Experienced Clearance Specialist with over 16 years of experience in Specialty Pharmacy. Excellent reputation for resolving problems, improving customer satisfaction, and driving overall operational goals . Consistently saved costs while increasing profits.
Provided round-the-clock care for seriously ill family members,
Specialty Pharmacy and Pharmacy Benefits Manager
-Set strategic goals to assure organizational goals for revenue and quality would be met or exceeded. Manage payroll, performance and productivity; for up to 40 physical and remote employees; that consistently met or exceeded organizational goals. Resolve escalated and highly escalated customer service issues. Special projects as assigned.
-Increase efficiency and revenue through quality by performing audits, trend analysis and periodic training of employees. Provide financial assistance as well as counseling to needy patients and their family. Utilization reporting and credentialing as required for managed care contracts.
-Perform initial insurance verification and obtain prior authorizations for new patients. Bill paper and electronic claims for payment. Resolve rejections and denials. Followup , review and resolution of aging balances including refunds and adjustments.
PTCB - Certified Pharmacy Technician 2001 to present
Certified Medication Therapy Management Pharmacy Technician-January 2017
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