Pharmacy Audit Representative Resume Example Trinity Health Corporation

PHARMACY AUDIT REPRESENTATIVE

Skill Highlights

Excellent telephone etiquette
Expert understanding of Medicare and Medicaid processes
HIPAA trained
Pharmaceutical storage awareness
Knowledgeable in Specialty Drugs
Extensive medical terminology knowledge
Self motivated, confident, and dedicated to quality work

Bilingual (English & Spanish)
Time management skills
Multi-task oriented and flexible
Energetic, professional, and customer oriented
Knowledge of MS Word, Excel, and Outlook
Effective working independently or as a cooperative team member
Inventory Specialist
Open-minded and willing to work in a fast paced environment

Professional Summary

Confident Pharmacy Technician who excels at teamwork, conflict resolution and making sound decisions under pressure. Empathetic and intuitive during interactions and adept at building trust and strong customer relations.

Licenses

Pharmacy Technician

Professional Experience

Trinity Health CorporationApril 2015 to CurrentPharmacy Audit Representative
Clear Lake , IA

Communicate directly with pharmacies via telephone, fax and email.
Analyze and monitor erroneous claims for potential fraud, waste and abuse
Diligently work assigned reports
Review records and properly identify abnormalities and assist pharmacies in resolving
Review and evaluate claims to ensure that they are compliant with state/federal laws

Bryanlgh Medical CenterSeptember 2011 to April 2015Pharmacy Technician
Central City , NE

Work alongside entire pharmacy team to ensure patient satisfaction and medication needs are met accurately and in a timely matter.
Access, input and retrieve information to/from the computer
Resolve third party rejections and complete any manual claim forms
Process prescriptions including translation of SIG codes, product selection, counting and measuring drugs, capping and uncapping vials and bottles; labeling of prescriptions

Education and Training

UEI2011Pharmacy TechnicianCity, State

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Pharmacy Audit Representative Resume Example

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