Summary
Overview
Work History
Education
Skills
Software
Work Availability
Quote
Timeline
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Liliana Arguello

Pharmacy Tech, Assistant Manager, Personal Assistant, Claims Processor
Miami,FL

Summary

Authorized to work in the US for any employer Diligent Claims Processor versed in insurance processes and claims procedures. Offers great attention to detail and time management abilities to successfully handle large volume of claims. Highly accurate and thorough with focus on completing error-free work in line with processing guidelines. Proactive manager with demonstrated leadership abilities, strategic planning expertise and problem-solving acumen.

Assists senior managers with accomplishing demanding targets by encouraging staff and coordinating resources. Methodical and well-organized in optimizing coverage to meet operational demands.


Driven Pharmacy Technician with proven track record and success in building strong relationships with patients and clients. Detail-oriented with a commitment to maintaining high-quality assurance and control standards when filling prescriptions.

Overview

10
10
years of professional experience
1
1
year of post-secondary education
2
2
Languages

Work History

Claim processor

AMG Pharm
Miami, FL
03.2018 - Current
  • Processing and adjudicating commercial paper claims
  • Maintaining integrity of claims receipts in accordance with standard claims operating and adjudication procedures
  • Accurately resolving pending claims using state and federal regulations and specific health plan criteria
  • Working within turnaround times to meet client performance guarantees for claims processing
  • Meeting productivity and accuracy standards
  • Making outreach to pharmacies by phone to request information that may be missing in a submission
  • Followed up with customers on unresolved issues.

Pharmacy Technician

Walgreens
Miami , Fl
08.2015 - 08.2018
  • processed insurance claims
  • Communicated with patients to collect information about
  • prescriptions and medical conditions or arrange consultations with pharmacists.
  • Consulted with insurance company representatives to complete claims processing, resolve concerns and reconcile payments.
  • Processed over 500 prescriptions per day in busy pharmacy achieving decreased customer wait times and maintaining excellent customer satisfaction.
  • Verified patient data and billing information to discover and resolve erroneous bills due to system errors.

Assistant Manager

Quick Test
Miami, FL
08.2012 - 12.2014
  • Served as mentor to junior team members
  • Oversight and Management of Projects
  • Meeting deadlines Hiring/Training/Staff Management Quality control Financial performance of the office
  • Greeted customers entering the office to ascertain what each customer wanted or Answered up to 20 calls per day
  • Ordered and distributed office supplies while adhering to a fixed office budget
  • Screened applicant resumes and coordinated both phone and in-person interviews
  • Opened and properly distributed incoming mail
  • Organized all new hire, security and temporary paperwork.

Education

High school diploma -

American Academy of Pinecrest
Miami Florida
06.2007 - 12.2007

Skills

Integrityundefined

Software

Speed typing

Professionalism and strong work ethic

Oral and written communications skills

Leadership

Microsoft Office

Quick book

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote

Judge a man by his questions rather than his answers.
Voltaire

Timeline

Claim processor

AMG Pharm
03.2018 - Current

Pharmacy Technician

Walgreens
08.2015 - 08.2018

Assistant Manager

Quick Test
08.2012 - 12.2014

High school diploma -

American Academy of Pinecrest
06.2007 - 12.2007

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Liliana ArguelloPharmacy Tech, Assistant Manager, Personal Assistant, Claims Processor