Customer Service Representative as well as a Registered and Certified Accomplished Pharmacy Technician with over 28 years of experience in clinical pharmacy environments. Practiced at offering medications to patients, offering information to patients and communicating with healthcare professionals. Customer-oriented Pharmacy Technician with a strong background in community pharmacies. Fluent in English and Spanish. Accurately entering patient’s information in computer system and filling prescription orders, maintaining confidential records and supporting quality improvement and pharmacy procedure changes. Excellent telephone skills.
Skills
Excellent communication skills
Excellent customer service
Knowledge of Billing processes
Excellent collection service
Will strive to Answer Customer Questions
Interpreting orders
Work History
09/2013 to 12/2017
Pharmacy TechnicianChange Healthcare – Clifton, VA,
Communicated with patients to collect information about prescriptions and medical conditions or arrange consultations with pharmacists.
Reviewed and verified customer information and insurance provider information.
Collected co-payments or full payments from customers.
Resolved non-routine issues like third-party billing, computer system and customer service issues.
Assisted patients in minimizing medical expenses by recommending generic alternative prescription medications.
Communicated with prescribers to verify medication dosages, refill authorizations and patient information.
Resolved non-routine issues like third party billing, computer system and customer service issues.
Communicated instructions to patients or caregivers about proper use and storage of drugs.
Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
Coordinated with insurance representatives to process claims and calculate correct co-pay information for patients.
Answered incoming phone calls and addressed questions from customers and healthcare providers.
Verified patient data and billing information to discover and resolve erroneous bills due to system errors.
Performed various pharmacy operational activities with strong commitment to accuracy, efficiency and service quality.
Entered and processed patients' prescriptions into internal system.
Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems and locating items.
Processed over 200 prescriptions per day in busy pharmacy achieving decreased customer wait times and maintaining excellent customer satisfaction.
Coordinated verification and filling of more than 200 daily prescriptions in high-volume community pharmacy environment.
Prepared bills for insurance companies and submitted required paperwork.
Set up and modified patient profiles in computer to include current information such as medications and insurance details.
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02/2005 to 11/2008
Billing Specialist II/Registered Pharmacy TechSedgwick Claims Management Services, Inc. – Chantilly, VA,
Reviewed and verified customer information and insurance provider information.
Set up and modified patient profiles in computer to include current information such as medications and insurance details.
Performed various pharmacy operational activities with strong commitment to accuracy, efficiency and service quality.
Prepared bills for insurance companies and submitted required paperwork.
Maintained proper drug storage procedures, registries, and records for controlled drugs.
Assisted patients in minimizing medical expenses by recommending generic alternative prescription medications.
Ordered medicines daily to replenish stock and increase inventory in anticipation of need.
Counted, measured and compounded medications following standard procedures.
Liaised with other pharmacies to eliminate issues related to product expiration.
Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems and locating items.
Verified patient data and billing information to discover and resolve erroneous bills due to system errors.
Answered incoming phone calls and addressed questions from customers and healthcare providers.
Stocked, labeled and inventoried medication to keep accurate records.
Coordinated verification and filling of more than 50 daily prescriptions in high-volume Home Infusion pharmacy environment.
Monitored ordering of pharmacy medication stock to maintain streamlined inventory and low overhead.
Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
Resolved non-routine issues like third party billing, computer system and customer service issues.
Resolved non-routine issues like third-party billing, computer system and customer service issues.
Collected co-payments or full payments from customers.
Coordinated with insurance representatives to process claims and calculate correct co-pay information for patients.
Communicated instructions to patients or caregivers about proper use and storage of drugs.
Counted and labeled prescriptions with correct item and quantity.
Located and measured medications according to prescription information, making modifications as instructed by pharmacists and providers.
Calculated dosage, filled prescriptions and prepared prescription labels with absolute accuracy.
Counted, measured, and compounded medications following standard procedures.
Prepared intravenous solutions, admixtures, respiratory drugs and other solutions using aseptic techniques.
Communicated with prescribers to verify medication dosages, refill authorizations and patient information.
Entered and processed patients' prescriptions into internal system.
Processed incoming drug orders by checking deliveries against paperwork and updating computer system.
Consulted with insurance company representatives to complete claims processing, resolve concerns and reconcile payments.
Communicated with patients to collect information about prescriptions and medical conditions or arrange consultations with pharmacists.
Processed over 50 prescriptions per day in a Home Infusion pharmacy achieving decreased customer wait times and maintaining excellent customer satisfaction.
02/1999 to 01/2005
Collections RepresentativeLaredo Medical Center – City, STATE,
Top insurance collector for Laredo Medical Center one of the biggest hospitals in our city.
Handled over 100 outbound and inbound calls daily with goal of collecting owed debt.
Used skip tracing resources to locate debtors and updated information in company system.
Reviewed collection reports to determine status of collections and amounts of outstanding balances.
Used probing techniques to determine insurance company reasons for holding back check payment.
Counseled debtors on payment options and arranged installment agreements.
Resolved challenging situations with friendly but firm strategies.
Negotiated to collect balance in full.
Recorded all information regarding financial status of customers.
Monitored insurance accounts for compliance with established payment plans and flagged those in violation.
Delivered exceptional customer service on all calls while maintaining calm and professional demeanor in challenging circumstances.
Researched insurance accounts and completed due diligence to resolve collection problems.
Maintained high volume of calls to meet demands of busy group.
Worked in call center environment handling manual and automatically dialed .
Education
Expected in 05/1986 to to
High School Diploma: Dr Leo Cigarroa High School - Laredo, TX GPA:
Expected in to to
Requisites : LVN Prerequisites Laredo Community College - Laredo, TX GPA:
Expected in to to
Certified And Registered Pharmacy Technician: Pharmaceutical Sciences Mercy Regional Medical Center - , GPA:
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