Summary
Overview
Work History
Education
Skills
Certification
Timeline
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BRITTANY LEBEDA

North Las Vegas,NV

Summary

I am an experienced administrative Assistant seeking a remote Prescription Benefit Specialist position. My background in customer service, along with my proven ability to lead and delegate tasks, enables me to build strong relationships with customers while delivering exceptional service and achieving results.

As a prescription benefits specialist, I have a solid track record of managing and optimizing prescription benefit programs to ensure patients have access to necessary benefits. I use my problem-solving skills to efficiently address and resolve client issues, employing effective communication and teamwork to support successful outcomes in dynamic environments.

Overview

15
15
years of professional experience
1
1
Certification

Work History

Cashier

Port of Subs
06.2023 - 11.2024
  • Facilitated positive shopping experiences by greeting customers and addressing needs promptly.
  • Operated cash register, achieving high accuracy for cash, check, and credit transactions.
  • Restocked merchandise in front lanes while ensuring proper tagging and dating of freezer items.
  • Provided versatile support across departments during peak hours to strengthen team dynamics.
  • Utilized POS system for efficient order entry, payment processing, and receipt issuance.
  • Collaborated with team members to achieve sales targets and maintain a clean, well-stocked store environment.
  • Learned duties for various positions and provided backup at key times.
  • Worked with floor team and managers to meet wide range of customer needs.

Prescription Benefit Coordinator

Magellan Health RX
02.2020 - 05.2022
  • Managed benefits enrollment processes, ensuring compliance with organizational policies and regulations.
  • Facilitated employee communication regarding benefits options, enhancing understanding and utilization of programs.
  • Analyzed benefits data to identify trends and recommend enhancements to existing offerings.
  • Resolved issues and inquiries from plan participants regarding health and welfare benefits and deductions through telephone, email, and in-person interactions.

Prescription Benefit Specialist

Alorica
06.2017 - 01.2019
  • Processed prescription benefit requests from medical providers, pharmacies, and members efficiently.
  • Conducted eligibility analysis for benefits per plan provisions to ensure compliance.
  • Ensured HIPAA compliance during handling of patient information to maintain confidentiality.
  • Streamlined prior authorization processes, resulting in improved turnaround times.
  • Maintained data accuracy by updating patient records in accordance with HIPAA standards.
  • Facilitated communication between patients, healthcare providers, insurers, and pharmacists for effective resolutions.

Time Share Representative

Wyndham Resorts
05.2015 - 06.2017
  • Established welcoming atmosphere by greeting customers warmly upon arrival.
  • Addressed product-related inquiries, providing exceptional customer service and support.
  • Educated clients on resort amenities and local attractions to facilitate informed decisions.
  • Successfully managed customer inquiries, leading to high satisfaction rates.
  • Conducted detailed property tours, highlighting key features and benefits.
  • Collaborated with colleagues to achieve monthly sales goals, enhancing team performance.

Prescription Benefit Specialist

Unum
02.2010 - 2013
  • Coordinated prescription benefits inquiries for timely and accurate client resolutions.
  • Recommended optimal prescription coverage options based on client needs, enhancing satisfaction.
  • Streamlined workflows by collaborating with beneficiaries, pharmacies, and healthcare providers with unprocessed prescription orders and addressed inquiries to improve patient satisfaction.
  • Assessed individual needs to enhance communication among patients, healthcare providers, insurers, and pharmacists.

Education

Associate of Applied Science - Medical Administration Assistant

Ultimate Medical Academy - Clearwater
Clearwater, FL

High School Diploma - undefined

Portland High School
Portland, ME
06.2003

Skills

  • Achieved high patient satisfaction by delivering exceptional customer service and personalized assistance
  • Ensured accurate data entry and secure management of patient demographics, maintaining confidentiality
  • Streamlined office operations by optimizing appointment scheduling and insurance verification, resulting in reduced wait times
  • Enhanced claims processing accuracy through in-depth knowledge of prior authorization procedures and pharmacy benefit plans
  • Conducted comprehensive medication therapy reviews to optimize prescription benefit use and improve patient outcomes
  • Collaborated effectively with healthcare providers and insurance companies to resolve coverage and benefit issues promptly
  • Utilized specialized pharmacy benefit management software to analyze and optimize drug formularies and prior authorization workflows

Certification

  • Licensed: P.C.A. personal care assistant
  • Certified: By Burd Home Health Care.
  • Certified: CPR, AED, and BLS basic life-saving skills.

Timeline

Cashier

Port of Subs
06.2023 - 11.2024

Prescription Benefit Coordinator

Magellan Health RX
02.2020 - 05.2022

Prescription Benefit Specialist

Alorica
06.2017 - 01.2019

Time Share Representative

Wyndham Resorts
05.2015 - 06.2017

Prescription Benefit Specialist

Unum
02.2010 - 2013

High School Diploma - undefined

Portland High School

Associate of Applied Science - Medical Administration Assistant

Ultimate Medical Academy - Clearwater
BRITTANY LEBEDA