Ivelisse Quiles
Kissimmee,FL
Summary
Dedicated and focused Team Lead who excels at prioritizing, completing multiple tasks simultaneously and following through to achieve project goals. Seeking a role of increased responsibility and challenge.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Authorization Specialist
Capstone Vital Care
12.2023 - Current
- Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
- Supported clinical staff by providing timely updates on status of prior authorizations for various services.
- Ensured prompt resolution of denied claims through comprehensive analysis of denial reasons and timely submission of necessary documentation for reconsideration or appeal.
- Improved patient satisfaction by streamlining authorization processes and ensuring timely responses to inquiries.
Pharmacy Technician
Genoa Healthcare Pharmacy
09.2014 - 12.2023
- Assisted Pharmacist with prescriptions processing, inventory ordering and gathering necessary documents for successful pharmacy audits
- Researched and resolved prescription insurance claims
- Trained new hires
- Completed daily and weekly reports
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
- Provided exceptional customer service, fostering positive relationships with both new and returning patients at the pharmacy counter.
Lead Pharmacy Technician
Millennium Pharmacy Systems
07.2009 - 01.2013
- Communicated directly with Nursing Homes and Rehabilitation Centers via telephone, fax, email and ticketing system
- Managed pharmacy inventory through proper medication ordering, returns and inter-store transfers
- Proficiently processed and dispensed electronic prescriptions
- Interviewed, trained and mentored new employees.
- Monitored workflow
- Promoted teamwork among pharmacy staff, fostering a collaborative environment for improved productivity.
- Optimized inventory management, regularly reviewing stock levels and placing timely orders to prevent shortages or overstocking issues.
Skills
- Insurance Verification
- HIPAA Compliance
- Prior authorization processing
- Documentation and paperwork
- Effective communication skills
- Telephone Etiquette
- Proficient in Spanish
- Audit Support
Certification
- Florida Board of Pharmacy, Registered Pharmacy Technician
- Pharmacy Technician Board, Pharmacy Technician Certification
- University of Phoenix, Accounting Associate of Arts
Accomplishments
- Coordinated all department functions of 12+ employees.
- Increased office organization by developing more efficient filing system.
- Translated pharmacy communications for Spanish speaking customers.
- Worked with company systems and diligently completed all assigned tasks, working overtime as needed.
Highlight
- Staff training and development
- Dead-line oriented
- Sound decision making
- Self starter
- Efficient and accurate
- Excellent phone etiquette
- Dedicated team player
Timeline
Authorization Specialist
Capstone Vital Care
12.2023 - Current
Pharmacy Technician
Genoa Healthcare Pharmacy
09.2014 - 12.2023
Lead Pharmacy Technician
Millennium Pharmacy Systems
07.2009 - 01.2013
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