DAMARIS PANTALEON CORDERO

• Assisted pharmacists in filling prescriptions accurately and efficiently.
• Reported any discrepancies or errors in medication ordering or filling processes immediately to the pharmacist on duty.
• Collaborated with other healthcare professionals to ensure optimal patient care.
• Verifying patient medication history on Epic System
• Medication adherence
• working with Pharmacies, medical facility, Hospital, retirement homes to gather home medication records.
• verifying and updating dosage and medication intake
• Work multiple computer systems
• Worked with clients one-on-one to create personalized plans for incorporating meditation into their daily lives.

Submitted all forms required and faxed doctor's office for prior authorization approval

• Added all codes to have the claim processed for pharmacy approval
• Compared insurance quote with other insurance companies
• Processed patients mail order claims, processing patients' refills orders
• Assist in recordkeeping, reviewed and completed paperwork
• Prior authorizations denials and approved claims to medical offices and hospitals
• Data entry, insurance claims, Medicaid and Medicare insurance claim processing
• Customer Support.

• Keeping communication with hospital, medical office and pharmacy
• Processing rejected claims and forms for prior authorization approval
• Obtain all necessary information required to process a prior authorization if applicable
• Relay insurance coverage to referral source and patient and discuss financial responsibilities and any need for financial assistance
• Assist with training
• HIPAA Trained
• Drug Classifications & safety
• Medical & Pharmaceutical Terminology.

• Enrolled future members by phone
• Patient entry into database
• Respond to phone and fax inquiries
• Handle escalated Calls from team members
• Successfully Handle Production Activities
• Drove daily production Activities with effective communication and leadership
• Assigned duties to associates, monitor workflow, and monitor associates performance
• Performed duties of associates working department
• Trained associates, Participated in Team meetings by providing information and feedback as needed
• Communicated daily goals and instructions to the team and individuals
• Identify required documentation necessary by therapy
• Call insurance to verify patient's benefits and eligibility for requested services
• Owned application process for Medicaid recipients
• Developed plan for ensured execution to plan
• Managed inbound calls from pharmacy, long term care facilities, insurance providers and specialists regarding claims
• DME Medical equipment request, order and assist with new claims and replacements
• Processed prior authorization claims
• Processed claims for approval with physician office and pharmacy.

• Handle 100+ inbound calls per day
• Updated customers regarding account status to ensure service and care for patients
• Provided ongoing education and support to customers
• Handle prior authorizations
• Processed claims for approval
• Answered medical/prescription-based questions to ensure positive customer service
• Received and sent faxes to medical facilities to ensure care for our patients
• Assisted with rejected claims + worked to resolve issues by calling several medical offices and insurance companies to receive medical coverage for patients' medical treatments.