Highly-motivated employee with desire to take on new challenges 10 years experience Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. I work well with others and will love to lean and grow and be the best I can be in a new position.
Overview
24
24
years of professional experience
1987
1987
years of post-secondary education
Work History
Medicare customer service agent
CVScaremark
Pittsburgh , Pennsylvania
10.2014 - Current
Assisted customers with inquiries regarding prescription medications and benefits questions
Assist with prior authorization and Tier exceptions
Assisted overrides in for vacation medications, lost medications
Filed grievances for members complaints about plan benefits
Trained new agents on customer service protocols and best practices.
Order id cards, benefit information, explanation of benefits, power of attorney forms
Call Dr offices to get medications sent to mail order or local pharmacy
Educate members on the website and guide them through to make a payment ECT.
Pharmacy Technician
Eckerd Drugs
Cheswick, Pennsylvania
08.2001 - 12.2007
Processed prescription orders accurately and efficiently for diverse customer needs.
Assisted pharmacists in preparing medications and maintaining inventory levels.
Educated customers on medication usage and potential side effects effectively.
Education
Deer Lakes Jr Sr High
Cheswick, PA
Skills
Customer service
Prior authorization
Medication education
De Escalation
Grievances filing
Microsoft teams
Outlook
Citrix
Salesforce
Five 9 Software
CMS compliance
HIPAA regulations
Training my peers new and existing
Running new hire chats answering real time questions
I'm on a grievance support line to help peers file grievances
Customer Service Representative/Medicare Insurance Agent at Anthem Blue Cross/ ElevanceCustomer Service Representative/Medicare Insurance Agent at Anthem Blue Cross/ Elevance