Experienced Reimbursement Specialist guaranteeing patients' medical records are coded and abstracted according to standard rules and regulations. Efficiency-driven, highly accurate and well-organized with open and clear communication style and self-motivated approach. Organized and motivated employee eager to apply time management and organizational skills in various environments. Seeking entry-level opportunities to expand skills while facilitating company growth. Hardworking Senior Certified Pharmacy Technician with over 10-year background in the retail pharmacy field. Extensive knowledge of Medicaid and Medicare procedures. Outstanding data entry and patient counseling skills. Focused Pharmacy Technician Supervisor offering 15 years of experience and track record of excellence in leading high performing teams in fast-paced retail environments. Accomplished in filling prescriptions with expert precision. Proven mentor of new and established pharmacy technicians. Welcoming Senior Certified Pharmacy Technician with a sound understanding of payment processing and bottle labeling and packaging. Adept at answering questions from patients and confirming all medications are mixed properly.
Skills
Bank Statement Reconciliation
Word Processing
10-Key Data Entry
Billing Data Verification
Decision Making
Client Service
Recordkeeping and Documentation
Prioritization and Organization
Inventory Tracking
Cleaning and Sanitizing
Regulatory Compliance
Proper Labeling Procedures
Cash Register Operations
Troubleshooting Malfunctioning Equipment
Workflow Optimization
Point of Sale Systems Proficiency
Filling Prescriptions Precisely
Detail-Oriented
FDA Compliance
Drug Inventory Control
Equipment Cleaning and Maintenance
Patient Profile Setup
Prescription Refill Fulfillment
Dispensing Medications
Maintaining Records
Inventory Management
Insurance Verification
Medication Storage and Labeling
Knowledge of Generic Drugs
Customer Service
Problem-Solving Skills
Pharmacy Operations
Relationship Building
Verbal and Written Communication
Preparing Sterile Compounds
Prescription Filling and Labeling
Payment Processing
Medication Documentation
Data Entry
Insurance Billing
Answering and Routing Calls
Education and Training
Strayer UniversityWashington, DCExpected in – –: - GPA:
Experience
Halifax Health - Reimbursement Specialist Ormond Beach, FL, 07/2020 - Current
Determined medical necessity, using individual insurance carrier regulations.
Researched rejections, investigating problems to appeal claims.
Maintained confidentiality and integrity of patient data.
Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
Performed insurance verification, pre-certification and pre-authorization.
Submitted claims to insurance companies.
Enforced compliance with organizational policies and federal requirements regarding confidentiality.
Answered customer questions to maintain high satisfaction levels.
Participated in workshops, seminars and training classes to gain stronger education in industry updates and federal regulations.
Attended seminars to remain up-to-date with coding guidelines and reimbursement requirements.
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