Lead Third Party Billing Reepersentive

• Nov 2014 - Present

Pharmacy Tech

• Nov 2011 - Present

• Compounded drugs and refilled medication orders for patients • Processed new and existing prescription for patients • Assists the Pharmacist in filling prescription items, as permitted by the State Board of Pharmacy. • Types prescription information to produce labels. • Labels products appropriately, including cautionary or auxiliary labels. • Takes inventory, places orders, checks in drugs and supplies, stocks shelves and removes out-of-date items from the inventory. • Inputs patient data and medication orders into a computer system. • Prepares medications including emulsions, liquids, powders and ointments. • Packages medications for dispensing and for delivery. • Communicates with all customers in a pleasant and professional manner. Knowledge of Data Entry

Pharmacy Technician

• Aug 2011 - May 2012

• Compounded drugs and refilled medication orders for patients • Processed new and existing prescription for patients • Managed and served over 100 inbound customer service calls on a daily basis • Performed third-party billing for supplemental insurance companies • Documented new admission data for new patients via several medical applications • Administered and resolved internal clients issues and complaints• Electronically resolved rejected insurance claims • Responsible for producing 1099 tax documents for external clients• Verified the completion of the insurance, retirement and W-2 forms for the employees• Managed the timesheet process for internal employees

Lead Pharmacy Technician

• Sep 2004 - Feb 2010

• Managed and supported over 60 office staff and internal/external clients with Medicaid and Medicare issues• Researched and resolved issues for the Physicians related to patient’s inquiries and concerns, utilizing online tools• Documented and updated Physician records as related to the patient’s inquiries• Documented and reported issues results to internal and external management and clients via verbal and written communication• Subject Matter Expert for providing assistance with the management of Pharmacy benefits• Researched and verified coverage for alternative prescriptions as recommended by Physicians• Provided process training and leadership skill training to all new and existing employees• Managed the process of communicating selected prior authorized criteria as required by various states• Responsible in documenting and communicating all technical systems related issues to the Help DeskPharmacy Technician• Served over 120 inbound daily customer services calls in assisting internal/external clients• Responsible for memorizing medicine criteria for various states required by Medicare and Medicaid• Responsible for understanding the various drug types and purposes • Assisted and followed the leadership of the Pharmacist • Operated under the standards and guidelines required for Call Center Operations

Billing Coordinator/Pharmacy Technician

• Sep 1996 - Jul 2004

• Served as the liaison between the pharmacy and external clients • Documented and performed date entry of patients personal information into secured medical applications • Responsible for entering accurate ICD-9 codes for rejected insurance claims• Reconciled billed and unpaid invoices, as well as correcting invoices• Responsible for mailing out billing invoices to the patient’s responsible party• Documented and reported project status and issues to the project team and all levels of management • Assisted in managing special projects for executives and other internal clients• Generated weekly, monthly, quarterly and annual ad hoc reports, database queries, and spreadsheetsPharmacy Technician• Filled new and existing prescriptions for nursing home patients• Assisted pharmacist with filling and labeling medication • Responsible for third party insurance billing • Organized billing invoices for external customers• Replaced medication in the ER Kits for nursing homes• Pre-packaged medication for special deliveries Medication Deliverer• Delivered medication to numerous nursing homes and other clients• Responsible for delivering medication to the patients in a timely manner• Interacted with various levels of external management and customers when delivering medication• Documented the list of medications given to the external clients • Obtained signatures and receipts of medication received by the external clients