HEATHER LEFEVER

• Self-motivated, with a strong sense of personal responsibility.
• Passionate about learning and committed to continual improvement.
• Work flexible hours across night, weekend, and holiday shifts.
• Manage time efficiently in order to complete all tasks within deadlines.
• Skilled at working independently and collaboratively in a team environment.
• Proven ability to learn quickly and adapt to new situations.

Job Duties:

• Customer Service - Inbound and outbound calls to members, pharmacies, and Dr Offices.
• Initiating Prior Authorizations, Reconsiderations, Appeals
• Troubleshooting claims and rejections processed by the pharmacy.
• Working closely with Pharmacists to resolve issues with rejected claims.

• Customer Service/Phone
• Problem solving among nursing staff and residents medications and/or bills
• Data Entry
• Third Party Billing
• Filling Medications
• Resolve customer inquiries regarding billing, charges, and payments.
• Demonstrates ability to identify errors or inconsistencies in data entry quickly and efficiently.
• Handle escalated cases from customers regarding billing disputes professionally.
• Verify accuracy of billing data and revised any errors.
• Inventory Management
• Compounding medications such as gels, creams, oral solutions.

• Provided excellent Customer Service
• Data Entry
• Filled medications
• Worked closely with Pharmacists
• Worked Third Party claims
• Scheduler
• Assisted customers by answering simple questions, locating items and referring them to pharmacist for medication information.
• Followed standard operating procedures for maintaining accurate and readily retrievable accountability records.

• Answered Phones
• Filled Medications
• Multi-tasked between filling medications and running the cash register
• Worked closely with the pharmacist
• Resolved Third Party claims
• Received written prescriptions and verified that information was complete and accurate, such as Medicare B requirements.
• Assisted customers by answering simple questions, locating items and referring them to pharmacist for medication information.
• Maintained pharmacy inventory by restocking shelves, disposing of outdated drugs, and ordering new medications as needed.
• Operated cash registers to accept payment from customers.

• Inspected dining area before beginning shift for neatness and cleanliness according to restaurant standards.
• Responded promptly to guest complaints or concerns to maintain positive relationships
• Worked with kitchen staff to get orders out in a timely manner
• Memorized frequent customer preferences to build relationships and loyalty.
• Assisted customers with menu selections and answered questions regarding food items and beverages.
• Swept and mopped floors and removed trash.
• Managed closing duties such as counting money and cleaning.