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Jessica
Claire
resumesample@example.com
(555) 432-1000,
, , 100 Montgomery St. 10th Floor
:
Summary

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 University Washington, DC Expected 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.
Kroger - Senior Certified Pharmacy Technician
Smyrna, GA, 05/2018 - Current
  • Established and updated patient profiles, medications and insurance details.
  • Consulted with customers via telephone or in-person to assist with navigating pharmacy systems and completing requests.
  • Merchandised related products to drive pharmacy department sales.
  • Worked with insurance companies to process claims, resolve problems and obtain payments.
  • Verified and filled over 200 prescriptions per day in busy pharmacy setting.
  • Assisted pharmacist with clearing high volume of prescriptions and responded to customer questions.
  • Received and verified daily incoming drug inventories, reported discrepancies and logged items into inventory system.
  • Compiled customer demographic, allergy and medical history background.
  • Maintained clean and organized pharmacy shelving and work areas.
  • Adhered to regulatory guidelines for workplace safety and customer confidentiality.
  • Managed inventories, rotated stock, removed expired or damaged drug products and resolved discrepancies in drug counts.
  • Created new customer profiles and updated demographics, allergies and new medications in pharmacy computer systems.
  • Transmitted claims to insurance companies for payment and reconciled EOBs.
  • Received, reviewed, dispensed and labeled over 200 prescriptions daily.
  • Participated in prescription pharmaceutical and over-the-counter product inventory audits.
  • Efficiently processed cash register transactions for new and refilled prescription orders.
  • Entered patient and medication information into system to generate prescription labels.
  • Dispensed medications to patients in accordance with pharmacist orders.
  • Monitored supply inventory and promptly submitted replenishment orders to prevent shortages.
  • Handled over 200 daily prescription fills.
  • Executed opening and closing duties, including filling, typing, answering phones and cleaning.
  • Checked medications for content, accuracy and completeness of drug packaging and labeling.
  • Greeted customers and answered questions regarding personal medications or over-the-counter pharmacy products.
  • Managed medication stocks, conducted counts, labeled products and maintained controls.
  • Communicated effectively with doctors and insurance agencies to resolve prescription cost discrepancies.
  • Received written prescriptions and refill requests from patients, evaluating information for completeness and accuracy before filling.
  • Placed orders for out of stock medications, enabling patients to receive prescriptions on time.
  • Reviewed and monitored patient medication files and lab data in hospital setting.
Mcg Health Inc - Pharmacy Technician
Augusta, GA, 05/2013 - 07/2020
  • Created new customer profiles and updated demographics, allergies and new medications in pharmacy computer systems.
  • Transmitted claims to insurance companies for payment and reconciled EOBs.
  • Prepared prescription transfers to other pharmacies.
  • Assisted pharmacist with clearing high volume of prescriptions and responded to customer questions.
  • Teamed with peers, technicians and pharmacists to prioritize and complete orders.
  • Improved inventory management procedures to reduce overhead, backorders and overstock.
  • Inspected medication storage locations to monitor drug expiration dates and supply adequate inventory.
  • Refilled medications, offered insight into over-the-counter products and verified insurance benefits.
  • Received and verified daily incoming drug inventories, reported discrepancies and logged items into inventory system.
  • Verified prescriptions and drug labels, documents and packages.
  • Monitored supply inventory and promptly submitted replenishment orders to prevent shortages.
  • Placed orders for out of stock medications, enabling patients to receive prescriptions on time.
  • Dispensed medications to patients in accordance with pharmacist orders.
  • Checked medications for content, accuracy and completeness of drug packaging and labeling.

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Resume Overview

School Attended

  • Strayer University

Job Titles Held:

  • Reimbursement Specialist
  • Senior Certified Pharmacy Technician
  • Pharmacy Technician

Degrees

  • Some College (No Degree)

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