Ghazal Khan
Chatsworth
Summary
Professional with strong background in verification and quality assurance with more than 5 years. Skilled in data analysis, compliance checks, and process optimization. Known for strong team collaboration and adaptability to changing needs. Reliable and focused on achieving results with integrity and precision.
Overview
15
15
years of professional experience
Work History
Benefit Verification Rep III
CVS Specialty Pharmacy
01.2021 - Current
- Meticulously verified insurance coverage of customer accounts daily, resolving tasks, and consistently meeting metrics. Delivered exceptional customer service, addressing patient inquiries weekly and achieving outstanding quality satisfaction rating.
- Coordinate effectively with healthcare professionals to promptly respond to prior authorization requests resulting in the successful granting of authorizations.
- Demonstrate profound knowledge of insurance practices by accurately inputting patient eligibility information and ensuring remarkable accuracy rate and facilitating seamless claim processing.
- Facilitate training for new hires and offer ongoing support as a subject matter expert (SME).
- Collaborate with cross-functional teams to deliver quality care to our patients.
- Cultivate communication with account managers to implement resolutions to serve patients’ needs.
- Proactively identify areas of improvements for the Standard Operating Procedure (SOP).
- Demonstrated adaptability by quickly learning new systems and processes as they were introduced within the workplace.
- Participated in ongoing training opportunities to expand knowledge of industry-specific regulations or advancements relevant to our clientele base''s unique needs.
- Collaborated with team members to develop new strategies for improving verification processes.
- Identified areas for improvement within the verification system, implementing changes that increased efficiency and accuracy rates.
- Determined appropriateness of payers to protect organization and minimize risk.
Administration Specialist III
Kaiser Permanente
01.2016 - 01.2017
- Implemented streamlined administrative processes that significantly reduced processing time and enhanced the efficiency and precision of invoicing and budget tracking. Optimized Gift Shop operations by collaborating with vendors to resolve discrepancies, while generating comprehensive sales reports and memos for managerial review.
- Led the onboarding process for new volunteers, effectively decreasing training time required and ensuring compliance with company protocols.
- Orchestrated project meetings, issued meeting notices, established milestones and timelines, and meticulously validated data.
- Distributed program information, assisted candidates in navigating application processes, conducted pre-screening, and carried out interviews for KP’s Summer Youth Employment Program (SYEP).
- Increased customer satisfaction through prompt responses to inquiries, consistent follow-ups, and excellent problem-solving skills.
Human Resources Intern
Kaiser Permanente
01.2016 - 01.2016
- Utilized the Taleo Applicant Tracking System to retrieve applications and filter candidates based on job descriptions, positions, experience levels, and locations.
- Contributed to the creation of compelling candidate profiles on the kp.org website, proficiently inputting personal information and professional experiences.
- Developed innovative strategies for recruitment and retention in close collaboration with Recruiters, Consultants, and Project Managers.
- Answered phone and performed clerical duties to assist human resources department.
Pharmacy Technician
Kaiser Permanente
01.2011 - 01.2014
- Supervised new hires and provided training for Enterprise Pharmacy Information Management System (EPIMS).
- Efficiently processed prescription requests for medical personnel, ensuring compliant distribution of medications.
- Maintained vigilant oversight of pharmacy equipment and supplies, managing inventory & cost-effective stock replacements.
Education
Bachelor of Science - Health Administration
California State University, Northridge
01.2016
Pharmacy Technician Certification - undefined
United Education Institute (UEI)
01.2010
Skills
- Team Collaboration & Leadership
- Strategic Planning
- Process Optimization
- Detailed Oriented
- Epic Systems
- Cost management
- Medical Terminology
- Patient-Centered Care
- Accuracy and precision
- Benefits verification
- Customer relationship management
- Teamwork and collaboration
Accomplishments
- Team Development | Leadership Excellence
- Provided hands-on guidance a Subject Matter Expert (SME) new hires and team members for BOB and COE therapies while prioritizing consistency and thoroughness, cultivating a culture of excellence, and fostering professional development among the team.
- Kaiser Permanente “5 Years of Dedicated Services” recipient (2013).
Timeline
Benefit Verification Rep III
CVS Specialty Pharmacy
01.2021 - Current
Administration Specialist III
Kaiser Permanente
01.2016 - 01.2017
Human Resources Intern
Kaiser Permanente
01.2016 - 01.2016
Pharmacy Technician
Kaiser Permanente
01.2011 - 01.2014
Pharmacy Technician Certification - undefined
United Education Institute (UEI)
Bachelor of Science - Health Administration
California State University, Northridge
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