHARAMCY TECH
  • Service Desk Associate

Degrees

  • 09/1999 High School Diploma

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