Team-oriented member of the billing department for a long-term care pharmacy with 7 years of experience. Point of contact for the San Antonio branch billing department and always willing to help when needed by all departments. Currently a dedicated part-time student aiming to get into the computer science field.
Overview
7
7
years of professional experience
Work History
Pharmacy Billing Specialist
Pharmacy Unlimited
San Antonio, TX
02.2017 - Current
Researches and corrects rejected claims; works directly with insurance companies when unable to resolve in-house
Receives payments over the phone and online
Verifies and posts payments collected
Prepares and evaluates reports designed to identify billing errors and patient information for 6 different facilities, each holding between 20 and 100 patients
Receives and makes calls to patients or their responsible parties to aid in understanding invoices
Makes collection calls to patients who have outstanding invoices
Resolves billing complaints from patients, business office managers, and nursing staff
Diffuses tense situations with upset responsible parties and business office managers when issues arise
Uses Office products daily (Word, Excel, and Outlook)
Utilizes CoverMyMeds to prepare documentation, facilitating the process for nursing staff to submit prior authorizations
Uses NetRx to locate Medicaid payments made on patients' accounts
Assists in training newer staff in day-to-day billing processes
Works directly with pharmacy technicians to quickly solve issues with claims.
Night Watch
The University of Texas at San Antonio
San Antonio, TX
08.2019 - 12.2019
Monitors nightly activity within 21 different campus buildings as well as 5 recreation fields, 4 parking garages, and 6 parking lots
Communicates directly with other officers when issues arise and for hourly check-ins
Operates small, campus-owned vehicle to safely and quickly transport fellow students who need assistance to their desired location
Accounts for over 20 campus-wide Code Blue emergency poles
Assess and documents damage and/or operating status of Code Blue emergency poles
Notifies campus maintenance of safety hazards located around the campus.
Education
Some College - Computer Science
University of Texas at San Antonio
03.2024
High school diploma -
Judson High School
05.2019
Skills
Accounts Receivable
Multitasking
Analytical Skills
Insurance verification
Time management
Phone etiquette
Data entry
Problem-solving aptitude
Issue Research
Accomplishments
Received the Judith G. Gardner Writing Program Scholarship and had my essay "The Abysmal Issue of Sexual Assault on the LGBT+ Community" published in The Roadrunner Review: A Journal of Student Writing.