CODY RODRIGUEZ
Blanchard,OK
Summary
Hardworking and passionate with strong organizational skills eager to secure Government Team Lead position. Ready to help team achieve company goals.
Overview
6
6
years of professional experience
Work History
Government Pharmacy Benefit Specialist I
Select Health
12.2023 - Current
- Handling phone calls with Superior Service and helping members, providers, and pharmacies to resolve claims issues in a timely matter.
- Being able to follow through on complicated issues
- Working with Commercial, Medicaid, Federal Employee, Chip and Medicare Insurance policies.
- Educate callers about the policy that they have and the benefits that are included such as any extra help information.
- Accurately enter overrides for pharmacy claims
- Track detailed call logs in members charts
- File grievances with little to no errors
- Handle coordination of benefits, direct member reimbursements, coinsurance benefits.
- Learning new programs and changing requirements as needed.
- Assist in mentoring for new hires.
- Knowledge of AWD, Facets, PHS, SharePoint
Pharmacy Benefit Specialist II
Select Health
05.2023 - 12.2023
- Working with Commerical, Medicaid, Federal Employee and Chip Insurance policies.
- Educate callers about the policy they have and the benefits that are included.
- Handling phone calls with Superior Service and helping members, providers and pharmacies to resolve claim issues in a timely matter.
- Being able to follow through on complicated issues in a timely matter.
- Exceed aux standards for position.
- Accurately enter overrides for pharmacy claims.
- Complete the Intermountain Charity Card Report when scheduled.
- Track detailed call logs in members charts.
- Handle coordination of benefits, direct member reimbursements, coinsurance benefits.
- Problem solve for the members so they are not having to struggle to solve the problem themselves.
- Stay within or above the adherence requirements.
Pharmacy Benefit Specialist II
Aston Carter / Select Health
12.2022 - 05.2023
- Able to follow through on complicated issues in a timely matter.
- Handle coordination of benefits, direct member reimbursements, coinsurance benefits.
- Educate callers about the policy they have and the benefits that are included with the policy.
- Handling phone calls with Superior Service and helping members, providers, and pharmacies to resolve claims issues in a timely matter.
- Track detailed call logs in members charts.
- Problem solve for the member so they are not having to struggle to solve the problem themselves.
Pharmacy Technician
Blanchard Drug And Gift
04.2020 - 12.2022
- Enhanced pharmacy workflow by assisting pharmacists with medication dispensing, labeling, and packaging.
- Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
- Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
- Counted and labeled prescriptions with correct item and quantity.
- Assisted in maintaining a clean and organized work environment, ensuring compliance with safety regulations.
- Increased overall pharmacy productivity by restocking supplies, organizing shelves, and maintaining cleanliness according to standards.
- Assisted pharmacist by filling prescriptions for customers and responding to patient questions regarding prescription and medication-specific issues.
- Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
- Improved patient satisfaction by efficiently processing prescriptions and managing inventory in a timely manner.
- Entered and processed patients' prescriptions into internal system.
- Performed various pharmacy operational activities with strong commitment to accuracy, efficiency, and service quality.
- Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
- Provided exceptional customer service, fostering positive relationships with both new and returning patients at the pharmacy counter.
- Promoted patient confidentiality by adhering to HIPAA regulations when handling personal information during transactions.
Pharmacy Technician
Red Cross Drug Store
07.2018 - 10.2019
- Enhanced pharmacy workflow by assisting pharmacists with medication dispensing, labeling, and packaging.
- Promoted patient confidentiality by adhering to HIPAA regulations when handling personal information during transactions.
- Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
- Increased overall pharmacy productivity by restocking supplies, organizing shelves, and maintaining cleanliness according to standards.
- Assisted in maintaining a clean and organized work environment, ensuring compliance with safety regulations.
- Assisted pharmacist by filling prescriptions for customers and responding to patient questions regarding prescription and medication-specific issues.
- Counted and labeled prescriptions with correct item and quantity.
- Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
- Provided exceptional customer service, fostering positive relationships with both new and returning patients at the pharmacy counter.
- Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
- Entered and processed patients' prescriptions into internal system.
- Performed various pharmacy operational activities with strong commitment to accuracy, efficiency, and service quality.
- Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
- Assisted in training new team members on standard operating procedures to ensure consistent quality of service across the entire team.
- Maximized pharmacy efficiency through effective communication with staff members and adherence to procedures.
Education
California State Pharmacy Technician License - Pharmacy Technician
Votec Of San Diego
Skills
- Written and oral communication
- Documentation And Reporting
- Attention to Detail
- Compliance Reporting
- Critical thinking and problem solving
- Ability to Multitask
- Adaptability
- Customer Service
- Fast Learner
- Teamwork Skills
Timeline
Government Pharmacy Benefit Specialist I
Select Health
12.2023 - Current
Pharmacy Benefit Specialist II
Select Health
05.2023 - 12.2023
Pharmacy Benefit Specialist II
Aston Carter / Select Health
12.2022 - 05.2023
Pharmacy Technician
Blanchard Drug And Gift
04.2020 - 12.2022
Pharmacy Technician
Red Cross Drug Store
07.2018 - 10.2019
California State Pharmacy Technician License - Pharmacy Technician
Votec Of San Diego
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