Monica Helenske

Assist government program manager th managing the Premera population, to assist in achieving 4+ stars in some clinical Part D programs

Continue to collaborate with my team to build out nes programs to improve member satisfaction and member compliance.

Work with members to remove barriers to ensure member is able to refill medications consistently and on time. These barriers can be physical and financial.

Communicate with providers, pharmacies and members to start STATIN medications for diabetic patients.

Document all communication in order to meet metric guidelines and goals.

Research and contact members regarding negative comments in CHAPS and Premera Listens surveys to resolve member concerns and ensure a positive member experience.

Work with pharmacists to ensure member is prescribed appropriate medications that are on our formulary.

Establish and maintain positive relationships with current and future members.

• Communicate with healthcare providers, insurance companies, and/or patients via phone, fax, and email
• Accurately dispense an average of 500 to 800 prescriptions a day
• Prepare medications through mixing, counting, and weighing, as prescribed and verified
• Receive and store incoming inventory, verify quantities against invoices, and check for outdated prescriptions
• Make requisitions for prescription drugs and supplies with professional guidance from pharmacists
• Perform clerical tasks, such as filing, answering phones, operating cash register, and maintaining prescription records
• Promoted patient confidentiality by adhering to HIPAA regulations when handling personal information during transactions.
• Obtain pre-authorizations, refills, and insurance information regarding patients
• Assist patients with insurance issues to resolve problems in a professional and concise manner
• Demonstrate accuracy in cashiering, cash handling, and credit-card processing.
• Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.

• Ran inventory reports, maintained inventory levels, and pulled outdated/recalled merchandise
• Pulled, counted, and dispensed medications
• Provided superior customer service to patients by filling orders and executing timely delivery
• Maintained integrity and hazardous waste control during order processing.