Customer service position desiring a representative with great ethics and dedication to the company
expires 11/30/16 Professional Contacts: Name: Barbara Spencer Position/Title: Final Check Lead Company: PaylessDrug LTC Cell phone: 503-789-8568 E-Mail: firstname.lastname@example.org How Long Known: 16 years Capacity: Co-worker.
Originally met at Certifax.
Name: Jessica Herrera Position/Title: Prior Authorization Supervisor Company: PaylessDrug LTC Cell phone: 503-341-0847 E-Mail: email@example.com How Long Known: 5 years Capacity: Previous supervisor, co-worker Personal Contacts: Name: Brent Koozer Home Address: Aloha, Oregon Cell phone: 503-804-2131 E-Mail: firstname.lastname@example.org How Long Known: 15 years Relationship: ( casual or good friend ): Good Friend.
Returns/ Billing support Specialist, Returns Lead June 2008 to CurrentPrior Auhorization Representitve
Payless Long Term Care Pharmacy (40 hours/week Contacting insurance companies for billing and coverage issues, obtaining prior authorizations from Doctors and nursing facilities, and communicating with Long-term Care Facilities about insurance requirements.
Processing items returned to the pharmacy in accordance to OBP guidelines.
Ensuring accounts are correctly billed and credited via electric or paper billing processes.
Assisting the billing department by researching unpaid claims.
Adjusting priorities to meet department deadlines.
Work with Nurse and Pharmacy consultants to help facilities meet Survey requirements.
Ensure the department is staffed, properly licensed and trained to meet company needs.
Work with management to provide accurate information for inventory four times a year.
Consonus Pharmacy (40 hours/week.
Third Party Billing Specialist May 2008 to June 2010
Contacting insurance plans and processors for billing and coverage issues, obtaining prior authorizations from Doctors and nursing facilities, and communicating with Long-term Care Facilities about insurance requirements.
Certifax to Walgreens Specialty Pharmacy(40 hours/week.
Customer Service Help Desk, Exceptions Handler, Operations Service Representative, Order Entry Technician July 1999 to May 2008
Order Production Tech, Outbound Call Center "Doctor Call".
Responsibilities: Telephone order handling, prescription help desk and customer account maintenance.
Resolving claims exceptions and customer issues.
Contacting patients, insurance plans and processors for billing and coverage issues.
Order editing and rebilling, obtaining prior authorizations from Doctors and insurance plans.
Working with the Operations Service Representatives on billing and group implementations.
Update plan information, work with account coordinators on issues from insurance companies, insure correct billing and reimbursement rate are used, and route orders to the proper facility.
Reading and entering prescription information in the PROMISE computer system accurately and efficiently.
Audit inventory status via computer program and by hand.
Scan patient orders and package medication and paperwork for shipping.
Contacting doctors for new or renewed prescription requested by patients.
billing, Call Center, editing, help desk, insurance, inventory, Long-term Care, nursing, processes, processors, Reading, researching, shipping, Telephone