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Click here or scroll down to respond to this candidateCandidate's Name
Pharmacy Technician/ Customer SupportAtlanta, Ga Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLECustomer Service expert and Pharmacy technician who identifies customer needs and deliver effective solutions to problems. Committed to providing high quality customer care to create a positive experience.Authorized to work in the US for any employerWork ExperienceOutreach SpecialistOptum -United HealthcareAugust 2023 to Present Outbound calls to providers to verify members medical records information requested through insurance Research on iLead/iSet/Nice/Facets and Ratelift for pend details Release or close chases that has members confirmed information needed Pharmacy Technician CoordinatorHighmark BCBS - RemoteSeptember 2022 to April 2023 Triaged prior authorization faxes for members and providers through insurance Communicated approvals and denials determination to members and providers through phone and fax Maintained daily production goal in numerous departments needed Pharmacy TechnicianPharmaceutical Strategies Staffing - RemoteNovember 2021 to August 2022 Assisted with prior authorizations for Medicaid data entry Processed faxes for prior authorization request for CVS members Provided proficient customer service to members for additional feedback. Pharmacy Technician/ Patient Care CoordinatorAsembia pharmacy - RemoteMarch 2021 to October 2021Contract Assignment Making outbound calls to Patients who are interested in receiving Dexcom G6 unit. Make follow up calls to Patients provider to get authorization request on behalf on patient Worked daily case queue Provided proficient customer service to patients who inquired on product or assistance. Pharmacy TechnicianCVS Health - Decatur, GAApril 2016 to October 2021 Customer service support regarding store information, medications, home related and personal needs. Validating customers store rewards upon purchase, while maintaining to do Daily stocks on store products Assist customers, fill prescriptions, count stock, daily Return to Stock Clear Production queue by promised times.Pharmacy TechnicianHinduja Global Solutions - Roswell, GANovember 2018 to July 2019Obtained customer service experience with Assisting Members, Pharmacy's, and Provider's Office with Coverage determination reviews for Prescriptions that required a Prior Authorization, Step Therapy's, Quantity Limit's, Non Formulary's and Tier Exceptions in order for medication to be covered by insurance plan for Aetna.Pharmacy ReceptionistGrady Memorial Hospital - Atlanta, GAMarch 2017 to November 2018 Perform Customer Service skills at Grady Memorial hospital, Including answering phone calls for in patients and out patients. Assisted with bed management discharge reliefs, and Provided work duty for Housekeeping Employees. Health Care SpecialistProactive Risk Solutions - Duluth, GAJanuary 2017 to April 2018 Introducing supplemental insurance, enrolling employee's in an incentive bonuses on take home paycheck. Led payroll support and provided customer service support for a multi-state organization. Pulled internal reports as requested (salaries, bonuses, hours worked). Followed up with customers on unresolved issues. Technical Support SpecialistAlorica for Verizon - Kennesaw, GAFebruary 2015 to April 2018 resolving technical issues, maintaining hardware and software installations, and improving IT systems. Assisted customer with new tickets and existing tickets troubleshooting Screen sharing system to troubleshoot Microsoft proficientEducationDiploma in General StudiesGuildford Technical Community College Middle College - Jamestown, NC May 2011 to December 2014High school diploma or GEDSkills Technical Support (5 years) Receptionist (2 years) Microsoft Office (5 years) Sales (2 years) Customer Service Skills (6 years) Microsoft Word (6 years) Shift Management Customer Service Pharmacy Technician Experience Medical Billing Typing Medical Office Experience Insurance Verification Compounding Medications EMR Systems HIPAA ICD-10 Computer Operation Microsoft Outlook Hospital Experience Data Entry Medical Records Phone Etiquette Order Entry Computer Skills Microsoft Powerpoint Patient service IT support (5 years) CMS (7 years) NCQA standards (7 years) ICD coding (8 years) Customer service Microsoft Office Communication skills Retail salesLanguages English - ExpertCertifications and LicensesPharmacy TechnicianJuly 2021 to June 2025Active License- PHTC055237Pharmacy Technician CertificationPTCB CertificationPharmacy Technician License |
