JULIA BERG
Maywood,IL
Summary
Accomplished professional with expertise in claims review and appeals support at CVS Pharmacy. Proven ability to resolve complex insurance issues, leveraging strong analytical thinking and communication skills. Excel in maintaining HIPAA compliance and managing high-volume workloads, ensuring timely resolutions and customer satisfaction. Adept in Microsoft Excel and Word, enhancing documentation accuracy and efficiency.
Overview
11
11
years of professional experience
Work History
Pharmacy Technician
CVS Pharmacy
Illinois
11.2025 - Current
- Reviewed and processed multiple prescription insurance claims, resolving rejected or denied claims to facilitate approval
- Analyzed insurance responses to determine next steps, ensuring potential claim approvals
- Communicate with insurance providers and patients to resolve claim discrepancies and coverage issues
- Documented claim activity and resolutions in pharmacy systems to maintain accurate records
- Maintain strict HIPAA compliance when handling patient and insurance information
- Prioritize high-volume claim issues to ensure timely resolution and customer satisfaction
Customer Service / Operations Support
United States Postal Service
Bridgeview, IL
01.2023 - 01.2025
- Managed high-volume transactions and customer inquiries, ensuring accuracy and thoroughness to enhance customer satisfaction
- Resolved service issues by analyzing account and transaction details, delivering effective solutions to improve customer experience
- Maintained organized records and ensured compliance with federal procedures, supporting operational integrity and adherence to standards
Patient Access Representative
Duly Health and Care
Remote
01.2019 - 01.2021
- Assessed patient needs and prioritized urgent requests, coordinating same-day care to enhance patient satisfaction
- Managed high-volume inbound calls, facilitating patient scheduling, prescription requests, and care coordination for optimized patient experience
- Documented all patient interactions meticulously, ensuring continuity of care and supporting effective follow-up
- Communicated with internal departments to ensure efficient resolution of patient needs
- Maintained HIPAA compliance at all times
Unemployment Claims Administrator
Illinois Department of Human Services
Maywood, IL
01.2015 - 01.2018
- Reviewed and processed unemployment claims to verify eligibility and resolve discrepancies effectively
- Analyzed claim issues and applied policies to determine appropriate claim outcomes
- Assisted clients with appeals, claim disputes, and payment concerns
- Documented claim activity and maintained accurate records in system databases to support compliance
- Managed high-volume workload, meeting deadlines and ensuring adherence to quality standards
Education
High School Diploma -
Thorndridge High School
Dolton, IL01-2010
Skills
- Medication Management
- Prescription Processing
- Patient Record Maintenance
- Patient Consultation
- HIPAA Compliance
- Data Entry & Accuracy
- Microsoft Excel & Word
- Problem Solving & Analytical Thinking
- Time Management & Prioritization
- Communication (Written & Verbal)
- Patient Advocacy
Timeline
Pharmacy Technician
CVS Pharmacy
11.2025 - Current
Customer Service / Operations Support
United States Postal Service
01.2023 - 01.2025
Patient Access Representative
Duly Health and Care
01.2019 - 01.2021
Unemployment Claims Administrator
Illinois Department of Human Services
01.2015 - 01.2018
High School Diploma -
Thorndridge High School