CODY RODRIGUEZ
Blanchard
Summary
Hardworking and passionate with strong organizational skills eager to secure the Cognizant Supervisor roll. Ready to help team achieve company goals and continue to grow in all aspects of leadership.
Overview
7
7
years of professional experience
Work History
Gov. Pharmacy Benefit Specialist II Team Lead
Select Health Insurance
05.2024 - Current
- Mentored junior staff in benefits administration, fostering professional growth and operational efficiency.
- Resolved complex benefits-related issues promptly, maintaining strong relationships with both members and pharmacies.
- Conducted annual open enrollment sessions, providing clear guidance to members on plan changes and updates.
- Ensured full compliance with government regulations such as HIPAA and CMS regulations by following proper protocols.
- Resolved issues and inquiries from members regarding health benefits and deductions through telephone and email.
- Mentored care givers, fostering a collaborative environment focused on continuous improvement.
- Facilitated regular team huddle meetings to promote open communication, address challenges, and celebrate achievements.
- Trained new team members by relaying information on company procedures and safety requirements.
- Promoted a positive work environment by fostering teamwork, open communication, and employee recognition initiatives.
- Served as a role model for the team by demonstrating commitment to excellence, professionalism, and adherence to company values at all times.
- Coached team members in techniques necessary to complete job tasks.
- Worked phone lines to provide optimal coverage and meet production goals.
- Evaluated care givers skills and knowledge regularly, training, and mentoring individuals with lagging skills.
- Evaluated care giver performance and provided coaching to address inefficiencies.
- Optimized customer experience by delivering superior services and effectively troubleshooting issues.
- Answered POD questions to help support front line staff.
- Helped support my Supervisor in needed areas as requested.
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
- Attention to Detail
- Self motivation
- Problem-solving
- Critical thinking and problem solving
- Ability to Multitask
- Adaptability
- Customer Service
- Fast Learner
- Teamwork Skills
- Leadership skills
- Reliability
Timeline
Gov. Pharmacy Benefit Specialist II Team Lead
Select Health Insurance
05.2024 - Current
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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