Pharmacy Help Desk Representative, 05/2017 to Current OPTUM RX – Las Vegas, NV
Duties include working with medical professionals to process drug authorization requests by telephone and facsimile Customer Services Computer proficient and excellent written and verbal communication skills.
Provide overrides for pharmacist Benefits information, to members and also pharmacist Processing Rx refills Responsible for conducting eligibility screenings Assessment of patient financial requirements Counseling patients on insurance benefits and co-payments.
Screen and evaluate patients for existing insurance coverage Re-verify benefits and obtains authorization and/or referral after treatment plan has been discussed Obtain legal relevant medical evidence, physician statements and all other documentation required for eligibility determination, Complete and file applications.
Medical Receptionist, 03/2010 to 01/2016 BAYLOR HOSPITAL – Irving, TX
Greet visitors as soon as they enter, determine their needs and direct them to the proper area of the facility.
Collect information from patients, including insurance information, money for copays and contact information to put into company's software system.
Answer the telephone and redirect calls to the appropriate staff member, and respond to voicemails in a timely manner.
Maintain office inventory, ensuring there are always efficient levels of medical supplies and other office equipment.
Assist doctors with responding to correspondence, including email and physical letters.
Prepare exam rooms after they have been used to ensure they are sanitary for the next patient.
Maintain medical record Perform additional administrative functions when needed, which can include providing patients with aftercare information and contacting patients to collect invoice payments Knowledge of medical reception tasks, clinic procedures, medical terminology and paperwork processing requirements.
Knowledge of and experience in using office equipment including telephone, fax, computer and photocopier.
Scheduled and followed up on patient appointments, collected and processed patient payments and maintained patient files.
Entered patient information including insurance, demographic and health history into the system to ensure that all records were up-to-date Handled all office supply ordering including ink cartridges, toner and paper Observed strict HIPAA guidelines at all times according to company policy.
Coordinated Quality Improvement Activities (QIA's) to identify performance areas for improvement.
Delivered high-quality administrative and customer service to sustain patient and work flows.
Processed patient payments and scanned identification and insurance cards.
Diligently monitored the QA (Quality Assurance) program to improve performance and maintain high standards of care.
Evaluated patient care needs, prioritized treatment and maintained patient flow.
Communicated extensively with patients to provide assistance, support and instructions.
Provided DHS (Department of Health Services) with corrective action plans.
Delivered high-quality and compassionate treatment to indigent and low-income patient community.
Established facility's annual budget and conducted monthly reviews to ensure finances were being properly allocated.
Housekeeping Supervisor, 01/2008 to 01/2010 SUMMERLIN HOSPITAL MEDICAL CENTER – Las Vegas, NV
Supervised employees and developed training programs to ensure maximum performance.
Increased employee loyalty and reduced turnover by implementing innovative operational practices, including a reward program.
Ordered housekeeping supplies and guest toiletries.
Developed training programs to build employee performance.
Supervised and supported all new personnel to maximize quality of service and performance.
Reduced process gaps by managing inventory control to meet client demands.
Collaborated with front desk to respond promptly to all guest requests.
Diminished financial discrepancies by accurately managing payroll for departmental employees, and bookkeeping processes.
Sustained safety protocols, ensuring proper and cost-effective equipment and material usage.
Oversaw controls over expenses and inventory for optimal budget tracking.
Submitted repair requests to maintenance team.
Supervised and scheduled a team of 15 housekeepers.
Removed trash and dirty linens from room Cleaning the OR in labor and delivery, while cleaning 30+ rooms.
Lead Porter, 02/2002 to 01/2009 LEGACY – Las Vegas, NV
Using chemicals or cleaning solutions to perform duties Pushing/Pulling 35-75 lbs Standing or walking for 6-8 hours per shift Bending to pick up items from floor or to wipe down surfaces as necessary to keep the floor area clean of debris Supervising 10-15 people Detailing Clean biohazard spills and contaminated areas.
Pick up and remove trash and broken glass.
Maintain cleanliness of assigned areas.
Monitored multiple databases to keep track of all company inventory.
Refilled shampoo bottles, sanitized clippers, combs and brushes and placed clean towels at each station following shift completion.
Worked effectively with fellow team members in fast-paced, dangerous and intense environments.
Polished furniture and metal fixtures.
Operated a backpack vacuum and other power equipment tools, Dusted and mopped all hard surfaces.
Maintained accountability for building keys, master keys, and access cards.
Cleaned Venetian blinds, including washing and vacuuming them.
Wet mopped and spot mopped public corridors, washrooms Checked and stocked inventory throughout the facility.
Set up and took down chairs and tables.
Dusted furniture, walls, machines and equipment.
Disinfected and mopped to keep them sanitary and clean.
Traveled to and from work sites in a timely manner.
Scraped gum off of hard surfaces and carpet.
Mixed water and detergents in containers to prepare chemical cleaning solutions.
COSMETOLOGY LICENCE: 2010 Marinello School of Beauty - Las Vegas - Vegas, NV
HIGH SCHOOL DIPLOMA: 2002 Eldorado High School - Las Vegas, NV
Knowledgeable customer service management professional successful at improving team productivity, reducing escalated
calls and increasing customer satisfaction scores. Versatile highly effective at conflict resolution and persuasive
communication. Knowledgeable about quality assurance and training. Hardworking and reliable with an excellent attention
Account management, administrative, administrative functions, Benefits, bookkeeping, budget, Cash management, Excellent communication, Counseling, client, Customer Services, customer service, databases, delivery, Department of Health, Detail-oriented, documentation, email, Staff training, Fast, facsimile, fax, financial, ink, insurance, inventory, Inventory control, legal, letters, managing, Maintain medical record, Medical terminology, access, money, MS Office, office, next, Office equipment, office supply ordering, patient care, evaluate patients, patient flow, payroll, personnel, photocopier, Pick, processes, protocols, quality, Quality Improvement, QA, Quality Assurance, reception, safety, Supervising, tables, team player, telephone, training programs, treatment plan, typing speed, verbal communication skills, verbal communication, excellent written