Mariangelie Jimenez
West Hartford
Summary
I’m an individual with exceptional communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives. I’m pursuing full-time role that presents professional challenges and leverages interpersonal skills, effective time management, and problem-solving expertise.
Overview
11
11
years of professional experience
Work History
Pharmacy Help Desk Representative
Gainwell Technologies
02.2021 - 08.2024
- Accurately assessed and handled prior authorization submissions with a two-hour turnaround.
- Processed prior authorization requests while offering precise information during calls.
- Resolved insurance claim denials for pharmacies efficiently.
- Assisted pharmacies in managing billing claims efficiently.
- Assisted medical professionals in finding prior approval documents, diagnosis data, and preferred medications on the Connecticut Medicaid platform.
- Raised awareness among providers regarding errors in prior authorization through e-fax.
Pharmacy Technician
Charter Oak Health Center
08.2017 - 02.2021
- Safely and accurately prepared all medications and sterilized products using proper techniques, calculations, and precautions
- Labeled and packaged medications ensuring safe and accurate administration
- Greeted patients promptly, answered all inquiries courteously and referred any clinical questions to the pharmacist
- Performed inventory also checked for outdated medication on a2x2 window
- Maintained cleanliness of pharmacy ensuring every stock bottle went back on the shelves, printers and vials filled before end of the day, return to stock, all prescription filed in order and put away cardinal order with any other shipments received
- Resolved claim rejections with insurance companies
- Contacted providers with any questions or clarification needed to be made
- Logged refrigerator/freezer temperatures
- Register/Cash report
Pharmacy Technician
CVS Pharmacy
10.2013 - 08.2017
- Insurance claims processing
- Inventory Management
- Filing Prescription (counting, sorting, and labeling medication bottles)
- HIPAA or FDA regulations and compliance, strictly maintaining patient’s confidentiality/privacy
- Accessing and updating patient records
- Medication History
- Talking to or working with healthcare teams such as pharmacist, doctors, and nurses
- Resolving customers/patients issues and provide courteous customer service
- Answer high volume multi-line phone system, efficiently
Education
Administrative Medical Assistant Certificate -
Capital Community College
Hartford, CTHigh School Diploma - General Studies
Hartford Public High School
Hartford, CT01.2012
Skills
- QS1, CTI, Avaya-one Trained
- Bilingual: Fluent in English and Spanish
- Microsoft Word Microsoft Power Point Microsoft Excel Microsoft Outlook Microsoft Teams Zoom
Timeline
Pharmacy Help Desk Representative
Gainwell Technologies
02.2021 - 08.2024
Pharmacy Technician
Charter Oak Health Center
08.2017 - 02.2021
Pharmacy Technician
CVS Pharmacy
10.2013 - 08.2017
High School Diploma - General Studies
Hartford Public High School
Administrative Medical Assistant Certificate -
Capital Community College
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