Miriam Lujan

• Submitted Medicare, Medicaid, and private insurance claims electronically.

• Ensure compliance with third-party billing requirements and resolve claim discrepancies.

• Maintain accurate patient billing records and assist in resolving payment issues.

Engage with insurance companies to confirm benefits and resolve denied claims.

• Kept all patient information secure and confidential.
• Checked insurance eligibility by making appropriate phone calls and conducting research on services rendered.
• Identified, researched, and resolved billing variances to maintain system accuracy and currency.
• Reduced billing errors by implementing strict policies and systematic procedures.
• Managed a high volume of invoices, prioritizing workload to meet deadlines and maintain cash flow.
• Minimized lost revenue by proactively identifying inaccuracies within invoicing records and taking necessary corrective actions.
• Researched and resolved billing discrepancies to enable accurate billing.
• Verified accuracy of accounts payable payments, resulting in Number% reduction in payment errors and check reissues.

Pharmacy Technician

Walgreens | Valley Stream, NY | 10/2020 – Present

• Accurately verify and fill prescription orders while ensuring compliance with regulatory guidelines.

• Assist customers with medication storage, labeling, and over-the-counter product recommendations.

• Manage prescription refill fulfillment, medication documentation, and insurance verification.

• Maintain pharmacy inventory by ordering, stocking, and monitoring medication expiration dates.

• Handle customer inquiries and provide exceptional service to ensure a positive experience.

• Process prescription transfers and coordinate with insurance providers to resolve claims.

• Operate cash registers and manage pharmacy transactions efficiently.

• Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
• Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
• Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
• Responded to customer requests for products, services, and company information.
• Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
• Developed strong product knowledge to provide informed recommendations based on individual customer needs.
• Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues.
• Assisted customers in navigating company website and placing online orders, improving overall user experience.