Summary
Skills
Work History
Education
Certification
Languages
Contact
Education and Training
Licensing and computer skills:
Overview
Generic
Gabriela  Amado

Gabriela Amado

Rocklin,CA

Summary

Strategic thinker with expertise in pharmacy implementation and insurance, dedicated to delivering exceptional service and upholding ethical standards. Highly innovative and enthusiastic Health Insurance Representative, thriving on the opportunity to contribute to the industry with a strong sense of purpose. Committed to providing comprehensive support and ensuring optimal outcomes for clients, driven by a passion for improving healthcare access and affordability.

Skills

  • Regulatory compliance understanding
  • Account management expertise
  • Reporting abilities
  • Documentation skills
  • Excel proficient
  • Project management
  • Object-oriented programming
  • Software integration
  • Documentation updates
  • IT project coordination
  • Teamwork and collaboration
  • Multitasking
  • Reliability
  • Critical thinking
  • Excellent communication
  • Organizational skills
  • HIPAA compliance

Work History

Pharmacy Clinical Coordinator- Medicaid

Centene Pharmacy
02.2020 - Current


  • Enhanced data collection accuracy through system structuring for desktop spreadsheets.
  • Engaged customers and provided high level of service by carefully explaining details about documents.
  • Resolved routine and complex issues by performing detailed research.
  • Skillfully and patiently explained coverage options to potential policyholders, answering any questions or concerns.
  • Resolved Pharmacy claims issues quickly through meticulous research, problem solving and data.
  • Provided quick turnaround time when customers called with questions.
  • Maintained pleasant and cordial attitude at all times, even when issues arose.
  • Enhanced data collection precision by meticulously documenting client account details.
  • Participated in ongoing professional development to increase product knowledge.
  • Executed complex Excel projects for Medicaid implementations.
  • Handled communications and projects related to Medicaid from pharmacists proficiently.
  • Excel proficient
  • Consistently met project deadlines by effectively managing priorities and maintaining a strong work ethic.
  • Managed multiple projects simultaneously, ensuring timely completion and high-quality results.
  • Collaborated with cross-functional teams for seamless integration of diverse systems.
  • Implemented rigorous quality assurance protocols to minimize errors and ensure optimal program functionality.
  • Liaised between technical teams and business stakeholders to ensure alignment of requirements with developed solutions.
  • Consistently met project deadlines by effectively prioritizing tasks and managing time efficiently.

Lead Pharmacy Technician

Bel Air Pharmacy- A Raley’s Company
03.1999 - 02.2020
  • Handled claim transmission to insurers, ensuring accurate EOB reconciliation.
  • Managed incoming voicemails with timely attention for healthcare professionals and clients.
  • Managed communications with insurers to verify and process bills.
  • Helped maintain a clean and organized workspace for optimal efficiency during high-volume periods.
  • Answered incoming phone calls and addressed questions from customers and healthcare providers.
  • Promoted teamwork among pharmacy staff, fostering a collaborative environment for improved productivity.
  • Resolved non-routine issues like third-party billing, computer system, and customer service issues.
  • Maintained and updated patient records, prescription information and patient data in accordance with HIPAA regulations.
  • Stocked, labeled, and inventoried medication to keep accurate records.
  • Optimized inventory management, regularly reviewing stock levels and placing timely orders to prevent shortages or overstocking issues.
  • Helped pharmacist clear problematic prescriptions and address customer questions to keep pharmacy efficient.
  • Maintained compliance with all federal and state regulations related to pharmaceutical operations, ensuring accurate record-keeping and documentation practices.
  • Developed strong relationships with healthcare providers, facilitating efficient communication regarding prescription clarifications and adjustments.
  • Assisted in conducting periodic audits to ensure adherence to established policies, reporting discrepancies for corrective action.
  • Implemented new technologies within the pharmacy workflow, increasing overall efficiency and accuracy in daily tasks.
  • Resolved third-party billing, computer system and customer service issues.
  • Coordinated with physicians and insurance agency representatives for speedy resolution of prescription discrepancies.
  • Provided consultations and answered inquiries from patients, healthcare professionals and physicians regarding drugs, potential side effects, and specified use.
  • Billed insurance for Medi-cal, CCS, Medicaid, Disability

Education

High School Diploma - Government

Roseville High
Roseville, CA
06.1994

Certification

Pharmacy Technician License

Languages

Spanish
Professional Working

Contact

Centene

(314) 725-4477

Debra Jacks

Education and Training

Roseville High School, CA

Sierra College Rocklin, CA

Licensing and computer skills:

CA State Board of Pharmacy License # 44575

Knowledgeable in Excel, Microsoft Word and Outlook.

Overview

26
26
years of professional experience
1
1
Certificate
Gabriela Amado