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Pharmacy Audit Representative Resume Example

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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
OptumRxApril 2015 to CurrentPharmacy Audit Representative
Irvine, CA
  • 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

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Cvs PharmacySeptember 2011 to April 2015Pharmacy Technician
Placentia, CA
  • 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 TechnicianAnaheim, CA
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Resume Overview

Companies Worked For:

  • OptumRx
  • Cvs Pharmacy

School Attended

  • UEI

Job Titles Held:

  • Pharmacy Audit Representative
  • Pharmacy Technician

Degrees

  • Pharmacy Technician

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Pharmacy Audit Representative

Optum Rx

Anaheim, California