ALAYSIA GOODLOW
Forney,TX
Summary
Detail-oriented individual with exceptional communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives.
Overview
10
10
years of professional experience
Work History
Inside Sales Representative
Senderra Rx Pharmacy
05.2023 - Current
- Inside sales representatives at my company are ultimately account managers. We're required to met daily metrics (ex. Inbound calls, Online chat services, and Emails) We work hand in hand with outside representatives from various states to assist them with any concerns regarding patient's account. Each inside rep is assigned an outside rep to assist them with any concerns regarding a patient's account and/or a doctor's offices concerns. Communication, Problem solving, and comprehension skills are essential.
- Maintain up-to-date knowledge of available products to best serve customers and maximize sales potential.
- Answer provider's questions regarding products, prices, and availability.
- Managed accounts to retain existing relationships and grow share of business.
- Answered inbound calls from medical offices retaining to patient's accounts.
- Collaborated with outside sales representatives, marketing and other departments to generate leads and close sales.
- Reviewed patient's accounts to ensure that tasks are being fulled efficiently and accurately
- Review all pharmacy update regarding specialty drug plans and drug manufacturers.
- Engaged in friendly conversation with customer to better uncover individual needs.
- Determine needs, delivered solutions, and overcame objections through consultative and analytical skills.
Prior Authorization Specialist-Team Lead
Senderra Specialty Pharmacy
05.2017 - 05.2023
- Our prior authorization department consists of 3 individual teams. Since starting with Senderra, I've had the privilege to to be apart of each of these teams and continue to use the knowledge gained from my time spent.
- Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
- Fielded telephone inquiries on authorization details from plan members and medical staff.
- Researched denied claims and contacted insurance companies to resolve these issues.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
- Reviewed appeals for prior authorization requests and communicated with payers to resolve issues.
- Provide accurate information to all parties, including patients, insurance providers, healthcare staff and office personnel by using effective written and verbal communication skills
- Identified reasons behind denied claims and worked closely with insurance carriers to promote resolutions
- Explained daily processes and procedures to new hires, promoting better understanding of job tasks
- Maintained HIPAA compliance across all patient data-handling, systems and training
- Ensured that every individual received a high level of service by employing dynamic communication, interpersonal and active listening skills.
Front of House Team Member
Torchy's Tacos
12.2015 - 06.2017
- Discussed menu items and dietary concerns, noted special requests and suggested appetizers or other additional items to meet upsell goals
- Recorded orders and partnered with team members to efficiently serve food and beverages
- Maximized team performance by training new employees on proper food handling, guest expectations and restaurant protocols
- Provided excellent service and attention to customers in face-to-face encounters and through phone conversations
- Achieved mutual agreements and cleared up miscommunications by working with all parties to reach win-win solutions
- Handled in house orders as well as to-go orders
- Made sure the restaurant was clean at all times to guarantee a clean and relaxing environment.
Cashier
Target
07.2014 - 09.2015
- Provided assistance with purchases, locating items and signing up for rewards programs
- Helped customers find specific products, answering questions and offering advice
- Wrapped items and bagged purchases properly to prevent merchandise breakage
- Maintained high productivity by efficiently processing cash, credit, debit and voucher program payments for customers
- Worked closely with front-end staff to assist customers
- Achieved consistent sales goals with excellent interpersonal communication skills and upselling expertise
- Give excellent customer service to all customers entering the store.
Education
High School Diploma -
Plano Senior High School
Plano, TX01.2016
Skills
- Attention to detail
- Microsoft Office, Excel, PowerPoint proficiency
- Analytical problem solver
- Extremely organized
- Listening skills
- Flexible
- Professional and Mature
- Customer service mindset
- Lead Qualification
- Friendly
- Approachable
- Customer Service Handled cash, check, credit and automatic debit card transactions with 100% accuracy
Jobfields
Retail, Food services, Corporate business offices, Pharmaceutical
Timeline
Inside Sales Representative
Senderra Rx Pharmacy
05.2023 - Current
Prior Authorization Specialist-Team Lead
Senderra Specialty Pharmacy
05.2017 - 05.2023
Front of House Team Member
Torchy's Tacos
12.2015 - 06.2017
Cashier
Target
07.2014 - 09.2015
High School Diploma -
Plano Senior High School
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