Pharmacy Audit Representative resume example with 9+ years of experience
JessicaClaire
Montgomery Street, San Francisco, CA94105609 Johnson Ave., 49204, Tulsa, OK Home: (555) 432-1000 - Cell: - resumesample@example.com - -
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
03/2015 to Current
Pharmacy Audit RepresentativeTrinity Health Corporation – 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
08/2011 to 03/2015
Pharmacy TechnicianBryanlgh Medical Center – 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
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