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Title Healthcare Customer Service Representative
Target Location US-TX-Balch Springs
Email Available with paid plan
Phone Available with paid plan
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Cell: PHONE NUMBER AVAILABLEEmail: EMAIL AVAILABLEPROFESSIONAL PROFILECustomer service-oriented professional who supports the overall positive patient experience to accurately and promptly entering, filling and delivering medications. Pays close attention to detail to ensure high levels of quality and accuracy. Operates with high degree of sensitivity and confidentiality.KEY QUALIFICATIONSPharmacy Technician Knowledge of Top 200 Brand / Generic Drugs Medical Terminology / RX Sig CodesInsurance Verification/Claims (HMO, PPO, Medicare, Medicaid)  Third Party BillingPharmacology Drug & Dosage Interaction Pharmaceutical Calculations Knowledge of Aseptic Techniques Computer Applications in PharmacyAnatomy & Physiology OSHA HIPAA Compliance Basic MathPharmacy Law & Ethics HIV / AIDSInstitutional / Community Pharmacy Operations Essentials of PathophysiologyEDUCATIONJames Madison High SchoolDiploma, 06/2003Ultimate Medical Academy  Pharmacy Technician Diploma, 09/2016.3.30 GPA Completed 33.5 credits Pursuing PTCB Pharmacy Technician Certification (CPhT)PROFESSIONAL WORK EXPERIENCETRC Staffing Services, Inc Farmers Branch, TX 04/2021- 9/2022Call Center Agent Work From HomeTroubleshooting provide help and support with Marlboro Companys website and applicationRespond to high volume of inbound customer call inquires and needs in a timely manner.Effectively solve customer issues complaints and inquires by keeping customer satisfaction at the coreAssisted, educated and answered customer with products questionsCVS Health, Richardson, TX 11/2016  03/2018Pharmacy Technician I Prior Authorization & AppealsHandled inbound and outbound calls from members and providers, providing professional phone assistance to all callers through the criteria based prior authorization process.Maintained complete, timely, and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist.State Farm Mutual Automobile, Bloomington, TX 12/2013  04/2014Claims Initial Loss Reporting / Customer Service RepresentativeInterfaced with customers via inbound and outbound calls for the purpose of resolving routine problems.Prepared complete and accurate work and updated customer file.Connextions Inc., Irving, TX 12/2012  04/2013Customer Service AdvocateAssisted pharmacies and members on all issues related to the processing of pharmacy claims.Educated customers on benefits, use of plan, formulary, premiums and status of orders, claims or inquiries.

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