Dynamic professional with extensive experience at Alliance Walgreens Specialty Pharmacy, excelling in benefits verification and conflict resolution. Proven ability to maintain meticulous documentation while ensuring compliance with safety protocols. Adept at interpersonal communication and skilled in analyzing customer accounts to enhance service delivery and resolve complex issues efficiently.
Overview
43
43
years of professional experience
Work History
Security Officer
Kellington Protection Services
Mc Kees Rocks, PA
03.2023 - Current
Followed established security and safety procedures and posted orders to include enforcement of company rules, policies, and regulations.
Checked for safety hazards and took corrective action when necessary.
Floor Associate
Amazon
McKees Rocks, PA
03.2020 - Current
Received shipments of new merchandise and distributed items to appropriate zip codes
Operated machinery such as pallet jacks or forklifts in accordance with safety protocols.
Assisted with unloading trucks when necessary.
Benefits Verification Specialist
Alliance Walgreens Specialty Pharmacy
McKees Rocks, PA
01.2014 - 03.2020
Reviewed and verified eligibility of patients for benefits coverage.
Maintained accurate records of all verification activities in a timely manner.
Collaborated with other departments to ensure proper data entry into the system.
Assisted customers with questions regarding their eligibility status or benefit coverage.
Performed follow-up calls to verify that insurance companies received requests for authorization of services.
Analyzed customer accounts to determine if they met the requirements for specific benefits packages.
Responded promptly and accurately to inquiries from patients, healthcare providers, and insurance companies via phone or email.
Initiated contact with insurance companies as necessary to obtain additional information needed for verification purposes.
Adhered to HIPAA regulations when handling confidential patient information.
Attended training sessions on new policies or procedures related to benefit verifications.
Coordinated benefits processing, including enrollments, terminations and claims.
Checked accuracy and completeness of benefits applications and documents.
Payment Resolution Specialist
Alliance Walgreens Specialty Pharmacy
McKees Rocks, PA
03.2010 - 04.2014
Interacted with internal departments such as sales, billing, collections, technical support. to ensure complete resolution of customer issues.
Evaluated current procedures for resolving customer disputes and recommended changes and improvements where necessary.
Monitored progress on active resolution efforts and maintained accurate records of activities performed related to each case.
Performed quality assurance reviews on final resolutions prior to communicating them back to customers or other stakeholders involved in the dispute process.
Advised senior management on best practices for resolving complex customer service disputes.
Developed action plans outlining specific tasks needed in order resolve high priority disputes quickly while maintaining excellent customer service levels.
Shipping Supervisor
Alliance Walgreens Specialty Pharmacy
McKees Rocks, PA
01.2007 - 03.2010
Supervised shipping personnel to ensure efficient and accurate completion of tasks.
Maintained records of all outgoing shipments, ensuring that they were accurate and complete.
Monitored staff performance to ensure compliance with company policies and procedures regarding packaging, labeling, and shipping deadlines.
Ensured safety protocols were followed when loading and unloading trucks or containers.
Coordinated with carriers to schedule pick-up and delivery times for shipments.
Managed communication between customers, vendors, suppliers, and other stakeholders throughout the entire shipment process.
Implemented quality assurance processes for verifying accuracy of shipments prior to departure.
Investigated lost packages or delayed deliveries with carriers or customers.
Monitored workers and reviewed completed work for proper performance.
Signal Support Specialist
US Army
Fort Bliss, TX
08.1982 - 08.1986
Provided technical assistance and support for communication systems, including radio, data, and voice networks.
Installed, configured, operated, and maintained communications equipment such as radios, antennas, modems and multiplexers.
Performed preventive maintenance checks on various signal equipment to ensure optimal performance.
Repaired defective components within communication systems when necessary.
Implemented security protocols to protect data transmitted over communication networks from unauthorized access or manipulation.
Investigated service outages and implemented corrective action plans as needed.
Managed inventory levels of spare parts used in repair and maintenance activities.
Installed and employed signal support systems and terminal devices for battlefield situations.
Erected antennas and used power generators to support communication operations.
Performed preventive maintenance checks, diagnosed faults and completed basic repairs.
Identified issues and initiated troubleshooting methods for signal support services, including radio, wire and battlefield automated systems.
Education
Psychology
Salem State University
Salem, MA
Skills
Proficient in [Software]
Benefits Explanation
Documentation and Reporting
Verbal and Written Communication
Benefits Interpretation
Attention to Detail
Interpersonal Communication
Surveillance techniques
Emergency response
Access control
Incident reporting
Conflict resolution
Safety protocols
Accomplishments
Good Conduct Medal
Army Accommodation Medal
Education and Training
other
Timeline
Security Officer
Kellington Protection Services
03.2023 - Current
Floor Associate
Amazon
03.2020 - Current
Benefits Verification Specialist
Alliance Walgreens Specialty Pharmacy
01.2014 - 03.2020
Payment Resolution Specialist
Alliance Walgreens Specialty Pharmacy
03.2010 - 04.2014
Shipping Supervisor
Alliance Walgreens Specialty Pharmacy
01.2007 - 03.2010
Signal Support Specialist
US Army
08.1982 - 08.1986
Psychology
Salem State University
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