Beulah Begly
Grove City,OH
Summary
Adept at enhancing operational efficiency and customer satisfaction, demonstrated through a pivotal role at Aetna. Leveraged attention to detail and multitasking abilities to streamline claim processes and resolve complex issues, significantly reducing backlogs. Skilled in problem-solving and time management, consistently improving service quality and patient outcomes. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
21
21
years of professional experience
Work History
Claims Benefit Specialist
Aetna
06.2022 - Current
- Enhanced claim processing efficiency by streamlining workflows and implementing best practices.
- Resolved complex claims issues for improved customer satisfaction and reduced claim backlog.
- Facilitated communication between departments, ensuring timely resolution of outstanding claims.
- Reviewed policy coverage details thoroughly before making determinations on benefits eligibility for each unique claim scenario presented.
Pharmacy Technician
Exact Care Pharmacy LLC
08.2020 - 05.2022
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Streamlined prescription processing with accurate data entry and verification of patient information.
- Performed various pharmacy operational activities with strong commitment to accuracy, efficiency, and service quality.
- Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
- Promoted patient confidentiality by adhering to HIPAA regulations when handling personal information during transactions.
- Collected co-payments or full payments from customers.
- Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
- Expedited insurance claim resolutions by liaising with healthcare providers and insurance companies on patients'' behalf.
Pharmacy Technician
Nationwide Childrens Hospital
02.2014 - 03.2020
- Performed various pharmacy operational activities with strong commitment to accuracy, efficiency, and service quality.
- Enhanced pharmacy workflow by assisting pharmacists with medication dispensing, labeling, and packaging.
- Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
- Supported inventory management initiatives through accurate record-keeping of received shipments and expired medications for disposal purposes.
- Counted and labeled prescriptions with correct item and quantity.
- Promoted patient confidentiality by adhering to HIPAA regulations when handling personal information during transactions.
- Optimized workflow efficiency through participation in regular team meetings discussing areas for improvement within the department.
- Assisted in maintaining a clean and organized work environment, ensuring compliance with safety regulations.
- Assisted in training new team members on standard operating procedures to ensure consistent quality of service across the entire team.
- Maintained proper drug storage procedures, registries, and records for controlled drugs.
- Counted, measured and compounded medications following standard procedures.
- Aided pharmacists in preparing sterile compounding products for IV administration using aseptic techniques.
- Located and measured medications according to prescription information, making modifications as instructed by pharmacists and providers.
Senior Pharmacy Technician
Medco Health
08.2004 - 09.2013
- Enhanced customer satisfaction with prompt and courteous service while addressing their prescription needs.
- Facilitated seamless communication between patients, healthcare providers, and insurance companies to expedite prescription processing.
- Improved patient safety by ensuring accurate medication dispensing and proper dosage calculations.
- Reduced medication errors by meticulously verifying prescription information and conducting thorough drug interaction checks.
- Collaborated with pharmacists to resolve medication-related issues, ultimately improving patient outcomes.
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
Direct Care Associate
Heinzerling Foundation
06.2003 - 08.2004
- Enhanced patient comfort by providing compassionate and attentive care.
- Developed strong rapport with each patient, establishing trust and promoting cooperation during treatment processes.
- Supported physical therapy sessions by preparing equipment, assisting therapists, and motivating patients during exercises.
- Assisted patients with daily activities, improving their quality of life.
- Assisted in rehabilitative exercises for improved mobility and overall wellness.
- Maintained clean, safe, and well-organized patient environment.
- Assisted patients with bathing, grooming, dressing, and oral hygiene care both in private residences and facilities.
Education
No Degree - Recieved Medical Assistant Diploma
American School of Technology
Columbus, OH06.2005
High School Diploma -
Rowan County Senior High School
Morehead, KY06.2003
Skills
Attention to Detail
Multitasking
Time Management
Problem Solver
Timeline
Claims Benefit Specialist
Aetna
06.2022 - Current
Pharmacy Technician
Exact Care Pharmacy LLC
08.2020 - 05.2022
Pharmacy Technician
Nationwide Childrens Hospital
02.2014 - 03.2020
Senior Pharmacy Technician
Medco Health
08.2004 - 09.2013
Direct Care Associate
Heinzerling Foundation
06.2003 - 08.2004
No Degree - Recieved Medical Assistant Diploma
American School of Technology
High School Diploma -
Rowan County Senior High School
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