Julie Fischer

• Analyze drug list and formulary coding documents to ensure information provided meets requirements.
• Accurately and efficiently coded, audited and validated pre and post production on cases to ensure no errors were made prior to implementation.
• Responsible for monitoring daily dashboard to ensure all cases have been processed on time.
• Wrote workflows and presented to new colleague's.

• Enhanced Medicare and Commercial customer satisfaction by resolving complex pharmacy benefit plan issues via the internet.
• Processed first level complaints and appeals regarding pharmacy benefits. Referenced and interpreted summary plan documents, created member letters with the outcome.
• Mentored new colleagues to help develop their skills, leading to higher performance levels.

Assisted member's with Aetna Navigator questions and resolved log in problems.