Bernadette Williams
Kingwood,TX
Summary
Dedicated Customer Service Specialist providing skills to prioritize and multi-task in fast-paced working environment. Successfully works as part of team to reach personal and business goals. Known for successfully handling escalated customer support issues.
Overview
11
11
years of professional experience
Work History
PBM Customer Service Rep
OptumRx Pharmacy Svcs
Sugar Land, TX
08.2018 - 11.2023
- Meticulous in reviewing and documenting prior authorization requests and related information.
- Ensured adherence to state and federal regulations, including HIPPA compliance.
- Efficiently managing workload to meet deadlines and performance standards.
- Worked closely with healthcare providers, pharmacies and work tools to facilitate approvals.
- Proficient in using PBM software, electronic health records and other relevant systems.
PBM Customer Service Rep
Xerox
Houston, TX
01.2013 - 07.2018
- Provided top-notch service to members, healthcare providers, and pharmacies.
- Proficient in handling and processing prior authorization requests accurately and efficiently.
- Extensive knowledge of medical terminology, drug classifications, and treatment protocols.
- Strong verbal and written communication skills for clear and effective interactions with providers and management.
- Skilled in data entry, and maintaining accurate records in PBM systems.
Education
Some College (No Degree) - Nursing
Lonestar College
Houston, TxSkills
- Typing speed of 50 wpm and 10-Key Entry
- Strong analytical skills
- Solid problem solver
- Microsoft Office
- Computer Skills
- FDA compliance
- Workflow Optimization
- HIPAA
- Customer Service
- Self Motivation
- Policies and Procedures Adherence
- High-energy attitude
Accomplishments
- Implemented process improvements that reduced prior authorization turnaround time by 20%.
- Achieved a 95% approval rate on prior authorization requests through thorough and accurate reviews.
- Reduced processing errors by 30% through meticulous attention to detail and quality checks.
Timeline
PBM Customer Service Rep
OptumRx Pharmacy Svcs
08.2018 - 11.2023
PBM Customer Service Rep
Xerox
01.2013 - 07.2018
Some College (No Degree) - Nursing
Lonestar College
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