Lori L Warren
Shelbyville
Summary
Pharmacy professional with comprehensive expertise in medication management and patient interaction. Adept at maintaining precise medication records, compounding medications, and supporting pharmacists in daily operations. Known for team collaboration and adaptability in dynamic environments, ensuring optimal patient care and workflow efficiency.
Overview
12
12
years of professional experience
1
1
Certification
Work History
CPhT, Adjudication Specialist
Middle Tennessee Pharmacy Services
08.2013 - Current
- Adjudicate claims for benefits offered by government and private plans for individuals in long-term care facilities and Tennessee State Veterans Homes
- Reviews and analyzes data from system-generated reports for in-process claims to identify and resolve errors before final adjudication
- Consistently maintains production and quality standards based on quality control expectations
- Assists claimants, providers, and clients with problems or questions regarding their claims and policies
- Act as a patient advocate, protecting privacy and confidentiality issues
- Assists physicians with completing various forms for patients, particularly for prior authorizations or denied claims
- Maintains knowledge of federal, state, and private benefits
Education
Bachelor of Science - Healthcare Administration
Middle Tennessee State University
Murfreesboro, TN01.2020
Skills
- Advanced Computer Proficiency
- Microsoft Office Proficiency
- Peer Motivation Skills
- Effective Communicator
- Report Writing
- Understanding Healthcare Management
- Familiarity with Healthcare Systems
- Efficient Multitasking
- Documentation management
- Analytical thinking
- Customer relations
Certification
- Certified Pharmacy Technician (CPhT) - Pharmacy Technician Certification Board (PTCB).
Timeline
CPhT, Adjudication Specialist
Middle Tennessee Pharmacy Services
08.2013 - Current
Bachelor of Science - Healthcare Administration
Middle Tennessee State University
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