Innovative care coordinationing professional with several years of diverse experience in different healthcare settings including: retail and specialty pharmacy, clinical, hospital, and managed care remote administrative assistant. Skilled and proficient in addressing and resolving member concerns, access to care, medication adherence/ copay assistance, navigating treatment obstacles, scheduling appointments and procedures, rx entry, data entry, claim resolution and health plan navigation. Adept in FDA/CMS compliance analysis, appeal and grievance filing and documentation and prior authorization processing. Thrive in high-volume environments, resolving complex issues and promoting operational best practices to drive team productivity and exceed service goals. Known for delivering consistent results and adapting to diverse environments to meet objectives. Excels in communication, member satisfaction and customer relationship management. Experienced leader with strong background in guiding teams, managing complex projects,achieving strategic objectives and contributing to organizational growth and success. Exceed expectations in efficient productivity, ensuring high standards, and aligning efforts with organizational goals. Known for collaborative approach and commitment to excellence. Knowledge of insurance protocols, medical terminology, ICD 10 codes, CPT/NDC codes, and HIPAA guidelines.
Team leader position. Trained, supervised, and coached entry level technicians.
References:
Nrendin Sule
Walgreens Pharmacy- Duluth GA
1490 Pleasant Hill rd 30096
770-921-9976
Amy Setzer
Walgreens Specialty
Jackson Hospital- Montgomery AL
334-559-0280
Weaveak@gmail.com
**She would remember me by Koko**
Tiffany Coleman -Pharmacy Manager
334-332-4184
tipplc29@yahoo.com
**She would remember me by Koko**
Amanda Moore- Pharmacy Manager
Walgreens Community Pharmacy- Troy Al
100 Elba Hwy 36081
1st employer/trainer
334-808-4282
**She would remember me by Koko**
Jennifer Komba- Current Supervisor UHG
Phone 1(613)383-4230
C&S + DSNP
Ricky Jackson- Previous Supervisor UHG
Phone 1(952)202-9893
C&S + DSNP
Thank you for your consideration!