Laura Turner
Kinston,NC
Summary
Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic and effective communication skills. Eager to contribute to a dynamic team and support organizational goals.
Adaptable professional with a quick-learning ability and a talent for adjusting to new environments. Skilled in rapidly acquiring new knowledge and applying it effectively. Driven by a passion for continuous learning and successfully navigating change.
Overview
26
26
years of professional experience
Work History
Billing Specialist II
Southern Pharmacy Services
Pink Hill, NC
02.2024 - Current
- Updated and maintained databases with current information.
- Verified insurance coverage and identified third-party payers for billing purposes.
- Handled incoming calls and directed callers to appropriate department or employee.
- Coordinated admissions efficiently by communicating with internal departments and external organizations to obtain records and transfer documentation.
- Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
- Maintained accurate documentation of all patient information according to established policies and procedures.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Assisted with admissions, transfers, discharges, and end-of-life decisions for patients in the facility.
- Collaborated across departments to meet residents' long-term care needs.
- Managed time effectively to ensure tasks were completed on schedule and deadlines were met.
Claims Adjudicator
Southern Pharmacy Services
Pink Hill, NC
02.2024 - Current
- Provided customer service support by responding promptly to inquiries regarding claim status or coverage issues.
- Monitored assigned caseloads for timely resolution of claims.
- Performed cost-benefit analysis on claim handling procedures for efficiency improvements.
- Researched and followed up on denied insurance claims.
- Verified liability extent with reviews of police reports, medical treatment histories and other records.
- Performed data entry into the system following established guidelines.
- Gathered information from various third parties to determine claim acceptability.
- Maintained detailed documentation in accordance with company policies and procedures.
- Analyzed medical records to verify diagnosis codes and services rendered.
- Evaluated appeals submitted by claimants seeking reconsideration of denied claims.
- Provided excellent customer service, resolving claimant concerns and queries promptly.
- Handled and processed variety of claims.
Owner/Manager of Operations
Fusion Sweeps
Grifton, NC
11.2020 - 04.2023
- Developed strategic plans to increase profitability and efficiency.
- Developed and implemented strategies to increase customer satisfaction and loyalty.
- Monitored inventory levels and placed new orders for merchandise to keep supply well-stocked.
- Oversaw budgeting and financial management.
- Maintained relationships with existing clients by providing superior customer service.
- Identified new opportunities for growth, expansion, and diversification.
- Delegated work to staff, setting priorities and goals.
- Conducted performance reviews for employees on a regular basis.
- Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs.
- Provided direction and guidance to employees.
- Led startup and creation of operational procedures and workflow planning.
- Prepared staff work schedules and assigned team members to specific duties.
- Ensured compliance with local, state, and federal regulations.
- Confirmed attendance, hours worked and pay rates to properly post information in appropriate records.
- Responded to employee inquiries regarding payroll and timekeeping.
- Verified employee hours worked against timesheets provided by supervisors.
- Managed payroll and time and attendance systems.
- Managed payroll for employees at different locations.
Pharmacy Technician
MedSource Pharmacy
Kinston, NC
04.2007 - 07.2009
- Enhanced pharmacy efficiency by developing and implementing organizational systems.
- Collaborated with healthcare providers to clarify prescription orders and resolve medication discrepancies.
- Transmitted claims to insurance companies for payment and reconciled EOBs.
- Answered telephones to respond to questions or requests.
- Received and verified daily incoming drug inventories, reported discrepancies and logged items into inventory system.
- Prepared compound medications under the supervision of a licensed pharmacist.
- Ensured compliance with state and federal pharmacy laws and regulations.
- Counseled patients on proper medication usage and potential side effects.
- Ordered drugs from wholesalers as needed and maintained records of incoming shipments.
- Assisted pharmacists in filling prescription orders accurately and efficiently.
- Received written prescription or refill requests, verifying information for completeness and accuracy.
- Supported pharmacy operations by answering phone calls and directing queries appropriately.
- Retrieved medication from shelves based on physician orders and delivered them to pharmacists for review.
- Assisted customers by answering questions, locating items or referring to pharmacist for medication information.
- Prepared medications for dispensing by counting, pouring, labeling, and verifying doses.
- Operated cash registers to accept payments from customers.
- Provided customer service to patients by answering questions about medications and health-related topics.
- Refilled medications, offered insight into over-the-counter products and verified insurance benefits.
Pharmacy Technician
Extensive Pharmaceutical Services
Kinston, NC
11.2001 - 03.2007
- Enhanced pharmacy efficiency by developing and implementing organizational systems.
- Collaborated with healthcare providers to clarify prescription orders and resolve medication discrepancies.
- Transmitted claims to insurance companies for payment and reconciled EOBs.
- Answered telephones to respond to questions or requests.
- Ensured compliance with state and federal pharmacy laws and regulations.
- Ordered drugs from wholesalers as needed and maintained records of incoming shipments.
- Created new customer profiles and updated demographics, allergies and new medications in pharmacy computer systems.
- Teamed with peers, technicians and pharmacists to prioritize and complete orders.
- Assisted pharmacists in filling prescription orders accurately and efficiently.
- Supported pharmacy operations by answering phone calls and directing queries appropriately.
- Retrieved medication from shelves based on physician orders and delivered them to pharmacists for review.
- Reported any discrepancies or errors in medication ordering or filling processes immediately to the pharmacist on duty.
- Monitored inventory levels of commonly used drugs and placed orders when necessary.
- Prepared medications for dispensing by counting, pouring, labeling, and verifying doses.
- Received and stored incoming supplies and informed supervisors of stock needs and shortages.
- Checked medications for content, accuracy and completeness of drug packaging and labeling.
- Mixed pharmaceutical preparations according to written prescriptions.
- Collaborated with other healthcare professionals to ensure optimal patient care.
- Liaised with pharmacist to measure and prepare medication doses and packaging and label prescriptions.
- Verified prescriptions and drug labels, documents and packages.
- Assisted in training new employees on pharmacy procedures.
- Managed filing of prescriptions, both electronically and manually.
- Verified accuracy of medication labels before they were dispensed to customers.
Sales Associate
Sunglass Hut
Kinston, NC
05.1999 - 12.2000
- Maintained records related to sales for store management.
- Maintained up-to-date knowledge of store merchandise and policies.
- Assisted customers with product selection, sizing and styling.
- Bagged or packaged purchases and wrapped gifts.
- Answered store and merchandise questions and led customers to wanted items.
- Processed returns, exchanges, and refunds in accordance with company policies.
- Unboxed new merchandise and restocked shelves in appealing and organized arrangements to promote items.
- Organized store by returning merchandise to proper areas and restocked displays.
- Engaged customers in friendly, professional dialogue to determine needs.
- Performed cashier duties such as accepting payments, issuing receipts and counting money back change.
- Cleaned shelves, counters and tables to maintain organized store.
- Computed purchases and received and processed cash or credit payment.
- Greeted customers and provided exceptional customer service.
Education
Some College (No Degree) - Pharmacy Technician
Wayne Community College
Goldsboro, NC01-2001
High School Diploma -
Kinston High School
Kinston, NC06-1999
Skills
- Team collaboration
- Time management
- Relationship building
- Records organization and review
- Data entry proficiency
- Multitasking and organization
- Customer service
- Attention to detail
- HIPAA compliance
- Verbal and written communication
Timeline
Billing Specialist II
Southern Pharmacy Services
02.2024 - Current
Claims Adjudicator
Southern Pharmacy Services
02.2024 - Current
Owner/Manager of Operations
Fusion Sweeps
11.2020 - 04.2023
Pharmacy Technician
MedSource Pharmacy
04.2007 - 07.2009
Pharmacy Technician
Extensive Pharmaceutical Services
11.2001 - 03.2007
Sales Associate
Sunglass Hut
05.1999 - 12.2000
Some College (No Degree) - Pharmacy Technician
Wayne Community College
High School Diploma -
Kinston High School