Summary
Overview
Work History
Education
Skills
Timeline
Generic

Melissa Miller

Chesterfield

Summary

Offering strong empathy and excellent communication abilities, eager to learn and develop in clinical environment. Brings solid understanding of medical protocols and patient care, along with skills in basic administrative support and patient interaction. Ready to use and develop organizational skills and attention to detail.

Overview

23
23
years of professional experience

Work History

Pharmacy Clinical Assistant

EHIM
06.2014 - 12.2024
  • Fielded telephone inquiries on authorization details from plan members and medical staff.
  • Created and maintained spreadsheets detailing medications, including applicable denials and approvals.
  • Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
  • Prepared and distributed approval letters.
  • Prepared and distributed letters requesting additional information for medication prior authorization reviews.
  • Maintained compliance with patient privacy and security regulations.
  • Devoted special emphasis to punctuality and worked to maintain outstanding attendance record, consistently arriving to work ready to start immediately.
  • Developed team communications and information for clinical team huddles.
  • Evaluated customer information to explore issues, develop potential solutions and maintain high-quality service.
  • Assist in the medication prior authorization review process.
  • Effective communication skills with clinical pharmacists, doctor's office staff, pharmacies and patients.
  • Maintained accurate and current customer account data with manual forms processing and digital information updates.

Lead Certified Pharmacy Technician

CVS Pharmacy
05.2002 - 05.2014
  • Helped pharmacist clear problematic prescriptions and address customer questions to keep pharmacy efficient.
  • Stocked, labeled and inventoried medication to keep accurate records.
  • Restocked pharmacy shelves with current merchandise to drive consistent peripheral sales.
  • Consulted with insurance company representatives to complete claims processing, resolve concerns and reconcile payments.
  • Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems and locating items.
  • Collected co-payments or full payments from customers.
  • Communicated with prescribers to verify medication dosages, refill authorizations and patient information.
  • Maintained proper drug storage procedures, registries, and records for controlled drugs.
  • Reviewed and verified customer information and insurance provider information.
  • Answered incoming phone calls and addressed questions from customers and healthcare providers.
  • Resolved non-routine issues like third-party billing, computer system and customer service issues.
  • Performed various pharmacy operational activities with strong commitment to accuracy, efficiency and service quality.
  • Verified patient data and billing information to discover and resolve erroneous bills due to system errors.
  • Reduced supply shortages by carefully monitoring inventory and submitting replenishment orders before depletion.
  • Assisted patients in minimizing medical expenses by recommending generic alternative prescription medications.

Education

Associate of Applied Science - Health Information Technology

Baker College, Clinton Township
Clinton Township, MI
04.2014

Skills

  • Confidentiality and HIPAA
  • Eager and quick to learn new job tasks
  • Claim research
  • Data Analysis
  • Positive and friendly costumer service
  • Team collaboration
  • Strong attention to detail
  • Effective communication skills
  • Determined to research and find resolutions
  • Can work independently and/or in team group settings
  • Telephone etiquette
  • Clinical support
  • Knowledgeable in Microsoft Word and Excel
  • Insurance verification
  • Supply restocking
  • Pharmacy ethics
  • Drug inventory control
  • Labeling accuracy
  • Drug inventory management
  • Prescription interpretation
  • Verifying orders
  • Pharmacy operations
  • Billing support
  • Insurance reconciliation
  • Data entry
  • Prioritization and organization
  • Dispensing medications
  • Certified pharmacy technician (cpht)

Timeline

Pharmacy Clinical Assistant

EHIM
06.2014 - 12.2024

Lead Certified Pharmacy Technician

CVS Pharmacy
05.2002 - 05.2014

Associate of Applied Science - Health Information Technology

Baker College, Clinton Township

Similar Profiles

CREATE PROFILE
Melissa Miller