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Click here or scroll down to respond to this candidateWENDYSANCHEZEMAIL AVAILABLEPHONE NUMBER AVAILABLEArlington, TX Street Address
To seek and maintain a full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. SrClaim Benefit Specialist with over 26 years of successful experience in Claims and Written Customer Service. Recognized consistently for performance excellence and contributions to success in health industry. Strengths in office and balancing accounts backed by training in medical and vision processing. Enthusiastic claims handler eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Clear understanding of customer service and helping consumers and team mates and training in customer service.Motivated to learn, grow and excel in any position needed. Organized and dependable candidate successful atmanaging multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Ambitious, career-focused jobseeker, anxious to obtain an entry-level position to help launch career while achieving company goals. Hardworking and passionate jobseeker with strong organizational skills eager to secure entry-level position in any environment. Ready to help team achieve company goals. Hardworking and passionate jobseeker with strong organizational skills eager to secure entry-level position in any environment. Ready to help team achieve company goals.PROFESSIONAL SUMMARYEckerd Drugs - Pharmacy Technician SpecialistGrand Prairie, TX 12/1991 - 10/1994WORK HISTORYConsulted with insurance company representatives to complete claims processing, resolve concerns andreconcile payments.Communicated with patients to collect informationabout prescriptions and medical conditions or arrange consultations with pharmacists. Assisted patients in minimizing medical expenses by SKILLS Basic math Written Communication Responsible Compassionate Self-motivated professional Critical thinking Cultural awareness Teamwork Microsoft Office Computer skills Customer ServiceOrganization and Timemanagement Good telephone etiquette Flexible & Adaptable Multitasking abilities Training & Development AdaptabilityMountain View JuniorCollegeDallas, TXSome College (No Degree):BasicsSouth Grand Prairie HighSchoolGrand Prairie, TX 05/1991High School DiplomaEDUCATIONrecommending generic alternative prescriptionmedications. Restocked automated medication dispensing equipment. Led team of 10 in interpreting, validating, and filling prescription orders and counseling customers onmedications, appropriate dosage and self-administration schedules, side effects, and possible interactions.Prepared bills for insurance companies and submitted required paperwork.Prepared intravenous solutions, admixtures, respiratory drugs and other solutions using aseptic techniques.Located and measured medications according toprescription information, making modifications asinstructed by pharmacists and providers.Stocked, labeled and inventoried medication to keep accurate records.Processed over 100 prescriptions per day in busypharmacy achieving decreased customer wait times and maintaining excellent customer satisfaction.Counted and labeled prescriptions with correct item and quantity.Set up and modified patient profiles in computer to include current information such as medications and insurance details.Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems and locating items.Liaised with other pharmacies to eliminate issuesrelated to product expiration. Collected co-payments or full payments from customers. Answered incoming phone calls and addressed questions from customers and healthcare providers.Counted, measured, and compounded medicationsfollowing standard procedures.Supervised 2 pharmacy technicians and coordinatedday-to-day assignments.Counted, measured and compounded medicationsfollowing standard procedures.Restocked pharmacy shelves with current merchandise to drive consistent peripheral sales.Coordinated with insurance representatives to process claims and calculate correct co-pay information for patients.Six Flags Over Texas - Food Handler to ManagementArlington, TX 03/1990 - 12/1994Communicated instructions to patients or caregivers about proper use and storage of drugs.Resolved non-routine issues like third party billing, computer system and customer service issues.Performed various pharmacy operational activities with strong commitment to accuracy, efficiency and service quality.Assisted pharmacist by filling prescriptions for customers and responding to patient questions regardingprescription and medication-specific issues.Monitored ordering of pharmacy medication stock to maintain streamlined inventory and low overhead.Ordered medicines daily to replenish stock and increase inventory in anticipation of need.Processed incoming drug orders by checking deliveries against paperwork and updating computer system.Performed wide range of pharmacy operations withstrong commitment to accuracy, efficiency and service quality.Maintained proper drug storage procedures, registries, and records for controlled drugs.Entered and processed patients' prescriptions into internal system.Provided consultations and answered inquiries from patients, healthcare professionals and physiciansregarding drugs, potential side effects and specified use.Communicated with prescribers to verify medication dosages, refill authorizations and patient information.Helped pharmacist clear problematic prescriptions and address customer questions to keep pharmacy efficient.Reviewed and verified customer information andinsurance provider information.Delivered exceptional level of service to each customer by listening to concerns and answering questions.Worked with unhappy customers to understand needsand provide excellent service.Delivered service to customer locations within specific timeframes.Served customers in a friendly, efficient mannerfollowing outlined steps of service.Aetna - Sr Claims Benefit SpecialistsArlington, TX 01/1995 - 08/2021Demonstrated respect, friendliness and willingness to help wherever needed.Successfully maintain clean, valid driver's license and access to reliable transportation.Proved successful working within tight deadlines and fast-paced atmosphere.Monitored all company inventory to ensure stock levels and databases were updated.Offered friendly and efficient service to all customers, handled challenging situations with ease.Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.Identified issues, analyzed information and provided solutions to problems.Resolved conflicts and negotiated mutually beneficial agreements between parties.Carried out day-day-day duties accurately andefficiently.Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.Carried out day-day-day duties accurately andefficiently.Identified issues, analyzed information and provided solutions to problems.Developed team communications and information formeetings.Led projects and analyzed data to identify opportunities for improvement.Participated in team-building activities to enhance working relationships.Proved successful working within tight deadlines and fast-paced atmosphere.Improved operations through consistent hard work and dedication.Created spreadsheets using Microsoft Excel for daily, weekly and monthly reporting.Exceeded goals through effective task prioritization and great work ethic.Worked to maintain outstanding attendance record,consistently arriving to work ready to start immediately. Worked from home 25 of 26 years employed Required little to no supervision Self starter Prioritized and worked in extremely tight deadlines Plan tested for new and existing accounts Volunteered for Overtime when available Worked special projects when needed |
