Summary
Overview
Work History
Education
Skills
Timeline
Generic

Melinda Jones

Gardener,KS

Summary

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Ability to handle multiple projects simultaneously with a high degree of accuracy. Excellent time management and problem-solving skills. Am always on time and take minimal time off.

Overview

21
21
years of professional experience

Work History

Senior CCA II Quality

Elixir Solutions/MedImpact
03.2018 - Current
  • Ensured compliance with HIPAA regulations when handling sensitive patient information, protecting client privacy at all times.
  • Increased first-call resolution rates by carefully listening to customers'' needs and providing accurate information based on their inquiries.
  • Expanded knowledge on medical terminology and insurance policies through continuous learning initiatives, enhancing accuracy in communication with clients.
  • Maintained accurate records of customer interactions, ensuring proper documentation within company's database.
  • Maintained confidential patient, employee and company information in compliance with company policies and regulatory requirements.
  • Gathered information, assessed and fulfilled callers' needs and educated on important policies and procedures.
  • Delivered exceptional support during high call volume periods by maintaining composure and professionalism under pressure.
  • Boosted customer retention by promptly handling complaints and providing appropriate solutions.
  • Identified, analyzed, and researched systemic issues and made recommendations for resolution.
  • Assisted in training new hires, sharing best practices in customer service protocols specific to healthcare industry.
  • Promoted positive work environment through active participation in team meetings and contributing ideas for organizational success.
  • Collaborated with team members to identify areas for improvement in customer service processes, implementing changes as needed.
  • Assisted in creation of knowledge base articles and reference materials, streamlining access to information for both team members and customers alike.
  • Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
  • Stayed calm under pressure to and successfully dealt with difficult situations.
  • Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
  • Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
  • Responded proactively and positively to rapid change.
  • Investigated and resolved customer inquiries and complaints quickly.
  • Exhibited high energy and professionalism when dealing with clients and staff.
  • Trained new personnel regarding company operations, policies and services.
  • Increased efficiency and performance by monitoring team member productivity and providing feedback.
  • Sought ways to improve processes and services provided.
  • Performed Audits on staff data entry to ensure accuracy.
  • Manage on average between 5-30 calls per day.
  • Manage on average between 20-150 faxes daily.

Certified Pharmacy Technician

Walmart
02.2015 - 03.2018
  • Trained new pharmacy technicians on proper procedures and best practices, ensuring consistent quality of service.
  • Answered incoming phone calls and addressed questions from customers and healthcare providers.
  • Stocked, labeled, and inventoried medication to keep accurate records.
  • Completed paperwork, entering prescription and insurance or billing information into patient profiles.
  • Enhanced patient care by accurately filling and dispensing prescriptions in timely manner.
  • Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
  • Increased customer satisfaction by delivering friendly, personalized service during transactions.
  • Helped pharmacist clear problematic prescriptions and address customer questions to keep pharmacy efficient.
  • Worked with computerized and automated systems for dispensing medications and editing new patient profiles.
  • Maintained proper drug storage procedures, registries, and records for controlled drugs.
  • Communicated directly with doctors' offices via telephone, fax and email.
  • Managed insurance billing and claims processing, streamlining reimbursement process for patients and pharmacy.
  • Performed regular audits to maintain compliance with state regulations and company policies.
  • Maintained drug inventory levels by ordering necessary medications and supplies.
  • Proactively addressed potential conflicts or discrepancies within pharmacy team to maintain positive work environment.
  • Participated in continuous professional development opportunities to stay current on industry standards and advancements in pharmaceutical care.
  • Fostered strong relationships with local healthcare providers, promoting collaboration for optimal patient outcomes.
  • Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
  • Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
  • Managed opening and closing duties for pharmacy.
  • Managed approximately 40-60 calls daily.

Certified Pharmacy Technician

Rogers Pharmacy
05.2008 - 01.2015

Trained new pharmacy technicians on proper procedures and best practices, ensuring consistent quality of service.

  • Answered incoming phone calls and addressed questions from customers and healthcare providers.
  • Stocked, labeled, and inventoried medication to keep accurate records.
  • Completed paperwork, entering prescription and insurance or billing information into patient profiles.
  • Enhanced patient care by accurately filling and dispensing prescriptions in timely manner.
  • Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
  • Increased customer satisfaction by delivering friendly, personalized service during transactions.
  • Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
  • Helped pharmacist clear problematic prescriptions and address customer questions to keep pharmacy efficient.
  • Maintained accurate inventory levels for efficient pharmacy operations and cost control.
  • Worked with computerized and automated systems for dispensing medications and editing new patient profiles.
  • Collected co-payments or full payments from customers.
  • Counted, measured and compounded medications following standard procedures.
  • Assisted in preparation, distribution and storage of pharmaceuticals.
  • Maintained proper drug storage procedures, registries, and records for controlled drugs.
  • Resolved non-routine issues like third-party billing, computer system, and customer service issues.
  • Communicated directly with doctors' offices via telephone, fax and email.
  • Reviewed and verified customer information and insurance provider information.
  • Communicated with prescribers to verify medication dosages, refill authorizations, and patient information.
  • Collaborated with pharmacists to resolve medication-related issues, optimizing patient outcomes.
  • Managed insurance billing and claims processing, streamlining reimbursement process for patients and pharmacy.
  • Restocked pharmacy shelves with current merchandise to drive consistent peripheral sales.
  • Performed regular audits to maintain compliance with state regulations and company policies.
  • Maintained drug inventory levels by ordering necessary medications and supplies.
  • Proactively addressed potential conflicts or discrepancies within pharmacy team to maintain positive work environment.
  • Participated in continuous professional development opportunities to stay current on industry standards and advancements in pharmaceutical care.
  • Fostered strong relationships with local healthcare providers, promoting collaboration for optimal patient outcomes.
  • Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
  • Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
  • Counted and labeled prescriptions with correct item and quantity.
  • Ordered medicines daily to replenish stock and increase inventory in anticipation of need.
  • Entered and processed patients' prescriptions into internal system.
  • Performed various pharmacy operational activities with strong commitment to accuracy, efficiency, and service quality.
  • Resolved third-party billing, computer system and customer service issues.
  • Managed opening and closing duties for pharmacy.
  • Set up and modified patient profiles to include current medications and insurance details.
  • Coordinated with physicians and insurance agency representatives for speedy resolution of prescription discrepancies.
  • Welcomed customers to pharmacy and answered questions relating to prescriptions and over-the-counter products.
  • Managed approximately 50 calls daily.
  • Managed approximately 20-40 faxes daily.

Quality Control Technician

Triumph Foods
10.2005 - 05.2008
  • Maintained quality documentation and records for conformance with relevant standards.
  • Collaborated with production teams to address and resolve quality concerns, improving overall product reliability.
  • Inspected raw materials and finished products to verify quality and disposed items that did not meet safety requirements.
  • Evaluated samples against standards by completing measurements, visual inspections, and other established tests.
  • Enhanced product quality by conducting comprehensive inspections and identifying defects in timely manner.
  • Maintained accurate records of all quality control activities, ensuring easy retrieval for audits or management inquiries.
  • Proposed corrective actions to address recurring quality issues.
  • Reduced customer complaints by proactively addressing potential issues before products left facility.
  • Collaborated with production staff to improve processes, reduce defects and optimize quality.
  • Adhered to safety and clean area procedures to comply with agency and regulatory mandates.
  • Conducted regular internal audits to assess compliance with company policies and regulatory requirements, driving continuous improvement efforts.
  • Kept up to date with industry best practices and emerging technologies to continually improve effectiveness of quality control measures.
  • Reported problems and concerns to management.
  • Inspected items and compared against standards to meet regulatory requirements.
  • Worked closely with USDA.
  • Performed audits on approximately 10,000 hogs daily.

Certified Pharmacy Technician

Walgreens
08.2003 - 10.2005
  • Trained new pharmacy technicians on proper procedures and best practices, ensuring consistent quality of service.
  • Answered incoming phone calls and addressed questions from customers and healthcare providers.
  • Stocked, labeled, and inventoried medication to keep accurate records.
  • Completed paperwork, entering prescription and insurance or billing information into patient profiles.
  • Enhanced patient care by accurately filling and dispensing prescriptions in timely manner.
  • Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
  • Increased customer satisfaction by delivering friendly, personalized service during transactions.
  • Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
  • Helped pharmacist clear problematic prescriptions and address customer questions to keep pharmacy efficient.
  • Maintained accurate inventory levels for efficient pharmacy operations and cost control.
  • Worked with computerized and automated systems for dispensing medications and editing new patient profiles.
  • Collected co-payments or full payments from customers.
  • Counted, measured and compounded medications following standard procedures.
  • Assisted in preparation, distribution and storage of pharmaceuticals.
  • Maintained proper drug storage procedures, registries, and records for controlled drugs.
  • Resolved non-routine issues like third-party billing, computer system, and customer service issues.
  • Communicated directly with doctors offices via telephone, fax and email.
  • Reviewed and verified customer information and insurance provider information.
  • Communicated with prescribers to verify medication dosages, refill authorizations, and patient information.
  • Collaborated with pharmacists to resolve medication-related issues, optimizing patient outcomes.
  • Managed insurance billing and claims processing, streamlining reimbursement process for patients and pharmacy.
  • Restocked pharmacy shelves with current merchandise to drive consistent peripheral sales.
  • Performed regular audits to maintain compliance with state regulations and company policies.
  • Maintained drug inventory levels by ordering necessary medications and supplies.
  • Proactively addressed potential conflicts or discrepancies within pharmacy team to maintain positive work environment.
  • Participated in continuous professional development opportunities to stay current on industry standards and advancements in pharmaceutical care.
  • Fostered strong relationships with local healthcare providers, promoting collaboration for optimal patient outcomes.
  • Ensured medication safety with thorough verification of prescription orders and drug interactions.
  • Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
  • Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
  • Counted and labeled prescriptions with correct item and quantity.
  • Ordered medicines daily to replenish stock and increase inventory in anticipation of need.
  • Entered and processed patients' prescriptions into internal system.
  • Performed various pharmacy operational activities with strong commitment to accuracy, efficiency, and service quality.
  • Assisted pharmacist by filling prescriptions for customers and responding to patient questions regarding prescription and medication-specific issues.
  • Resolved third-party billing, computer system and customer service issues.
  • Managed opening and closing duties for pharmacy.
  • Set up and modified patient profiles to include current medications and insurance details.
  • Coordinated with physicians and insurance agency representatives for speedy resolution of prescription discrepancies.
  • Welcomed customers to pharmacy and answered questions relating to prescriptions and over-the-counter products.
  • Located and measured medications according to prescription information, making modifications as instructed by pharmacists and providers.
  • Monitored ordering of pharmacy medication stock to maintain streamlined inventory and low overhead.
  • Managed approximately 45 calls daily.
  • Managed approximately 20-30 faxes daily.

Education

GED -

Bladenboro Community College
Bladenboro, NC
10.1996

Skills

  • Motivational
  • Self-Confidence
  • Time Management
  • Attention to Detail
  • HIPAA Compliance
  • Data Entry
  • Written and oral communication
  • Documentation And Reporting
  • Problem-solving skills
  • Resolving issues
  • Quality Assurance
  • Training experience
  • Teamwork and Collaboration
  • Microsoft Office
  • Remote Office Availability
  • Motivational Skills
  • Patient care expertise
  • Healthcare Regulations Understanding
  • Delegation Abilities
  • Medical terminology knowledge
  • Patient Care
  • Patient Care Quality

Timeline

Senior CCA II Quality

Elixir Solutions/MedImpact
03.2018 - Current

Certified Pharmacy Technician

Walmart
02.2015 - 03.2018

Certified Pharmacy Technician

Rogers Pharmacy
05.2008 - 01.2015

Quality Control Technician

Triumph Foods
10.2005 - 05.2008

Certified Pharmacy Technician

Walgreens
08.2003 - 10.2005

GED -

Bladenboro Community College
Melinda Jones