LiveCareer-Resume

senior patient support advocate resume example with 5+ years of experience

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

Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.

Skills
  • Microsoft Office
  • Database Search and Data Entry Skills
  • Patient Confidentiality and Data Security
  • Verbal and Written Communication
  • Proactive Problem Solving
  • Financial Counseling
  • Claims Handling and Coverage Verification/Authorizations
  • Time Management and Prioritization
  • Forms and Spreadsheet Creation
  • Billing Issue Resolution and Support
  • Medical Terminology
  • Medical History Documentation
  • Benefits Explanation
  • Appeals and Grievances
  • IDC-10 Codes
  • CPT Code Billing
  • Electronic Medical Records Systems
  • Pharmacy Dispensing Systems
  • Medicare, Medicare, Commercial PBM Experience
Education and Training
Capella University Minneapolis, MN, Expected in 12/2023 BBA : Health Administration - GPA :
Certifications

Certified by the Pharmacy Technician Certification Board (PTCB)

Experience
Beth Israel Deaconess Medical Center - Senior Patient Support Advocate
Boxboro, MA, 05/2022 - Current
  • Directly communicate with insurance companies to facilitate the approval of medications.
  • Navigate pharmacy operating systems to input data, perform adjudication on test claims and prepare action plans for follow-up.
  • Effectively communicate across databases, electronic medical records and emails to document patient concerns, prior authorization status, and financial assistance needs.
  • Review prescriptions with doctors' offices to ensure optimal care of the patient.
  • Work closely with pharmacists and pharmacy liaisons to provide an integrated approach quality patient care.
  • Apply observations and recommendations to operational issues, increased productivity, quality, and customer-service standards.
  • Identify trends, resolve problems; recommend improvements; implement change.
  • Protect organization's value by keeping information confidential.
Harris Teeter, Llc - Specialty Pharmacy Liaison
Denver, NC, 09/2021 - 05/2022
  • As a member of the clinic team, work seamlessly alongside hospital clinicians to serve patients both face-to-face and over the phone
  • Educate prospective pharmacy patients on how hospital serves patients and improves their overall care.
  • Support outpatient retail and specialty prescription medication needs.
  • Ensure that patients remain on track with medication regimens- outbound therapy/medication adherence check-ups; secures refill prescriptions.
  • Communicate effectively with the centralized Patient Service Center with respect to such communications as: the refill report, the zero-fill report, the monthly outstanding report and the appointment list.
  • Help develop new processes to ensure smooth operations and patient care.
  • Resolve insurance related issues, including prior authorizations (PAs), and assist patients with various forms of financial assistance.
  • Ensure appropriate documentation in all required systems/tracking mechanisms.
  • Manage, organize, and update relevant data using database applications.
  • Apply observations and recommendations to operational issues, increased productivity, quality, and customer-service standards.
  • Identify trends, resolves problems; recommend improvements; implement change.
Shields Health Solutions - Patient Support Advocate
City, STATE, 05/2020 - 09/2021
  • Directly communicate with insurance companies to facilitate the approval of medications.
  • Navigate pharmacy operating systems to input data, perform adjudication on test claims and prepare action plans for follow-up.
  • Effectively communicate across databases, electronic medical records and emails to document patient concerns, prior authorization status, and financial assistance needs.
  • Review prescriptions with doctors' offices to ensure optimal care of the patient.
  • Work closely with pharmacists and pharmacy liaisons to provide an integrated approach quality patient care.
  • Apply observations and recommendations to operational issues, increased productivity, quality, and customer-service standards.
  • Identify trends, resolve problems; recommend improvements; implement change.
  • Protect organization's value by keeping information confidential.
Walmart - Certified Pharmacy Technician
City, STATE, 06/2017 - 05/2020
  • Managed inventories, rotated stock, removed expired or damaged drug products and resolved discrepancies in drug counts.
  • Maintained strict patient confidentiality to adhere to HIPAA regulations and avoid data compromises.
  • Worked with insurance companies to process claims, resolve problems and obtain payments.
  • Efficiently processed cash register transactions for new and refilled prescription orders.
  • Compiled customer demographic, allergy and medical history background.
  • Transmitted claims to insurance companies for payment and reconciled EOBs.
  • Received and verified daily incoming drug inventories, reported discrepancies and logged items into inventory system.

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

Your data is safe with us

Any information uploaded, such as a resume, or input by the user is owned solely by the user, not LiveCareer. For further information, please visit our Terms of Use.

Resume Overview

School Attended

  • Capella University

Job Titles Held:

  • Senior Patient Support Advocate
  • Specialty Pharmacy Liaison
  • Patient Support Advocate
  • Certified Pharmacy Technician

Degrees

  • BBA

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

*As seen in:As seen in: