Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Generic

Amy Parker

Sapulpa,OK

Summary

Motivated professional offering exceptional strengths in pharmacy and DME operations, purchasing, contracting and billing. Skilled in auditing medical orders and driving accuracy. Knowledgeable in multiple medical software platforms with the ability to quickly learn new and changing software programs. Keen understanding of medical, pharmacy and Medicare benefits. Detail-oriented team player with strong problem solving skills. Knack for out of the box thinking to solve billing issues. Ability to handle multiple projects simultaneously with a high degree of accuracy. Adept in "Quick Base" data base software and Microsoft Suite including Excel, Word, Power Point, & Outlook.

Overview

10
10
years of professional experience
1
1
Certificate

Work History

Owner/Operator

Customer Care, LLc
07.2018 - 09.2023


  • Communicate with doctors and insurance companies resulting in positive patient outcomes
  • Effectively solve insurance billing issues
  • Create and maintain multiple reports in Excel and "Quick Base".
  • Obtained necessary permits and licenses to operate legally.
  • Kept accurate records for billing and inventory purposes.
  • Performed statistical analyses to gather data for operational and forecast team needs.
  • Spoke professionally with customers regarding complaints, gathering all necessary information to make educated decisions and address issues.
  • Improved office operations by automating client correspondence, record tracking and data communications.
  • Optimized organizational systems for payment collections, AP/AR, deposits, and recordkeeping.

Pharmacy Specialist

One Stop Rx
06.2014 - 06.2018
  • · Employed out-of the box problem-solving techniques to resolve issues and overcome obstacles quickly and effectively.
  • · Set up, reported to and utilized Prescription Monitoring Programs in 48 states.
  • · Communicated with several medical professionals to obtain refills, correct or adjust, and confirm patient prescriptions.
  • · Corrected multiple prescription billing issues resulting in quick claim adjudications.
  • · Utilized expert knowledge of billing and reporting in several pharmacy software programs.
  • · Created reports in "Quick Base" database to assist in patient communications and medication adherence and track records through to delivery
  • · Managed multiple projects simultaneously to aid owners.
  • · Networked with industry professionals to foster partnerships and identify new and improved products, billing processes and production solutions.
  • · Sourced vendors, built relationships and negotiated prices.
  • · Preformed trouble shooting and corrected minor Information Technology (IT) issues.
  • · Assisted owners in decision-making procedures by creating reports to advise owners on improving profit margins.
  • · Drafted professional memorandum and business correspondence.

Pharmacy Technician

Drug Warehouse/Walgreens
04.2013 - 07.2014
  • Answered incoming phone calls and addressed questions from customers and healthcare providers.
  • Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
  • Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
  • Collected co-payments or full payments from customers.
  • Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
  • Ordered medicines daily to replenish stock and increase inventory in anticipation of need.
  • Resolved third-party billing, computer system and customer service issues.
  • Set up and modified patient profiles to include current medications and insurance details.

Education

Some College (No Degree) - Pharmacy

Continued Education Programs

High School Diploma -

Messalonskee High School
Oakland
06.1990

Skills

  • Confidentiality and HIPAA
  • Drug inventory management
  • Updating medication histories
  • Pharmacy and customer records management
  • Program Creation and Implementation
  • Database Systems
  • Time Management
  • Data Analysis
  • Reimbursement Management
  • Statement Billings
  • Past Due Balance Management
  • Medicare and Medicaid Processes
  • Medical Billing and Collections
  • Account Management
  • Invoice Processing
  • Claims Review
  • Benefits Verifications
  • Insurance Claims
  • Regulatory Compliance
  • Medical Records Security
  • Medical Billing Technology
  • Microsoft Office
  • Verbal and Written Communication
  • Accounts Receivable

Accomplishments

  • Technology Proficient
    Developed a strong knowledge of hardware and software while keeping abreast of new applications that increased efficiency and productivity for management and clients.
  • · Research Assisted prescribers with identifying therapeutic equivalent options to medications not covered by insurance.
  • Updated and maintained company database to reflect current and accurate patient records for more than 10,000 accounts.
  • Streamlined workflow by consolidating lengthy processes and redundant documentation.
  • Training
    Trained prescription billing staff of fifteen employees on the office policies and 3rd party insurance, Medicare, Medicaid, HMO and PPO billing procedures.
  • Vendor Management
    Negotiated low vendor rates for prescription drugs.
  • Billing
    Cooperated with Medicare, Medicaid and private insurance providers to establish relationships and resolve billing issues.
  • Data Reporting
    Compiled statistical data, such as patient adherence, prescription fulfillment, and adjudication rates.

Timeline

Owner/Operator

Customer Care, LLc
07.2018 - 09.2023

Pharmacy Specialist

One Stop Rx
06.2014 - 06.2018

Pharmacy Technician

Drug Warehouse/Walgreens
04.2013 - 07.2014

Some College (No Degree) - Pharmacy

Continued Education Programs

High School Diploma -

Messalonskee High School
Amy Parker