Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic

Ana Escalante

Summary

Dedicated Intake Specialist skilled in claim eligibility analysis and records management. Excellent communication and interpersonal skills. Familiar with industry standards and requirements. Managing duties to facilitate smooth workflow and operational efficiency.

Overview

11
11
years of professional experience
1
1
Certification

Work History

Intake Specialist/Pharmacy-technician

Amber Pharmacy
03.2020 - Current
  • Completed intake assessment forms and filed clients' charts.
  • Conducts in-bound and out-bound calls for program requirements including, but not limited to medication adherence member outreach calls, reminder calls, prescription refill calls and provider follow-up calls in a call center environment
  • Completes calls/assignments and ensures census management, productivity weekly and monthly standards are met
  • Exhibits excellent phone and communication skills while providing complete and accurate information to customers
  • Receives and responds to escalated inquiries from all communication venues: e.g., task queues, portal, claim queue, department documentation platform
  • Perform review of prescription claims documentation collect and maintain eligibility information in an appropriate and confidential manner

Clinical Pharmacy Technician

Humana
02.2016 - 03.2020
  • Provide support to internal staff and providers with respect to Medicare drug related issues. Request additional or supplemental information via correspondence to complete applications
  • Provides clerical and/or administrative support to clinical staff and managers for special studies, projects, and reports
  • Adheres to assigned schedule and quality metrics
  • Completes calls/assignments and ensures census management, daily, weekly, and monthly productivity standards are met
  • Provides clerical and/or administrative support to pharmacy staff and managers for special projects and reports
  • Provides excellent customer service by serving as a resource to all internal and external customers
  • Participate in and contribute to the overall pharmacy quality improvement initiatives
  • Attends required meetings and required participation in special committees as needed
  • Performs other duties as assigned
  • Ability to work independently, with some supervision and direction from manager

Inventory Specialist

CVS Pharmacy
02.2013 - 02.2016
  • Demonstrate excellent organizational skills, customer service skills, and verbal and written communication skills to include but not limited to patients, physicians, clinical staff, contracted providers, and managers
  • Demonstrate a high degree of professionalism to always include both personal conduct and appearance
  • Ability to always maintain strict confidentiality to include but limited to patients and coworkers
  • Compliance with all organizational policies regarding ethical business practices
  • Ability to work independently, with some supervision and direction from manager
  • Must adhere to all department policies and procedures
  • Ability to work any schedule between 9am-8pm CST with the possible inclusion of Saturdays in the future

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

One year of post-high school education can be substituted/is equivalent to one year of experience.

Education

Pharmacy Certification of Completion - Pharmacy (Pre-Pharmacy)

Platt College - Moore
Oklahoma City, OK
10.2010

Skills

  • Ability to handle / diffuse escalated issues professionally
  • Excellent organizational skills, customer service skills, and verbal and written communication skills to include but not limited to patients, physicians, clinical staff, contracted providers, and managers
  • Demonstrate a high degree of professionalism to always include both personal conduct and appearance
  • Ability to always maintain strict confidentiality to include but limited to patients and coworkers
  • Compliance with all organizational policies regarding ethical business practices
  • Adhere to all department policies and procedures

Certification

  • CPhT - Certified Pharmacy Technician

Languages

Spanish
Native or Bilingual
Japanese
Elementary
Korean
Elementary

Timeline

Intake Specialist/Pharmacy-technician

Amber Pharmacy
03.2020 - Current

Clinical Pharmacy Technician

Humana
02.2016 - 03.2020

Inventory Specialist

CVS Pharmacy
02.2013 - 02.2016

Pharmacy Certification of Completion - Pharmacy (Pre-Pharmacy)

Platt College - Moore
  • CPhT - Certified Pharmacy Technician
Ana Escalante