Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Hillary Clemmer

Ripley,MS

Summary

Dynamic Insurance Coordinator at Syntriq Health Solutions with proven expertise in insurance claims processing and customer service. Adept at resolving complex claims and enhancing team collaboration, achieving revenue goals through meticulous attention to detail and strategic problem-solving. Committed to maintaining patient confidentiality while delivering exceptional support and fostering positive relationships.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Insurance Coordinator

Syntriq Health Solutions
09.2023 - Current
  • Verified insurance and communicated coverage to staff and patients.
  • Assisted clients with understanding complex insurance policies, effectively addressing concerns or questions.
  • Obtained data such as patient, insurance ID, insurance provider and medical codes to properly file insurance claims.
  • Achieved revenue goals by managing collections and accounts receivables, referral process, and insurance billing.
  • Contributed positively to team morale by consistently demonstrating a collaborative attitude and willingness to support colleagues.
  • Assisted in resolving complex insurance claims, liaising between clients and providers for favorable outcomes.
  • Made contact with insurance carriers to discuss policies and individual patient benefits.
  • Posted payments to accounts and maintained records.
  • Generated, posted and attached information to claim files.
  • Maintained confidentiality of patient finances, records, and health statuses.
  • Communicated effectively with staff members of operations, finance and clinical departments.
  • Checked documentation for accuracy and validity on updated systems.

Senior Pharmacy Technician

Walgreens
01.2021 - 09.2023
  • Increased overall pharmacy productivity by restocking supplies, organizing shelves, and maintaining cleanliness according to standards.
  • Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
  • Improved patient satisfaction by efficiently processing prescriptions and managing inventory in a timely manner.
  • Performed various pharmacy operational activities with strong commitment to accuracy, efficiency, and service quality.
  • Assisted in training new team members on standard operating procedures to ensure consistent quality of service across the entire team.
  • Maximized pharmacy efficiency through effective communication with staff members and adherence to procedures.
  • Communicated with patients to collect information about prescriptions and medical conditions or arrange consultations with pharmacists.
  • Supported inventory management initiatives through accurate record-keeping of received shipments and expired medications for disposal purposes.
  • Streamlined prescription processing with accurate data entry and verification of patient information.
  • Restocked pharmacy shelves with current merchandise to drive consistent peripheral sales.
  • Ordered medicines daily to replenish stock and increase inventory in anticipation of need.
  • Optimized workflow efficiency through participation in regular team meetings discussing areas for improvement within the department.
  • Conducted routine checks of pharmaceutical stocks to maintain quality control.
  • Managed medication inventory, ensuring availability of all necessary drugs.
  • Engaged in continuous learning to stay updated on pharmaceutical practices and products.
  • Provided exceptional customer service, resolving queries and concerns with empathy and professionalism.
  • Utilized pharmacy management software to process prescriptions efficiently.
  • Maintained clean and organized work environment, adhering to health and safety standards.
  • Participated in community health events, representing pharmacy and providing valuable health information.
  • Enhanced patient care by accurately filling prescriptions under pharmacist supervision.
  • Managed opening and closing duties for pharmacy.
  • Set up and modified patient profiles to include current medications and insurance details.
  • 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.
  • Answered incoming phone calls and addressed questions from customers and healthcare providers.
  • Stocked, labeled, and inventoried medication to keep accurate records.
  • Enhanced pharmacy workflow by assisting pharmacists with medication dispensing, labeling, and packaging.
  • Promoted patient confidentiality by adhering to HIPAA regulations when handling personal information during transactions.
  • Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
  • Assisted in maintaining a clean and organized work environment, ensuring compliance with safety regulations.
  • Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.

Pharmacy Technician

Walgreens
09.2019 - 01.2021
  • Answered incoming phone calls and addressed questions from customers and healthcare providers.
  • Stocked, labeled, and inventoried medication to keep accurate records.
  • Enhanced pharmacy workflow by assisting pharmacists with medication dispensing, labeling, and packaging.
  • Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
  • Promoted patient confidentiality by adhering to HIPAA regulations when handling personal information during transactions.
  • Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
  • Counted and labeled prescriptions with correct item and quantity.
  • Assisted in maintaining a clean and organized work environment, ensuring compliance with safety regulations.
  • Provided exceptional customer service, fostering positive relationships with both new and returning patients at the pharmacy counter.
  • Entered and processed patients' prescriptions into internal system.
  • Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
  • Reduced medication errors by diligently cross-checking medications against patients'' profiles before dispensing.
  • Counted, measured, and compounded medications following standard procedures.
  • Maintained proper drug storage procedures, registries, and records for controlled drugs.
  • Collected co-payments or full payments from customers.
  • Contributed to the reduction of prescription wait times by promptly addressing refill requests and insurance authorizations.
  • Assisted pharmacists in preparing and dispensing medications to ensure patient safety.
  • Collaborated with healthcare professionals to clarify prescription details, ensuring accuracy.
  • Supported insurance claim processing, facilitating smoother patient transactions.
  • Resolved third-party billing, computer system and customer service issues.
  • Coordinated with physicians and insurance agency representatives for speedy resolution of prescription discrepancies.

Shift Manager/Key Holder

CVS Pharmacy
04.2016 - 08.2019
  • Trained new employees on company policies, procedures, and job-specific tasks to ensure their success in the role.
  • Oversaw cash handling procedures, maintaining accurate records of transactions and preventing discrepancies.
  • Delegated tasks effectively among team members based on their strengths and skill sets leading to greater productivity levels.
  • Maintained store cleanliness throughout the day to create a welcoming atmosphere for both customers and staff members alike.
  • Worked closely with team members to schedule breaks and shifts to meet state regulations.
  • Managed inventory levels, ensuring adequate stock for smooth business operations and minimizing waste.
  • Assisted customers with inquiries or concerns promptly and professionally, enhancing brand reputation for excellent service.
  • Ensured compliance with all company standards as well as local health and safety regulations during each shift.
  • Counted registers and cleaned and secured shop at end of shift.
  • Opened and closed location and monitored shift changes to uphold successful operations strategies and maximize business success.

Customer Service Representative

CVS Pharmacy
12.2015 - 04.2016
  • Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
  • Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
  • Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
  • Responded to customer requests for products, services, and company information.
  • Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
  • Addressed customer inquiries to ensure satisfaction and foster positive service experience.
  • Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
  • Responded proactively and positively to rapid change.
  • Managed timely and effective replacement of damaged or missing products.
  • Monitored cash drawers in multiple checkout stations and maintained adequate cash supply.
  • Maintained clean and orderly checkout areas by mopping floors, emptying trash cans and wiping down surfaces.

Education

High School Diploma -

Abeka Christian Academy
Pensacola, FL
07.2017

Skills

  • Insurance claims processing
  • Insurance processes
  • Insurance verification
  • Customer service and assistance
  • Claims
  • Strategic thinking skills
  • Microsoft office
  • Sales support
  • Insurance coverage verification
  • Attention to detail
  • Organizing and prioritizing work
  • Data entry
  • Teamwork and collaboration
  • Paperwork processing
  • Documentation skills
  • Critical thinking
  • Customer service
  • Recordkeeping organization
  • Teamwork
  • Problem-solving
  • Time management
  • Problem-solving abilities
  • Multitasking
  • Organizational skills
  • Adaptability and flexibility
  • Verbal and written communication

Certification

Certified Pharmacy Technician in the state of Mississippi (ExCPT)

Timeline

Insurance Coordinator

Syntriq Health Solutions
09.2023 - Current

Senior Pharmacy Technician

Walgreens
01.2021 - 09.2023

Pharmacy Technician

Walgreens
09.2019 - 01.2021

Shift Manager/Key Holder

CVS Pharmacy
04.2016 - 08.2019

Customer Service Representative

CVS Pharmacy
12.2015 - 04.2016

High School Diploma -

Abeka Christian Academy

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Hillary Clemmer