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Click here or scroll down to respond to this candidateCandidate's Name
McHenry, IL Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLEI am highly experienced in retail customer service, pharmaceutical prescription drug plan management and patient and provider issue resolution in the call center environment. At the retail level, I would attend to the needs of my customers with speed and courtesy. I have also assisted the human resource departments of various companies in setting up the prescription drug plan for their employees.In the call center environment, I responded to inquiries from patients and providers concerning medical benefits, medical claim status, prior authorization requirements and any related questions. Specialties: pharmaceutical specialist, customer service expert, prescription insurance management, insurance company liason, prescription claims adjudicator, prescription plan designer, drug and device educator, retail specialist, troubleshooter and issue resolver. Authorized to work in the US for any employerWork ExperienceHealth AdvocateHealth Fitness Corporation - Lake Forest, ILJanuary 2012 to October 2021In the call center environment, I responded to inquiries from patients and providers concerning medical benefits, medical claim status, prior authorization requirements and any related questions. Specialties: pharmaceutical specialist, customer service expert, prescription insurance management, insurance company liason, prescription claims adjudicator, prescription plan designer, drug and device educator, retail specialist, troubleshooter and issue resolver. Billing TechnicianPharmore Drugs, LLC, - Skokie, ILJune 2011 to November 2011Experienced billing technician. Verify correct adjudication of prescription claims for nursing home residents. Troubleshooter and problem resolution and issue resolver. Initiator of prior authorizations and follow through to resolution.YOH Clinical Services contractorABBOTT LABORATORIES - North Chicago, ILNovember 2010 to May 2011Product Quality AnalystManaged and resolved incoming phone calls from patients, physicians and pharmacists concerning the use of the Humira Pen delivery device. Analyzed calls in terms of complaints and comments. Made decisions and determined best course of action, further education vs. replacement of device. Also educated and directed callers to ensure optimum usage of the device. Aided callers and provided answers and information to satisfy their specific questions. Pharmacy TechnicianWALGREENS CORPORATION - variousSeptember 1994 to February 2011Prescription preparation, key liaison between customers and pharmacist. Assisted the pharmacist in filling prescriptions. Provided customer service for all related needs. Processed doctors written prescriptions through pharmacy computer system. Solved prescription insurance issues for customers. Account ManagerWALGREENS CORPORATION - Deerfield, ILFebruary 2005 to August 2009Managed major prescription accounts for many Fortune 500 Companies, including North Shore University Health System, Pace and Chicago Board of Trade. Provided critical account and customer service to Benefits & HR Managers in a wide variety of industries. Managed all aspects of their prescription program with Walgreens. Educated the managers about their various drug coverage plan options. Initiated and maintained their company's prescription drug plans. Resolved all issues and assisted with all changes to their drug coverage plan for their employees.Member Services RepresentativeWALGREENS CORPORATION - Deerfield, ILJanuary 2003 to February 2005Answered members' questions regarding their prescription drug plan, including individual eligibility& drug coverage. Aided pharmacies with on-line claim adjudication for members. Processed member reimbursements for prescriptions that were paid for without member's insurance information present. Monitored the proper functioning of all computer systems in case of malfunction. Clinical Call Center TechnicianWALGREENS CORPORATION - Deerfield, ILAugust 2002 to January 2003Answered phone calls from pharmacies, doctors and patients regarding special authorization procedures for various clinical programs. Entered appropriate overrides upon clinical approval. TellerPARK RIDGE COMMUNITY BANK - Park Ridge, ILAugust 1995 to April 2000Key customer service representative for all customers. Managed all customer needs from transactions to troubleshooting to account initiation and closings. Responsible for significant cash transactions daily. Flawless balancing record.Store ClerkWALGREENS CORPORATION - Park Ridge, ILSeptember 1994 to August 1995Customer service. Register management, including transaction accuracy and balancing of cash & shift receipts. Rotated among front register and other departments, including Photography and Liquor. EducationBachelor of Arts in English LiteratureQuincy College - Quincy, ILSkills customer service, verbal and written communication, understanding prescription drug claims, microsoft word, microsoft excel and microsoft powerpoint. Additional InformationSpecialized Skills:In depth knowledge of prescription drug indications, interactions and side effects. Call center experience responding to complaints, comments and inquiries regarding prescription drugs, prescription drug benefit plans, prescription drug prior authorization protocols and on-line claim adjudication issues.Proficiency with computers including Microsoft Word, Excel and PowerPoint. |
