FELIX LABOY

Contract

• Receiving and verifying prescriptions.
• Pricing and filling of prescriptions.
• Obtained pharmacist’s approval.
• Completing patient paperwork related to filling of prescription.
• Documenting/updating excel spreadsheets wherever and whenever appropriate.
• Assisting with insurance claims processing.
• Maintaining pharmacy’s employees and its patient's safety by adhering to infection-control procedures, policies and regulations.
• Sorting medication related documentation into
  appropriate pharmacy queue (Eastern, Central, Mountain, or Pacific)
• Answered incoming phone calls and addressed questions from customers and healthcare providers.
• Completed paperwork, entering prescription and insurance or billing information into patient profiles.

• Validate Claims: Verify data by reviewing, correcting, deleting or re-entering data in required fields as identified by claim's software
• Resolve claim edits and discrepancies by using standard operating procedures desk levels and business rules as required for specific claim related processing procedures
• Complete return letters for incomplete, invalid or missing claim information to providers or members utilizing appropriate application and/or template
• Electronically route claim questions to appropriate queue for clarification, explanation or resolution
• Prepares non-standard subscriber claim submissions for data entry
• Review and code non-standard provider claim submissions for data entry
• Indexes documents - Completes required data entry in specific identified fields to connect claim related documents for further processing
• Achieve and maintain acceptable level of productivity, quality and/or other established department measures.
• Worked productively in fast-moving work environment to process large volumes of claims.
• Analyzed and addressed escalated claims to resolve issues quickly.

• Preparation of medications for patients
• Receiving and verifying prescriptions
• Pricing and filling of prescriptions
• Obtained pharmacist's approval
• Completing patient paperwork related to filling of prescription
• Assisting with insurance claims processing
• Stocking and pricing of medications in inventory
• Ensuring availability of drugs by delivering them to patients or facilities
• Maintaining pharmacy's employees and its patient's safety by adhering to infection-control procedures, policies and regulations
• Setting up patients for prescription deliveries
• Quickly summarize complex information with bullet points, compelling data, or even interesting facts.
• Answered incoming phone calls and addressed questions from customers and healthcare providers.
• Completed paperwork, entering prescription and insurance or billing information into patient profiles.