Summary
Overview
Work History
Education
Skills
Accomplishments
Education and Training
Timeline
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John Fisher

Mc Kees Rocks,PA

Summary

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
John Fisher