Amy Lawson
Portsmouth,USA
Summary
Results-driven Certified Pharmacy Technician with extensive experience in pharmacy operations, including medication dispensing, billing coordination, and customer service. Skilled in leveraging technology and regulatory knowledge to support efficient pharmacy workflows, while ensuring patient safety and satisfaction. Strong communicator, adept at collaborating with healthcare providers and insurance representatives to optimize medication management and resolve complex issues.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Reimbursement Specialist
Virginia Commonwealth University Health System
Richmond, VA
03.2021 - Current
- Prevented delays and claim denials by correcting information prior to submission.
- Employed clinical and billing codes expertise to correct billing inconsistencies.
- Coordinated with insurance providers to verify customer's policy benefits in relation to claims.
- Followed up on denied and unpaid claims to resolve problems and obtain payments.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Generated, posted and attached information to claim files.
- Input all patient data regarding claims and prior authorizations into system accurately.
- Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
- Developed and maintained productive working relationships with healthcare providers.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
- Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
Certified Pharmacy Technician
Virginia Commonwealth University Health System
Richmond, VA
05.2014 - 03.2021
- Resolved non-routine issues like third-party billing, computer system, and customer service issues.
- Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Stocked, labeled, and inventoried medication to keep accurate records.
- Restocked pharmacy shelves with current merchandise to drive consistent peripheral sales.
- Collected co-payments or full payments from customers.
- Reviewed and verified customer information and insurance provider information.
- Completed paperwork, entering prescription and insurance or billing information into patient profiles.
- Maintained drug inventory levels by ordering necessary medications and supplies.
- Worked with computerized and automated systems for dispensing medications and editing new patient profiles.
- Performed various pharmacy operational activities with strong commitment to accuracy, efficiency, and service quality.
- Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
Certified Pharmacy Technician
CVS Pharmacy
South Hill, VA
03.2007 - 04.2014
- Resolved non-routine issues like third-party billing, computer system, and customer service issues.
- Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Stocked, labeled, and inventoried medication to keep accurate records.
- Restocked pharmacy shelves with current merchandise to drive consistent peripheral sales.
- Collected co-payments or full payments from customers.
- Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
- Completed paperwork, entering prescription and insurance or billing information into patient profiles.
- Worked with computerized and automated systems for dispensing medications and editing new patient profiles.
- Performed various pharmacy operational activities with strong commitment to accuracy, efficiency, and service quality.
- Entered and processed patients' prescriptions into internal system.
- Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
Education
Associate of Arts - Liberal Arts
Southside Community College
06.1992
Skills
- Claims processing
- Microsoft office
- Commercial insurance
- Insurance verification
- HIPAA compliance
- ICD-10 coding
- Third-party billing resolution
- Claims reconciliation
- Denial management
- Healthcare provider relations
- Patient profile management
- Pharmacy regulations
- Insurance claim follow-up
- Electronic health records
Certification
Certified Pharmacy Technician, Present, Commonwealth of Virginia
Personal Information
- Date of Birth: 04/10/70
- Gender: Female
Timeline
Reimbursement Specialist
Virginia Commonwealth University Health System
03.2021 - Current
Certified Pharmacy Technician
Virginia Commonwealth University Health System
05.2014 - 03.2021
Certified Pharmacy Technician
CVS Pharmacy
03.2007 - 04.2014
Associate of Arts - Liberal Arts
Southside Community College