Experienced customer service representative with transferable skills, seeking an opportunity within a professional organization to grow, enhance my abilities, and apply my knowledge and experience to overcome workplace challenges.
Overview
13
13
years of professional experience
Work History
Pharmacy Tech Support (Contract)
IQVIA
05.2024 - 05.2025
Provide initial support for customer requests via telephone, email, fax, or other available means of contact to the Support Center
Quickly assess the user's issue and provides first level support for problem resolution
Document information specific to the resolution and escalate unresolved issues expeditiously to the appropriate area
Assisted with card activation and guided users through program enrollment and eligibility verification
Troubleshoot and resolved submission errors, including rejected claims or activation issues
Identified recurring issues and recommended process improvements to management
Maintained HIPPA compliance and sensitive health and insurance information with discretion
Customer Service Help Desk Representative
Optum (Healthcare)
03.2015 - 02.2024
Answer incoming phone calls from healthcare providers, pharmacies, and claim examiners/adjusters and identify what type of assistance the caller needs
Focus on resolving issues on the first call, navigating through complex computer systems to identify the status of the issue and provide appropriate response to the caller
Create, edit or terminate claims for injured workers.
Deliver information and answer questions in a positive manner to facilitate strong relationships with the providers, pharmacies and claim examiners
Complete the documentation necessary to track issues and facilitate the reporting of overall trends.
Pharmacy Technician (Mail Order)
PMSI (Healthcare)
03.2013 - 01.2015
Contacts physician's offices via fax server or phone to obtain authorizations on orders by entering information in the system
Work with medical providers in receiving Renewal authorizations from Doctor Offices over the phone through 'Doctor Call' Service under direct supervision of a Registered Pharmacist and in accordance with Florida State Laws
Work with technicians by scanning in prescriptions, incoming faxes, and DCI authorizations for processing in a timely manner
Verifies and updates fax numbers and phone numbers in the system for contacts to be made
Works with opening and sorting incoming mail
Forwards doctor called in authorizations to the appropriate area for scanning in a timely manner and also works with patients on denials on medications and the status of their orders via telephone and written memo.
Program Recruitment Representative
PMSI (Healthcare)
12.2012 - 01.2013
Work with non-contracted pharmacies to implement temporary contracts and build relationships with a goal of permanently contracting them.
Work within departmental applications and systems to obtain clear and concise understanding of revenue dollars, pharmacies refusing to process and any other reasons why bills may or may not be eligible for on line processing, and report results to Technical Lead/Supervisor.
Work with Pharmacies and Insurance companies to follow up on transaction/bill processing, establishing a point of contact to maintain a strong relationship, improving customer care and satisfaction
Assist Supervisor and Manager on special projects and initiatives as directed.
Receptionist/Program Recruiter
Layla's House
09.2012 - 11.2012
Enroll breastfeeding and new moms in learning programs
Attend meetings and events to recruit new members
Encourage new moms or expecting moms to nurture their newborns.
Education
High School Diploma -
C. Leon King High School
Tampa
Bachelor of Science - Information Technology
Grand Canyon University
Phoenix, AZ
Skills
Extensive knowledge of pharmacological terminology
Exceptional organizational and interpersonal skills
Outstanding customer service orientation
Multitasking
Computer: Word, Excel, PowerPoint, Internet and Email, Slack