Jennifer Friedlund
Gurnee,IL
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Patient Access Specialist
AbbVie
2024.02 - Current
- Maintained patient confidentiality by adhering to HIPAA guidelines and hospital policies.
- Provided exceptional customer service, addressing patient concerns promptly and professionally.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Handled sensitive situations involving distressed patients with empathy maintaining professionalism throughout interactions.
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Verified insurance coverage and obtained necessary authorizations to ensure timely billing and reimbursement.
- Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
- Contributed to a positive work environment through effective teamwork and communication with colleagues.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Verified patient insurance eligibility and entered patient information into system.
- Facilitated communication between patients and various departments and staff.
Pharmacy Operations Manager
Walgreens
2022.03 - Current
- Protected drug inventories from damage or theft by establishing and enforcing clear pharmacy security policies.
- Monitored and managed pharmacy staff performance to maximize productivity and customer satisfaction.
- Vaccinated patients to provide immunity against influenza, pneumonia, and other diseases.
- Collaborated with store manager to maintain daily operations.
- Ordered all pharmacy supplies and kept check on inventory levels.
- Trained pharmacy interns and newly hired pharmacy technicians.
- Enforced compliance with pharmacy regulations and maintained up-to-date records of all medications dispensed.
- Supervised team of 4 front desk agents and helped to resolve issues arising during shifts.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
- Communicated with patients, ensuring that medical information was kept private.
- Removed trash and straightened counters to keep pharmacy area clean and neat.
- Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and residents for continued compliance with associated regulations.
Pharmacy Technician
Walgreens
1997.09 - Current
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
- Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
- Stocked, labeled, and inventoried medication to keep accurate records.
- Counted and labeled prescriptions with correct item and quantity.
- Entered and processed patients' prescriptions into internal system.
- Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
- Assisted pharmacist by filling prescriptions for customers and responding to patient questions regarding prescription and medication-specific issues.
- Performed various pharmacy operational activities with strong commitment to accuracy, efficiency, and service quality.
- Collected co-payments or full payments from customers.
- Communicated with patients to collect information about prescriptions and medical conditions or arrange consultations with pharmacists.
- Maintained proper drug storage procedures, registries, and records for controlled drugs.
- Restocked pharmacy shelves with current merchandise to drive consistent peripheral sales.
- Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
- Ordered medicines daily to replenish stock and increase inventory in anticipation of need.
- Resolved third-party billing, computer system and customer service issues.
- Welcomed customers to pharmacy and answered questions relating to prescriptions and over-the-counter products.
- Set up and modified patient profiles to include current medications and insurance details.
- Managed opening and closing duties for pharmacy.
- Helped pharmacist clear problematic prescriptions and address customer questions to keep pharmacy efficient.
- Located and measured medications according to prescription information, making modifications as instructed by pharmacists and providers.
Billing Specialist
Walgreens
2017.03 - 2022.03
- Researched and resolved billing discrepancies to enable accurate billing.
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
- Monitored customer accounts to identify and rectify billing issues.
- Provided excellent customer service, developing and maintaining client relationships.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Processed and verified invoices to secure accuracy of billing information.
- Responded to customer concerns and questions on daily basis.
- Audited and corrected billing and posting documents for accuracy.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Utilized various software programs to process customer payments.
Prior Authorization Specialist
Walgreens
2017.03 - 2022.03
- Input all patient data regarding claims and prior authorizations into system accurately.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
- Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
- Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
- Developed and maintained productive working relationships with healthcare providers.
- Fielded telephone inquiries on authorization details from plan members and medical staff.
- Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
- Communicated with people from various cultures and backgrounds on application process.
- Assisted clients with completion of applications and paperwork.
- Reviewed applications for different aid programs and determined which qualification criteria for individuals.
Education
Warren Township High School
Gurnee, IL06.1997
Skills
- Pharmacy Operations Management
- Inventory and Restocking
- Medication Dispensing
- Training and Mentoring
- Inventory Control
- Drug Inventory Management
- Operations Management
- Direct Patient Care
- Employee Management
- Budget Administration
- Medication Therapy Management
- Staff Training
Certification
Certified Pharmacy Technician with PTCB
Timeline
Patient Access Specialist
AbbVie
2024.02 - Current
Pharmacy Operations Manager
Walgreens
2022.03 - Current
Billing Specialist
Walgreens
2017.03 - 2022.03
Prior Authorization Specialist
Walgreens
2017.03 - 2022.03
Pharmacy Technician
Walgreens
1997.09 - Current
Warren Township High School