Bonnie Jahan

• Initiate prior Authorization through cover my meds.
• Work in Docutrack.
• Framework to access states FL/MD/ SOFL, CT, TX ,IA, KS Houston, Tyler, Abilene AND MAAS prescription
• Work on daily Adjudication, rejected claims,
• Non-formulary medication like OTCS, refill soon, NDC change, brand vs generic, alternative medication for in all states for long term facility care patients.
• Call insurance help desk to get overrides for some rejected claims.
• Create non-formulary and prior Authorization forms through docutrack and send to facilities.
• Work on claims and adjudications for LTC patients at the LTC facilities
• Processed and verified patient billing information for accuracy and compliance.
• Managed insurance claims submissions, ensuring timely follow-up on outstanding accounts.
• Responsible for entering and tracking all daily census and face sheets from Beneficiary Facilities for correct Billing to Medicare, Medicaid, and Private Insurances
• Contacting the facility on the status of Medicaid pending residents.
• Work on claims, solving different kinds of rejection and calling insurance for LTC overrides.
• Emailing and calling facilities to speak to nurse DON OR ADON, also working on prior authorization

Initiate prior Authorization through cover my meds. Work in Docutrack. Framework

to access states FL/MD/ AND TX and kodiak to access into VA AND PA. Work on daily Adjudication, rejected claims, non-formulary medication like OTCS, refill soon,

NDC change, brand vs generic, alternative medication for in all states for long term

facility care patients. Call insurance help desk to get overrides for rejected

claims. Create non-formulary and prior Authorization forms through docutrack and send to facilities. Process all kind of claims to get medicine paid for LTC patients.

• Prior Authorization Phone and fax.
• Receive calls from provider’s office, member and pharmacy.
• Process prior Authorization via fax and phone.
• Make outbound calls to provider’s office for addition information.
• Check status for the provider and member and pharmacy.
• Initiate prior Authorization over the phone and fax from the provider’s office.

• Compounding control and non-controls drugs.
• Compounding syringes, PCA vials, Monoject, iv bags and Cassettes.
• Maintained a safe, clean, and organized pharmacy by complying with procedures, rules, and regulations; followed cleanroom protocol, testing, and documentation.
• Gathered compounding material; compounded sterile products such as IV bags, cassettes, pumps, made pool bags; labeled compounded products.
• Assisted in training new technicians in cleanroom protocol.
• Operated, calibrated and maintained both digital and manual scales.
• Participated in daily cleansing of clean rooms to include vertical and laminar flow hoods according to USP 797.
• Pharmaceutical Company

• Help health care providers and patients by greeting them in person and by phone, answering questions and requests, referring inquiries to the pharmacist.
• Maintain pharmacy inventory by checking pharmaceutical stock to determine Inventory level, anticipating needed medications and supplies, placing and expediting orders, verifying receipt, removing outdated drugs.
• Maintain a safe and clean pharmacy by complying with SOP.
• Organize medications for pharmacist to dispense by reading medication orders and prescriptions, preparing labels, calculating quantities, assembling intravenous solutions and other pharmaceutical therapies.
• Maintain records by recording and filing physicians' orders and prescriptions.
• Ensure medication availability by delivering medications to patients and departments.
• Contribute to team effort by accomplishing related results as needed.

• Help health care providers and patients by greeting them in person and by phone, answering questions and requests, referring inquiries to the pharmacist.
• Maintain pharmacy inventory by checking pharmaceutical stock to determine Inventory level, anticipating needed medications and supplies, placing and expediting orders, verifying receipt, removing outdated drugs.
• Maintain a safe and clean pharmacy by complying with SOP.
• Organize medications for pharmacist to dispense by reading medication orders and prescriptions, preparing labels, calculating quantities, assembling intravenous solutions and other pharmaceutical therapies.
• Maintain records by recording and filing physicians' orders and prescriptions.
• Ensure medication availability by delivering medications to patients and departments.
• Contribute to team effort by accomplishing related results as needed.

• Provide account services to customers by receiving deposits and loan payments, cashing checks, issuing savings withdrawals, recording night and mail deposits, selling cashier's checks, traveler's checks, e bonds, answering questions in person or on telephone, referring to other bank services.
• Record transactions by logging cashier's checks, traveler's checks, and other special services, preparing currency transaction reports.
• Cross-sell bank products by answering inquiries, informing customers of news services and product promotions, ascertaining customers' needs, directing customers to a branch representative.

• Document price changes by referring to price sheets and special sale bulletins.
• Discount purchases by redeeming coupons.
• Collect payments by accepting cash, check, or charge payments from customers, making change for cash customers.
• Verify credit acceptance by reviewing and recording driver's license number operating credit card authorization system.
• Balance cash drawer by counting cash at beginning and end of work shift.
• Provide pricing information by answering questions.
• Maintain safe and clean working environment by complying with SOP.