Jocelyn Mcpherson
Specialty Billing Technician
Tucson,AZ
Summary
Seasoned Pharmacy Technician with 14 years of experience and strong leadership skills. Well-versed in all aspects of pharmacy operations with experienced in specialty pharmacy billing and processing. In-depth knowledge of insurance coverage forms, procedures, and policies. Expert in processing prescriptions with efficiency and accuracy. Delivers courteous patient support and exceptional inventory management. Knowledgeable about regulatory guidelines and policies.
Overview
14
14
years of professional experience
2
2
Certification
Work History
Specialty Billing Technician
Walgreens Community Specialty Pharmacy
Tucson, AZ
09.2021 - Current
- Submitted claims to insurance companies.
- Identified potential areas of improvement in existing billing processes and procedures.
- Verified insurance coverage to ensure proper billing procedures were followed.
- Checked claims coding for accuracy with ICD-10 standards.
- Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
- Responded promptly to customer inquiries via phone or email regarding billing issues or questions.
- Reviewed and processed claims for accuracy and completeness, ensuring compliance with industry standards.
- Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
- Answered customer questions to maintain high satisfaction levels.
- Provided training to new staff members on company policies related to billing procedures.
- Performed insurance verification, pre-certification and pre-authorization.
- Completed day-to-day duties accurately and efficiently.
- Recognized by management for providing exceptional customer service.
- Exceeded customer satisfaction by finding creative solutions to problems.
- Maintained updated knowledge through continuing education and advanced training.
ASHP/PTCB Facilitator
Walgreen's Pharmacy
Tucson, AZ
2017 - Current
Pharmacy Operations Manager
Walgreens Community Specialty Pharmacy
Tucson, AZ
02.2022 - 03.2023
- Created reports summarizing key performance metrics related to pharmacy operations.
- Built work schedules and staff assignments, taking workload, space and equipment availability into consideration.
- Assessed safety procedures and federal regulations to maintain pharmacy compliance.
- Collaborated with medical professionals to provide patient care services in a timely manner.
- Ensured that all pharmacy staff members were trained on proper medication handling practices.
- Communicated with patients with compassion while keeping medical information private.
- Maintained awareness of government regulations, health insurance changes and financing options.
- Kept informed of advances in medicine and computerized diagnostic.
- Recruited, hired and trained new staff.
- Administered vaccines to immunize patients against communicable diseases.
- Conducted periodic audits of all pharmacy operations to verify accuracy and completeness of documentation.
- Implemented strategies to increase customer satisfaction and loyalty through improved service delivery processes.
- Mitigated regulatory risks by coordinating audits to comply with protocols.
- Worked closely with store manager to maintain day-to-day operations.
- Established quality assurance standards for all aspects of pharmacy operations.
- Coordinated with insurance companies regarding billing issues or payment disputes.
- Managed the day-to-day activities of the pharmacy, including staffing, scheduling, budgeting, and customer service.
- Developed relationships with other healthcare providers to facilitate referrals for specialty medications or treatments.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
- Provided excellent service and attention to customers when face-to-face or through phone conversations.
Education
Some College (No Degree) - General Education
- Attended 2006 - 2008
08.2001 - 05.2005
Skills
- HIPAA Compliance
- Payment Posting
- Insurance Verification
- Verbal Communication
- Customer Communication
- Invoice Processing
- Spreadsheet Management
- Customer Service
- Payment Processing
- Data Entry
- Deadline-Oriented
- Accuracy and Precision
- Billing Procedures
- Precertification Requirements
- Insurance Procedures
- Provider Relations
- Workflow Management
- Medical Terminology Knowledge
- Pharmacology
- Workflow Optimization
- Performance Monitoring
- Organizational Management
- Inventory Management
- Operational Efficiency
- Regulatory Compliance
Certification
- PTCB Certified
- Active Arizona State Board of Pharmacy Technician License
References
References available upon request.
Timeline
Pharmacy Operations Manager - Walgreens Community Specialty Pharmacy
02.2022 - 03.2023
Specialty Billing Technician - Walgreens Community Specialty Pharmacy
09.2021 - Current
ASHP/PTCB Facilitator - Walgreen's Pharmacy
2017 - Current
Sahuaro High School - ,
08.2001 - 05.2005
- PTCB Certified
- Active Arizona State Board of Pharmacy Technician License
Pima Community College - Some College (No Degree), General Education
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