FABIANA SCHMIDT

• Input all patient data regarding claims and prior authorizations into system accurately.
• Analyzed medical records and other documents to determine approval of requests for authorization.
• Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
• Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
• Responded to inquiries from healthcare providers regarding prior authorization requests.
• Verified eligibility and compliance with authorization requirements for service providers.
• Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.

• Greeted guests in with friendliness and professionalism.
• Worked closely with management to provide effective assistance for specific aspects of business operations.
• Assisted manager in all aspects of business operations.
• Answered incoming phone calls to process requests, transfer calls, or relay messages to appropriate personnel.
• Monitored and ordered supplies and materials to keep office well stocked.
• Reviewed and edited documents for accuracy, grammar and clarity.
• Updated database of contacts and resources for company-wide distribution.
• Created and distributed agendas for meetings and conference calls as part of meeting preparation.
• Assisted clients with daily living needs to maintain self-esteem and general wellness.
• Answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff.
• Followed detailed directions from management to complete daily paperwork and computer data entry.
• Increased customer service success rates by quickly resolving issues.
• Completed daily logs for management review.
• Proofread and edited documents for accuracy and grammar.
• Remained solutions-oriented in face of complex problems to assist management and overall business direction.
• Streamlined office operations by effectively monitoring and addressing client correspondence and data communications.
• Managed data and correspondence to secure information across complex landscapes of organizational departments.

• Answered incoming phone calls and addressed questions from customers and healthcare providers.
• 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.
• Stocked, labeled, and inventoried medication to keep accurate records.
• Counted and labeled prescriptions with correct item and quantity.
• Entered and processed patients' prescriptions into internal system.
• Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
• Assisted pharmacist by filling prescriptions for customers and responding to patient questions regarding prescription and medication-specific issues.
• Performed various pharmacy operational activities with strong commitment to accuracy, efficiency, and service quality.
• Collected co-payments or full payments from customers.
• Communicated with patients to collect information about prescriptions and medical conditions or arrange consultations with pharmacists.
• Maintained proper drug storage procedures, registries, and records for controlled drugs.
• Restocked pharmacy shelves with current merchandise to drive consistent peripheral sales.
• Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
• Counted, measured and compounded medications following standard procedures.
• Ordered medicines daily to replenish stock and increase inventory in anticipation of need.
• Resolved third-party billing, computer system and customer service issues.
• Welcomed customers to pharmacy and answered questions relating to prescriptions and over-the-counter products.
• Set up and modified patient profiles to include current medications and insurance details.
• Managed opening and closing duties for pharmacy.
• Prepared packaging and labels for prescriptions, verifying accuracy of dosage, side effects, interactions, and refill instructions.
• Helped pharmacist clear problematic prescriptions and address customer questions to keep pharmacy efficient.
• Monitored ordering of pharmacy medication stock to maintain streamlined inventory and low overhead.
• Coordinated with physicians and insurance agency representatives for speedy resolution of prescription discrepancies.
• Liaised with other pharmacies to eliminate issues related to product expiration.

Washington State Department of Health

Pharmacy Technician Certificate

Initial Issuance date 05/24/2004

Credential number VA 00055757