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

Results-focused Customer Service professional with strength in Medical Billing, Ordering and Managing. Proactive leader with strengths in communication and collaboration. Proficient in leveraging creativity, active listening, and problem solving for the company. Adept at managing concurrent objectives to promote efficiency and influence positive outcomes. Work well with coworker and clients to better the company. Adept at working quickly and accurately in fast-paced, high-volume environment.

Skills
  • Advanced retouching
  • Data entry background
  • Supply ordering
  • Document control
  • Quality assurance standards
  • People skills
  • Reliable and trustworthy
  • Data management
  • Proficient in Word, Excel
Experience
03/2019 to Current Survey Processer Ascension Health | Lawrence, IN,
  • Reviewed incoming documents for accuracy and noted problems.
  • Completed product assembly according to standardized procedures.
  • Handled all delegated tasks, including opening surveys that come in each day, scanning in the opened mail to the system and looking up surveys for errors.
  • Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
  • Implemented employee engagement and development activities, presentations and training to maximize productivity and unite workforce.
04/2016 to 05/2018 Billing Adjudication Lead Ascension Health | Marion, IN,
  • Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
  • Verified patient insurance coverage, created financial plan according to treatment schedules for collections and communicated between patient and billing company regarding health insurance.
  • Verified proper coding on more than claims per week, investigating and resolving issues to maintain billing accuracy.
  • Executed medical billing including submitting claims to insurance companies and researching and resolving denials and explanation of benefit rejections within billing cycle timeframe.
  • Processed and sent monthly invoices to customers on standard billing cycle, including adjustments, credit memos and corrections.
  • Assisted customers with invoice questions, special invoicing, reporting, corrections and write-offs and resolved customer issues discovered during invoicing and collection process.
  • Trained all employees on best practices and protocol while managing teams to maintain optimal productivity.
  • Monitored production processes and adjusted schedules.
  • Collaborated with management in multiple departments to drive clinical process change initiatives.
  • Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
05/2014 to 12/2015 Lead Pharmacy Technician Walgreens | City, STATE,
  • Established and updated patient profiles, including lists of medications and insurance details.
  • Worked with insurance companies to process claims, resolve problems and obtain payments.
  • Assisted pharmacist with clearing high volume of prescriptions and responded to customer questions.
  • Managed medication stocks, including conducting counts, labeling products and maintaining controls.
  • Verified and filled over 600 prescriptions per day in busy pharmacy setting.
  • 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.
  • Efficiently processed cash register transactions for new and refilled prescription orders.
  • Received, reviewed, dispensed and labeled over many prescriptions daily.
  • Managed inventories, rotated stock, removed expired or damaged drug products and resolved discrepancies in drug counts.
  • Received and verified daily incoming drug inventories, reported discrepancies and logged items into inventory system.
  • Placed orders for out of stock medications, enabling patients to receive prescriptions on time.
  • Monitored supply inventory and promptly submitted replenishment orders to prevent shortages.
  • Revised production schedules to account for changing designs, shortages and other types of interruptions.
03/1998 to 02/2014 Lead Pharmacy Technician CVS Pharmacy | City, STATE,
  • Established and updated patient profiles, including lists of medications and insurance details.
  • Worked with insurance companies to process claims, resolve problems and obtain payments.
  • Assisted pharmacist with clearing high volume of prescriptions and responded to customer questions.
  • Managed medication stocks, including conducting counts, labeling products and maintaining controls.
  • Verified and filled over 700 prescriptions per day in 24 hour pharmacy setting.
  • Consulted with customers via telephone or in-person to assist with navigating pharmacy systems and completing requests.
  • Participated in prescription pharmaceutical and over-the-counter product inventory audits.
  • Efficiently processed cash register transactions for new and refilled prescription orders.
  • Maintained clean and organized pharmacy shelving and work areas.
  • Managed inventories, rotated stock, removed expired or damaged drug products and resolved discrepancies in drug counts.
  • Created new customer profiles and updated changes such as demographics, allergies and new medications in pharmacy computer systems.
  • 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.
  • Dispensed medications to patients in accordance with pharmacist orders.
  • Placed orders for out of stock medications, enabling patients to receive prescriptions on time.
  • Received written prescriptions and refill requests from patients, evaluating information for completeness and accuracy before filling.
  • Refilled medications, offered insight into over-the-counter products and verified insurance benefits.
  • Greeted customers and answered questions regarding personal medications or over-the-counter pharmacy products.
  • Trained newly hired top talent to fill key positions and maximize productivity.
  • Documented participant attendance, engagement and progress.
  • Partnered with management to establish workplace safety curriculum for training and education purposes.
Education and Training
Expected in 05/2000 High School Diploma | St. Joseph High School, South Bend, GPA:

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Resume Overview

School Attended

  • St. Joseph High School

Job Titles Held:

  • Survey Processer
  • Billing Adjudication Lead
  • Lead Pharmacy Technician
  • Lead Pharmacy Technician

Degrees

  • High School Diploma

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