Community Services Assistant

• Aug 2022 - Present

Currently Unemployed

• Oct 2017 - Oct 2017

Currently unemployed due to lay off. Currently unemployed due to lay off.

Company Secretary, Scheduler, Vet Assistant

• Jul 2017 - Oct 2017

Answered three line phone system, scheduled appointments, surgeries, vaccinations, etc. Was laid off due to not enough work on 10/13/2017 Answered three line phone system, scheduled appointments, surgeries, vaccinations, etc. Was laid off due to not enough work on 10/13/2017

Certified Pharmacy Technician

• Aug 2016 - Jan 2017

Certified Pharmacy Technician / Licensed with the Kentucky Board of Pharmacy 💊 Certified Pharmacy Technician / Licensed with the Kentucky Board of Pharmacy 💊

• Apr 2009 - Feb 2016

Being responsible for working all denials related to pharmacy claims, reviewing contracts with all Insurance companies to ensure claims are paid per contract. Working closely with Insurance companies and keeping up to date on all changes and updates. Printing facility bills as well as answering any questions and explaining all billing to Administers. Preparing and giving information for audits. Updating and correcting hierarchy changes for each patient.

• Nov 2006 - Feb 2016

Adjudication Manager & Pharmacy Technician

Adjudicator

• Nov 2006 - Apr 2009

Reviewing pharmacy charges and printing monthly facility statements. Updating daily census for all facilities for all patients leaving and or returning via Docutrack received from the facility. Filling prescriptions to be delivered to all facilities. Working all credits, entering them into the system on all returned meds. Reviewing disposition forms and keeping track of what medicines were to be restocked or destroyed. Reviewing pharmacy charges and printing monthly facility statements. Updating daily census for all facilities for all patients leaving and or returning via Docutrack received from the facility. Filling prescriptions to be delivered to all facilities. Working all credits, entering them into the system on all returned meds. Reviewing disposition forms and keeping track of what medicines were to be restocked or destroyed.

Project Manager

• May 1999 - Sep 2006

Traveling across the United States, signing six, nine or 12 month contracts going into hospital facilities working accounts mostly over ninety days reviewing their contracts with Insurance companies to verify the amount paid was per contract. Working in numerous hospitals ranging from a forty-two bed facility to over a nine hundred bed facility. I have managed and mastered a variety of financial classes. Reduced the overall accounts receivables in each financial class and continued to keep the zero to thirty day resolution at 92%. I have established relationships with clients at each project as well as exceeded personal goals to bill and collect receivables in the fastest and most efficient manner possible. Show less

Customer Service Specialist

• Mar 1994 - May 1999

Responsibilities included processing and paying claims for western states ( California, Arizona and Nevada ). Speaking with providers daily, assisting them with eligibility, benefit and claims information. Performing daily adjustments on claims to pay per contract. Reading and understanding contracts to relay back to clients and providers. Communicating with other Humana departments at all locations on provider related issues. Responsibilities included processing and paying claims for western states ( California, Arizona and Nevada ). Speaking with providers daily, assisting them with eligibility, benefit and claims information. Performing daily adjustments on claims to pay per contract. Reading and understanding contracts to relay back to clients and providers. Communicating with other Humana departments at all locations on provider related issues.