Obtain a position with a prominent company, which will allow me to apply both my clerical and customer service experience gained from both past and current employers. Obtain a position with a company who offers growth opportunities, with the ability to advance with the company.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Pharmacy Operations Manager
Walgreens
02.2022 - Current
Managed budget and resources effectively to maximize profitability while maintaining a high-quality service for patients.
Evaluated staff performance regularly to ensure they meet established goals while providing coaching or corrective action when necessary.
Addressed patient complaints promptly and professionally, working collaboratively with other healthcare professionals as needed to resolve issues satisfactorily for all parties involved.
Improved pharmacy efficiency by streamlining operations and implementing new inventory management systems.
Optimized workflow processes within the pharmacy to reduce wait times for patients without compromising accuracy or safety standards in prescription fulfillment.
Enhanced employee engagement and performance through regular feedback sessions, performance reviews, and professional development opportunities.
Supervised a team of technicians, fostering an environment of collaboration, continuous improvement, and mutual respect among team members.
Expanded pharmacy services by overseeing the successful launch of immunization programs and medication therapy management initiatives.
Increased customer satisfaction by enhancing communication between pharmacists, technicians, and customers.
Certified Pharmacy Technician
Walgreens
12.2017 - 02.2022
Runs each department efficiently
Problem-solving with returns
Customer interaction with sales of pharmaceuticals at the store
Data entry and verification in the store and insurance system
Insurance verification for claims with prescriptions
Maintains HIIPA/ patient privacy
Licensed Pharmacy Technician
Certified Pharmacy Technician
Trained new pharmacy technicians on proper procedures and best practices, ensuring consistent quality of service.
Answered incoming phone calls and addressed questions from customers and healthcare providers.
Stocked, labeled, and inventoried medication to keep accurate records.
Completed paperwork, entering prescription and insurance or billing information into patient profiles.
Enhanced patient care by accurately filling and dispensing prescriptions in a timely manner.
Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
Increased customer satisfaction by delivering friendly, personalized service during transactions.
Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
Assisted in preparation, distribution and storage of pharmaceuticals.
Insurance Coordinator
TN Implant and Oral Surgery
10.2021 - 09.2022
Welcomes patients and visitors by greeting patients and visitors, in person or on the telephone; answering or referring inquiries.
Schedules according to office scheduling guidelines
Verifies insurance benefits and provides procedure estimates based on information obtained from insurance provider
Inputs patient payment information for services rendered
Keeps patient appointments on schedule by notifying provider of patient's arrival; reviewing service delivery compared to schedule; reminding provider of service delays.
Ensures availability of treatment information by filing and retrieving patient records.
Maintain confidentiality/HIPPA.
Maintains patient accounts by obtaining, recording, and updating personal and financial information.
Follows policies and procedures to contribute to the efficiency of the office. Covers and assists with other office functions as requested.
Obtains revenue by recording and updating financial information; recording and collecting patient charges; controlling credit extended to patients; filing, collecting, and expediting third-party claims.
Contributes to team effort by accomplishing related results as needed
Verified insurance and communicated coverage to staff and patients.
Managed a high volume of inbound calls, promptly resolving issues while providing accurate information on policies and procedures.
Assisted clients with understanding complex insurance policies, effectively addressing concerns or questions.
Appeals Team Lead
Parallon Business Solutions – Nashville Shared Service Center
07.2019 - 07.2020
Responsible for creating and assigning workflow to employees each day
Analyze reports and find trends to make production more efficient
Review and approve transaction edits to ensure accuracy
Responsible for reviewing the quality of reporting employees account analysis along with analyzing if they are meeting productivity standards
Reviewed and approved or denied paid time off requests
Answered questions on accounts from analysts
Trained new employees on processes and standards
Used Excel each day to create different spreadsheets
Trained new team members by relaying information on company procedures and safety requirements.
Promoted a positive work environment by fostering teamwork, open communication, and employee recognition initiatives.
Coached team members in techniques necessary to complete job tasks.
Served as a role model for the team by demonstrating commitment to excellence, professionalism, and adherence to company values at all times.
Appeals Analyst
Parallon Business Solutions – Nashville Shared Service Center
08.2018 - 07.2019
Responsible for reviewing insurance denial and then creating appeal letter to attempt overturn at insurance provider
Reviewed account balances to make sure all data matches up
Maintained productivity standards consistently
Worked out of multiple systems in order to make sure all systems matched up appropriately to insure accuracy
Submitted transaction variances to balance accounts
Patient Benefits Advisor
Parallon Business Solutions/ HCA Tristar Summit Medical Center
01.2016 - 08.2018
Uninsured patient screenings for qualifications of State programs.
Participates in ongoing, training programs required.
Maintains patient accounts by obtaining, recording, and updating personal and financial information.
Follows policies and procedures to contribute to the efficiency of the office. Covers and assists with other office functions as requested
Maintains all inpatient accounts being followed/pursued for any coverage application.
Certified Health Insurance Marketplace Counselor.
Knowledgeable in the requirements and policies of Tennessee State Medicaid Program, as well as Social Security Administration Disability Program
Daily interactions with patients and case management in facility.
Evaluation of budget goals and planning
Experienced in insurance verification
Hostess/Server/Key Hourly
Demos' Restaurant
11.2012 - 01.2016
Greet guests and determine number of party and best location to seat in restaurant.
Guide guests to their table.
Treat all guests according to company policies and procedures.
Maintain an approachable and friendly demeanor for guests throughout duration of shift.
Develop and foster working relationships with all coworkers/managers.
Fill in as management when scheduled as key hourly manager
Ensured all aspects of restaurant are running efficiently
Participates in ongoing, comprehensive training programs as required.
Ensure all orders are correct.
Education
BBA - Management
Western Governors University
Salt Lake City, UT
07-2025
Skills
Experience in medical office setting
Experience in hospital setting
Experience in pharmacy setting
Ability to learn multiple software programs quickly
Comfortable dealing sensitive patient/customer data
Experience working with multiple computer programs at once
Comfortable talking with patients over phone/person
Experienced in verification of both commercial and Medicaid/Medicare Insurance(s)
Broad understanding of insurances and insurance verification
Able to learn complex systems at a fast pace
Certified and Licensed Pharmacy Technician
Workflow optimization
Medication dispensing
Staff management
Operations management
Insurance billing
Employee management
Medicare and medicaid process
Policy enforcement
Inventory and restocking
Performance metrics
Pharmacy operations management
Certification
Certified Pharmacy Technician
Timeline
Pharmacy Operations Manager
Walgreens
02.2022 - Current
Insurance Coordinator
TN Implant and Oral Surgery
10.2021 - 09.2022
Appeals Team Lead
Parallon Business Solutions – Nashville Shared Service Center
07.2019 - 07.2020
Appeals Analyst
Parallon Business Solutions – Nashville Shared Service Center
08.2018 - 07.2019
Certified Pharmacy Technician
Walgreens
12.2017 - 02.2022
Patient Benefits Advisor
Parallon Business Solutions/ HCA Tristar Summit Medical Center