Lilly Smith
HIGHLAND PARK,MI
Summary
Organized and efficient individual highly skilled in customer support services, office administration, data organization, proofreading, database management and word processing.
Overview
25
25
years of professional experience
Work History
Pharmacy Service Representative
Cvs Health
09.2021 - Current
- Verified patient eligibility, completed insurance changes, and communicated patient coverage information.
- Cleared all rejected claims to ensure shipment on patient's medication in a timely manner.
- Requested prior authorizations pro-actively.
- Determined appropriate delivery method, scheduled deliveries with patients and medical offices.
- Effectively investigated claims data to identify and target inappropriate claiming patterns.
- Responded to all customer calls in a professional manner.
- Evaluated claims reimbursed to the pharmacy against the pharmacy's prescription records and analyzed discrepancies.
Senior Customer Service Representative
Detroit Public Library
08.1999 - 04.2022
- Responsible for hard copy and C.O.B billing.
- Followed up with insurance companies to ensure payment on claims.
- Created projects for meetings/conference calls with insurance companies.
- Responsible for filing of E.O.B's and patient charts.
- Audited account receivables.
Customer Service Representative
Central Bancompany
10.2001 - 06.2003
- Provided customer service.
- Assisted pharmacists in filling prescriptions.
- Assist in filling patient's medication when needed.
Education
Associate of Arts -
Passaic County Community College
Paterson, NJ2003
High School Diploma -
Paterson Adult H.S.
Paterson, NJ2001
Skills
- Independent worker
- Works well under pressure
- Dedicated team player
- Insurance eligibility
- Creative problem solver
- Exceptional communication skills
- MS Windows proficient
- Quick learner
- Organizational skills
- Well organized
- Issue resolution
- Attention to detail
- Filing and data archiving
- Effective time management
- Customer-oriented
Timeline
Pharmacy Service Representative
Cvs Health
09.2021 - Current
Customer Service Representative
Central Bancompany
10.2001 - 06.2003
Senior Customer Service Representative
Detroit Public Library
08.1999 - 04.2022
Associate of Arts -
Passaic County Community College
High School Diploma -
Paterson Adult H.S.