Daniel Mckenzie
Orlando,FL
Summary
To obtain a long-term position where I can advance my skills and acquire new knowledge within an organization as a Customer Service Representative. Customer Service Representative bringing top-notch skills in oral and written communication, active listening and analytical problem-solving skills. Enhances customer experiences by employing service-oriented behaviors, understanding customer desires, ad providing customized solutions to build loyalty.
Overview
10
10
years of professional experience
Work History
Front Desk Receptionist
MD Joseph C Gathe JR
04.2023 - 08.2024
- Maintained organized and clean front office area to create professional and welcoming environment for visitors and employees.
- Scheduled, coordinated and confirmed appointments and meetings.
- Delivered outstanding first impressions by warmly greeting patient upon arrival at the front desk.
PA Specialist
OPTUMRX
11.2023 - 07.2024
- Received and processed prior authorizations according to established criteria and guidelines
- Managed incoming calls and faxes for prior authorizations, successfully researching and resolving associated benefit complications.
- Addressed and resolved customer issues in a timely fashion
- Assisted with various assignments directed by superiors.
Prior Authorization Specialist
careviso
03.2022 - 10.2023
- Executed Prior Authorization processing including insurance verification and investigations while also submitting appeals.
- Managed the processing of diagnostic labs for molecular and genetic analysis using multiple lab facilities such as Quest and LabCorp.
- Utilized knowledge from previous experience to adhere to lab SOP's while performing billing and processing duties.
Clinical RPhT
Magellan Rx Management
01.2021 - 02.2022
- Demonstrated positive team environment through advocacy and reinforcement
- Reviewed and sanctioned approval of telephonic auth requests received from prescribers, applying client clinical standards.
- Provided clear communication about selected prior authorization criteria, pharmacy benefit coverage, and formulary alternatives to physicians and medical management staff
Pharmacy Technician
Envolve Pharmacy
11.2020 - 12.2021
- Enhanced efficiency in handling coverage determination requests by accurately evaluating the need for pharmacist review.
- Maintained accurate documentation of coverage determination request decisions in the PBM system, promptly informing providers and members.
- Addressed client inquiries about authorization approvals and PBM online applications promptly.
- Streamlined process of referring specialty drug coverage determination requests to designated vendors or clients.
- Informed physicians, providers, and members about coverage determination request outcomes.
Pharmacy Technician
Walgreen Pharmacy Service
01.2018 - 10.2020
- Managed prescription exceptions by proactively reaching out to members and physicians, effectively resolving claim rejections.
- Ensured the precise input of members demographics and prescription information into our secured processing system
- Demonstrated problem-solving skills by researching and rectifying rejected insurance billing problems, while also addressing escalated member matters.
Sales Associate
Victoria Secret
01.2015 - 12.2016
- Organized racks and shelves to maintain store visual appeal, engage customers, and promote specific merchandise.
- Handled cash transactions efficiently while adhering to company cash handling policies, ensuring accuracy in all financial exchanges.
- Built relationships with customers to encourage repeat business.
- Managed returns, exchanges and refunds in accordance with store policy.
Sales Specialist
Diesel USA
01.2015 - 12.2016
- Built rapport with customers and assessed needs to make product recommendations and upsell.
- Educated customers about product features and benefits to aid in selecting best options for each individuals' needs.
- Built strong client relationships through consistent communication and effective problemsolving.
- Provided first-rate service to all customers and potential customers.
Education
License #81586 - Pharmacy Technician
Florida Department of Health
01.2018
High School Diploma -
Miami Carol City Senior High
06.2010
Skills
- Microsoft Office
- Microsoft Word
- Data Entry
- Time Management
- Multitasking and Organization
- Customer Service
- Strong Work Ethic
Timeline
PA Specialist
OPTUMRX
11.2023 - 07.2024
Front Desk Receptionist
MD Joseph C Gathe JR
04.2023 - 08.2024
Prior Authorization Specialist
careviso
03.2022 - 10.2023
Clinical RPhT
Magellan Rx Management
01.2021 - 02.2022
Pharmacy Technician
Envolve Pharmacy
11.2020 - 12.2021
Pharmacy Technician
Walgreen Pharmacy Service
01.2018 - 10.2020
Sales Associate
Victoria Secret
01.2015 - 12.2016
Sales Specialist
Diesel USA
01.2015 - 12.2016
License #81586 - Pharmacy Technician
Florida Department of Health
High School Diploma -
Miami Carol City Senior High
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