Summary
Overview
Work History
Education
Skills
Timeline
Generic

Maria Rios

4204 Fort Courage Circle,FL

Summary

Knowledgeable and dedicated customer service professional with extensive experience in Pharmacy Service Representative call center. Solid team player with outgoing, positive demeanor and proven skills in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Articulate, energetic and results-oriented with exemplary passion for developing relationships, cultivating partnerships and growing businesses.

Overview

22
22
years of professional experience

Work History

Pharmacy Service Representative (core/Intake)

CVS Specialty Pharmacy
08.2003 - Current

● Support patients who need life sustaining medication for only Federal Employee patients
● Connecting and ensuring timely delivery to those patients reaching out.
● Able to help patients on their path to better health.
● Calls include prescription refills, order status and insurance coverage.
● view on people safe authorization for specialty medication.
● Passionate about providing excellent customer service with empathy while resolving patient questions on first call.
● responsible for the overall coordination and processing of new patient medication orders and
Re-orders, which
● Communicating and collecting copayments amounts.
● Communication skills are needed in order to effectively interact with insurance companies, patients and internal partners to ensure the processing of specialty medications in a timely manner and to ensure all financial and clinical expectations are being met prior to fulfillment.
● Updating personal information.
● In the Intake Department we welcome new members from Different Insurance that there PBM
for there Specialty medication will be Caremark.
● Establish the member by creating a profile.
● Personal info is obtained and also Doctor information

Pharmacy Service Representative (FEP/Intake)

CVS Specialty Pharmacy
06.2021 - 08.2023

● Support patients who need life sustaining medication for only Federal Employee patients
● Connecting and ensuring timely delivery to those patients reaching out.
● Able to help patients on their path to better health.
● Calls include prescription refills, order status and insurance coverage.
● view on people safe authorization for specialty medication.
● Passionate about providing excellent customer service with empathy while resolving patient questions on first call.
● responsible for the overall coordination and processing of new patient medication orders and
Re-orders, which
● Communicating and collecting copayments amounts.
● Communication skills are needed in order to effectively interact with insurance companies, patients and internal partners to ensure the processing of specialty medications in a timely manner and to ensure all financial and clinical expectations are being met prior to fulfillment.
● Updating personal information.
● In the Intake Department we welcome new members from Different Insurance that there PBM
for there Specialty medication will be Caremark.
● Establish the member by creating a profile.
● Personal info is obtained and also Doctor information

  • Assessed clients' needs and determined eligibility for intake services.
  • Provided compassionate support to clients during the intake process, offering reassurance and understanding in times of distress.

Pharmacy Service Representative (Core)

CVS Specialty Pharmacy
11.2017 - 06.2021

● Support patients who need life sustaining medication

● Connecting and ensuring timely delivery to those patients reaching out.

● Able to help patients on their path to better health.

● Calls include prescription refills, order status and insurance coverage.

● Outbound calls to doctor’s office to confirm deliveries.

● Outbound call to patient insurance to get prior authorization for specialty medication.

● Passionate about providing excellent customer service with empathy while resolving patient questions on first call.

● responsible for the overall coordination and processing of new patient medication orders and

Re-orders, which

● includes verifying and re-verifying benefits.

● Communicating and collecting copayments amounts.

● Communication skills are needed in order to effectively interact with insurance companies, patients and internal partners to ensure the processing of specialty medications in a timely manner and to ensure all financial and clinical expectations are being met prior to fulfillment.

● Updating personal information.

Responded to all customer calls in a professional manner.

  • Exhibited high energy and professionalism when dealing with clients and staff.
  • Delivered prompt service to prioritize customer needs.
  • Met customer call guidelines for service levels, handle time and productivity.

Education

Associate of Applied Science - Medical Records

Huertas JR. College
Caguas, PR
10-1997

Skills

  • Problem solver
  • Works well under pressure
  • Dedicated team player
  • Computer skills
  • Exceptional communication skills
  • Customer service excellence
  • Positive attitude
  • Calm and professional under pressure
  • Quick learner
  • Data entry
  • Telephone etiquette
  • Active listening
  • Patient confidentiality
  • Organizational skills
  • Well organized
  • Issue resolution
  • Attention to detail
  • Customer-oriented
  • Customer-oriented

Timeline

Pharmacy Service Representative (FEP/Intake)

CVS Specialty Pharmacy
06.2021 - 08.2023

Pharmacy Service Representative (Core)

CVS Specialty Pharmacy
11.2017 - 06.2021

Pharmacy Service Representative (core/Intake)

CVS Specialty Pharmacy
08.2003 - Current

Associate of Applied Science - Medical Records

Huertas JR. College
Maria Rios