To contribute strong scientific & financial skills and experience in a well established organization. Certified Pharmacy Technician (CPhT), certification number 6101-0701-0332-450
Experienced chemist with extensive training and expertise in wet chemistry, batch record review, audits, computers, and finished products & raw material test analysis.
Possess solid understanding in complete all product testing and documentation ensuring compliance with regulatory agencies, safety and procedures.
Strong time management and organization skills.
In depth knowledge in claim processing.
Ability to work under pressure.
Quality Assurance auditing experienced.
Performs peer review of data and reports.
Team work expert; providing leadership and training to technical staff on analytical procedures and instrumentation.
Lean Six Sigma trained.
HIPA trained & JCAHO familiarity.
Experienced in medical coding; medical, physiology and pharmacology terminology.
CPT-ICD9 Codes trained.
Admixtures, compounding and schedule of controlled drugs, OTC & IV medication knowledge.
Thorough understanding of computer operation and use of appropriate software: Windows, Microsoft Office, Millenium, SAP, LIMS, OAM, HFC/ UNITY, WMS, QUADRAMED, MEMS, WEBTERM
Hospital Care Investigator August 2008 to CurrentMetropolitan Hospital － New York, USA
Analyzed and evaluated data to determine appropriate action and refers to cognizant resource person and/or agency for resolution.
Worked with insurances agencies to resolve outstanding balances.
Notified and obtained authorization with all insurances companies in order to ensure payments.
Responded all insurance verifications via telephone, fax and immediate communicate findings.
Conducted in-depth investigations through financial interviews with patients, and explains posted charges, reimbursement, self pay policies, and all other payment options.
Assisted the entitlements department with all insurance verification that involve a consumer's eligibility and maintenance of insurance benefits.
Performed billing and collection functions in order to maximum revenue, in addition followed all patient account procedures to ensure proper billing.
Processed Medicaid applications for patients admitted, made all verification and adjustments of insurance billing charges.
Maintains statistical records and prepares status reports.
Review cases records or recommendations for approval or denial and for appropriateness of category assistance.
QA/QC Scientist February 2004 to August 2007Janssen Ortho LLC － Manatí, USA, PR
Performed chemical and physical testing of raw material and finished products in accordance with USP, EP, specifications, test method, and good manufacture practices (GMP) regulations & conducted sample analysis and interpretation analytical data, and provided analytical chemistry support for multiple projects.
Experienced in complete all product testing and documentation including cleaning validations and water testing ensuring compliance with GMP, safety and laboratory procedures.
Revised and improved Standard Operating Procedures (SOPs).
Operated laboratory equipment troubleshooting and computer systems according to the corresponding procedures, such as microscope, GC, UV Vis, HPLC, pH meters, viscometers, turbidimeters, melting point apparatus, polarimeters, analytical balances, dissolution baths, IR, hygrometers, FTIR, KF titrations according to the works instructions.
Evaluated and analyzed data submitted to ensure it meets the criteria set by procedures.
Monitored and updated central database to ensure that all data is being processed timely.
Audit laboratory data and supporting documentation generated to ensure compliance.
Performed investigation and developed corrective and preventative actions.
Trained the new personnel in Standard Operation Procedures, Test Methods, Specifications and Work Instructions.
Audited manufacturing process in production lines.
Leader of house keeping laboratory team; whose main objective was maintaining order and avoid the storage of solutions expired in the areas.
February 2007 to June 2007Field Interviewer, Westat － Rockville, USA, MD
Team member of Study Head Start, Third Grade Follow Up.
Conducted in-person interviews with selected parents.
Contacted parents and kids to conduct interviews and test then transmit it data back via.
Intranet to Westat data collect center.
QA/QC Analyst August 2003 to January 2004Vega Baja, USA, PR
Prepared test solutions, standards and mobile phase to team members.
Performed chemical and physical testing of finished products in accordance with.