Microsoft Oulook
MEGAN D'ENTREMONT
Seeking Remote Customer Service Support Position
Spring Hill,FL
Summary
Friendly and motivated detail-oriented worker with Auditing and Pharmacy Experience. Highly efficient and eager to learn with aptitude for applying new knowledge with skill and efficiency. Flexible with good communication skills and ready to apply years of experience to new role with long-term potential.
Overview
8
8
years of professional experience
2
2
Languages
Work History
Quality and Audit Specialist, Sr
Wellcare Healthplans Inc
Tampa, FL
02.2013 - 10.2017
- Perform complex and detailed quality audits to assess compliance with WellCare's contractual and regulatory requirements
- Create case files and compile support documentation for internal and external audits.
- Review targeted quality and audit errors for remediation.
- Research and perform root cause analysis and communicating the process for improvement.
- Expectation to act as subject matter experts for all audit questions and issues, and provide real-time feedback.
- Monitoring and resolving grievance issues for customer service.
- Creating, monitoring and accurately resolving second level appeals of denial of coverage sent to our independent review entities.
Pharmacy Technician
CVS Pharmacy
Spring Hill, FL
04.2010 - 02.2013
- Data entry which includes both entering prescriptions and member profiles into system.
- Cover multiple workstations at a time including production where medications were filled for customers and pick-up where customers received their medications.
- Contact physicians, insurance companies as well as customers on a routine basis via telephone.
- Manage inventory and maintain stock of pharmacy products.
Education
Nova Scotia Community College
Yarmouth, NSSkills
Customer Service Skills
Additional Information
Attended Nova Scotia Community College in the Office Information Technology field and left with some college skills.
Software
Microsoft Excel
Microsoft Word
Microsoft PowerPoint
HTML and CSS Skills
Timeline
Quality and Audit Specialist, Sr
Wellcare Healthplans Inc
02.2013 - 10.2017
Pharmacy Technician
CVS Pharmacy
04.2010 - 02.2013
Nova Scotia Community College
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