Summary
Overview
Work History
Education
Skills
Programs
Languages
References
Timeline
Generic
Elizabeth Rivera-Stokes

Elizabeth Rivera-Stokes

Lodi,NJ

Summary

To gain an entry into the Medical or Business profession using the skills that I have learned with a company that will allow me to grow and increase my skills and knowledge. Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.

Overview

11
11
years of professional experience

Work History

Pharmacy Technician/Part time

CVS
Garfield
08.2021 - Current
  • Production work-filling prescriptions, Cashier assisting with prescription pickup, Updating insurance info and rebilling, Returning to Stock meds that were not picked up after 2 weeks

Collector Specialist

Valley Health Systems/Valley Medical Group
Paramus
08.2019 - Current
  • Taking calls from patients, resubmitting claims when necessary, Taking payments over the phone from patients, Applying discounts when necessary

Precertification Representative

Precision Billing & Consulting Services LLC.
Hackensack
08.2015 - 03.2020
  • Requesting Precertification for Physical Therapy, Chiropractic care and other outpatient services, Appealing when necessary, Following on Precertification request, verifying eligibility if authorization is required

Patient Account Representative

Medassets/Kforce
Saddle River
05.2015 - 08.2015
  • Submitting Appeals and corrected claims, Calling Insurance for claim status, Obtaining authorizations and verifying eligibility

Verification Representative

Surgem/Sovereign Medical Group
Glen Rock
07.2013 - 11.2014
  • Verifying scheduled patients for outpatient surgery, Obtaining precertification and authorization when needed, Contacting patients when copays are due or deductibles have not been met

Education

Commission -

Notary For The State of New Jersey Bergen County
02-2029

License -

State of NJ Board of Pharmacy
08.2022

GED -

High School Diploma
Camden, NJ
05-2007

Certificate - Medical Billing

CSC Institute
03.2004

Certificate - Business Administration

Camden County Vocational Technical School
06.1998

Certificate - Phlebotomy

Helen Fulde School of Nursing
08-1997

Certificate - Medical Assistant

Omega Institute
04.1989

Associate of Applied Science - Medical Insurance Coding

DeVry University Online
Downers Grove, IL

Skills

  • Medicare Denials
  • Commercial
  • Workers’ Comp
  • No Fault
  • Precertification Request
  • Insurance verification
  • Appealing claims and Precertification Denials
  • Customer Service
  • Microsoft word
  • Outlook
  • POS system
  • Sales
  • Event Planning
  • Google
  • All social Media outlets
  • Leadership
  • Critical thinking
  • Team Player
  • Decision making
  • Stocking Shelves
  • Labeling Prescriptions
  • Processing Payments
  • Supporting Pharmacy Operations
  • Resolving Customer Issues
  • Proper Labeling Procedures
  • Workflow Optimization
  • Prescription Filling
  • Insurance Verification
  • Medication Dispensing
  • Regulatory Compliance

Programs

  • Maxine
  • Medical Manager
  • Microsoft Outlook
  • Navinet
  • Gateway
  • Citrix
  • CureMD
  • Eclipse
  • Athena
  • Meditech

Languages

  • Bilingual English/Spanish
  • Read and Write Spanish

References

References available upon request.

Timeline

Pharmacy Technician/Part time

CVS
08.2021 - Current

Collector Specialist

Valley Health Systems/Valley Medical Group
08.2019 - Current

Precertification Representative

Precision Billing & Consulting Services LLC.
08.2015 - 03.2020

Patient Account Representative

Medassets/Kforce
05.2015 - 08.2015

Verification Representative

Surgem/Sovereign Medical Group
07.2013 - 11.2014

Commission -

Notary For The State of New Jersey Bergen County

License -

State of NJ Board of Pharmacy

GED -

High School Diploma

Certificate - Medical Billing

CSC Institute

Certificate - Business Administration

Camden County Vocational Technical School

Certificate - Phlebotomy

Helen Fulde School of Nursing

Certificate - Medical Assistant

Omega Institute

Associate of Applied Science - Medical Insurance Coding

DeVry University Online
Elizabeth Rivera-Stokes