Summary
Overview
Work History
Education
Skills
Certification
Timeline
customer service award, /champion of champions
Generic

Denise Hillsberry

Sand Springs

Summary

Dynamic Pharmacy Billing Specialist with Walgreens Specialty, adept at resolving billing discrepancies and enhancing customer satisfaction. Proficient in billing systems and insurance verification, I excel in team collaboration and problem-solving, ensuring compliance and accuracy in patient accounts. Recognized for improving operational efficiency and delivering exceptional service in high-pressure environments.

Overview

34
34
years of professional experience
1
1
Certification

Work History

Pharmacy Billing Specialist

Walgreens Specialty
08.2016 - Current
  • Processed billing inquiries promptly, ensuring accurate account information and resolving discrepancies efficiently.
  • Managed patient accounts with precision, ensuring compliance with insurance regulations and company policies.
  • Collaborated with cross-functional teams to resolve complex billing issues, improving customer satisfaction rates significantly.
  • research and find financial assistance for Specialty medications
  • answer patients calls and questions about cost and filling procedures
  • make outbound calls to schedule delivery of medications to patient home
  • work with physicians office to find prior authorization forms and financial assistance forms
  • work with a promote system to account for limited Distribution Drugs
  • assist in locating pharmacies that Dispense Limited Distribution Drugs
  • work with Hospital to maintain inventory for St Jude Patients
  • Schedule delivery of medications using Fedex,Doordash, or other carrier options that are available

Pharmacy Service Representative

Global Health Insurance
05.2013 - 08.2016
  • Trained and mentored new team members on pharmacy procedures and best practices.
  • Delivered exceptional customer service to patients and healthcare providers.
  • liaison between reviewing pharmacists and physicians office
  • assisted in prior Authorization Reviews
  • Collected minutes at meeting to create new pharmacy formularies
  • entered the approved prior authorizations so pharmacy can process claim's
  • resolved pharmacy rejections so they may process correctly
  • answered patients questions about their insurance benefits
  • mailed notification letters to patients
  • created letter formats and letterheads that would be mailed to pt

Pharmacy Technician

Walgreens
08.2006 - 05.2014
  • Collaborated with healthcare professionals to clarify prescriptions and optimize patient outcomes.
  • Utilized pharmacy management software to document services provided and track medication usage.
  • Monitored prescription fill rates, identifying trends to enhance workflow efficiency and accuracy.
  • 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.
  • 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.
  • Provided exceptional customer service, fostering positive relationships with both new and returning patients at the pharmacy counter.
  • Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
  • Supported inventory management initiatives through accurate record-keeping of received shipments and expired medications for disposal purposes.
  • Maintained proper drug storage procedures, registries, and records for controlled drugs.
  • Ordered medicines daily to replenish stock and increase inventory in anticipation of need.
  • Managed opening and closing duties for pharmacy
  • Created the work schedule for the department

Pharmacy Technician

Walmart Pharmacy
01.1994 - 08.2006
  • Processed prescription orders accurately to ensure patient safety and medication adherence.
  • Assisted pharmacists in inventory management, including stock rotation and expiration tracking.
  • Provided exceptional customer service by addressing inquiries and resolving issues promptly.
  • Maintained clean and organized workspace to comply with health and safety regulations.
  • Answered incoming phone calls and addressed questions from customers and healthcare providers.
  • Stocked, labeled, and inventoried medication to keep accurate records.
  • Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
  • Trained new pharmacy staff on operational procedures and software systems for efficiency.
  • Entered and processed patients' prescriptions into internal system.

Department Manager

Walmart Pharmacy
08.1993 - 01.1994
  • Assisted in implementing process improvements that streamlined operational tasks across the department.
  • Coordinated project timelines and resource allocation to optimize workflow efficiency.
  • Oversaw inventory management processes, maintaining optimal stock levels while minimizing waste and losses due to shrinkage or obsolescence.
  • Improved customer satisfaction rates through attentive service, prompt issue resolution, and continuous process improvements.

Assistant Manager

Mazzios Pizza
07.1991 - 05.1993

opened Store

did inventory

made shift schedules

balanced Tills end of day

customer Service

Waited tables

Education

Some College

Northeastern State University
Tahlequah

High School Diploma -

Cleveland HighSchool
Cleveland, Ok
05-1988

Skills

  • Billing systems and software
  • Insurance verification
  • Invoice processing
  • Customer service
  • Claims processing
  • Data entry proficiency
  • Decision-making
  • HIPAA compliance
  • Invoice generation
  • Team collaboration
  • Problem-solving
  • Multitasking and organization
  • Verbal and written communication
  • Conflict resolution
  • Administrative support

Certification

Oklahoma State Pharmacy Licence

PtCB National Pharmacy Licence

Timeline

Pharmacy Billing Specialist

Walgreens Specialty
08.2016 - Current

Pharmacy Service Representative

Global Health Insurance
05.2013 - 08.2016

Pharmacy Technician

Walgreens
08.2006 - 05.2014

Pharmacy Technician

Walmart Pharmacy
01.1994 - 08.2006

Department Manager

Walmart Pharmacy
08.1993 - 01.1994

Assistant Manager

Mazzios Pizza
07.1991 - 05.1993

Some College

Northeastern State University

High School Diploma -

Cleveland HighSchool

customer service award, /champion of champions

This award was given by a customer calling in and give a great review of my service. Patient was without their prescription wrote to company at how i went was able get a new prescription and billed correctly to keep them from missing any doses. they went on to say that i was very professional. i was acknowledge by the company with a Plaque. 

Denise Hillsberry