Summary
Overview
Work History
Education
Skills
Timeline
Generic

Rafael Budesa

Heartland

Summary

Results-driven professional provides customers with tailored solutions to meet needs. Successfully establishes relationships with customers and delivers quality service. Hardworking individual with excellent communication and customer service skills.

Overview

5
5
years of professional experience

Work History

Pharmacy Care Coordinator I

Stellus Rx
12.2023 - Current

The Care Pharmacy Technician will help our communities thrive by optimizing medication management to allow our physicians more time to focus on patient care and support care coordination for assigned patient cohorts, assists with the fulfillment of patient orders to ensure patients receive their medications on time. Under the direction and supervision of the Senior Manager of Pharmacy Services and Team Lead, the Care Pharmacy Technician assists members by providing support, identifying adherence barriers, improving adherence, and facilitating patient medication orders to support member compliance with treatment plans.

Role and Responsibilities

  • Understand confidentiality with respect to patient/ client care; complying with all federal and state laws applicable to confidentiality of protected health information (PHI) and electronic protected health information (EPHI); and follow HIPAA guidelines regarding readily identifiable protected health information.
  • Provides telephonic follow up with members to provide medication management to assigned patients for chronic disease support.
  • Coordinate delivery of medications to the patient
  • Facilitate patients to the Pharmacist for all clinical needs.
  • Manage patient orders to the point of Pharmacist verification to ensure the order is complete and ready for final verification.
  • Complete assigned tasks related to medication management services.
  • Accessing, inputting, and retrieving information through the Pharmacy’s computer network to maintain accurate records.
  • Obtain refill authorizations from prescribers.
  • Process and prepare third-party insurance claims.
  • Maintains accurate patient/client profiles.
  • Provides medication management services utilizing prescribed workflows.
  • Comply with established procedures, rules, and regulations.
  • Completes clear and concise documentation in Care Management programs.
  • Professionally answer phones and direct customer calls to the appropriate personnel.
  • Accept prescriptions to be filled and ensuring that the PIC has the data necessary to fill the orders.
  • Handle customer problems/concerns in a calm manner and referring them to the pharmacist accordingly and notify the pharmacist of any issues.
  • Promoting teamwork, professional services and clear communication.
  • Recognizes and adheres to the scope / limitations of job requirements.
  • Performs other related duties as assigned.

Insurance Sales Agent

Casa Arteaga
03.2023 - Current
  • Customized existing insurance programs to suit individual client needs by analyzing specific requirements.
  • Met with customers to provide information about available products and policies.
  • Sought out new clients and developed client relationships through networking, direct referrals, lead databases and cold calling.
  • Responded to customer requests, offering excellent support and tailored recommendations to address needs.
  • Delivered prompt service to prioritize customer needs.

Driver

Amazon
04.2022 - 04.2023
  • Delivered goods and products to customer on time and in excellent condition.
  • Cleaned and maintained vehicle and assessed vehicle for damage after each shift.
  • Completed routine pre- and post-trip inspections to evaluate vehicles and assess maintenance needs.
  • Achieved consistent safety targets by adjusting driving to different road and traffic conditions, balancing loads and avoiding dangerous driving actions.
  • Verified daily deliveries against shipping instructions before delivering to customers.

Graphic Designer

Follet on Demand
10.2019 - 04.2022
  • Daily use of Adobe InDesign, Photoshop, Microsoft Windows, and Microsoft Office Illustrator
  • All used to design email blasts, catalogs, posters, suites, and other promotional materials
  • Submitted design ideas to customers and design managers for various projects
  • Worked closely with clients to define design requirements and manage product development
  • Designed new, on-brand visual elements focused on concepts and messaging
  • Consistently presented clients with fresh and new ideas
  • Worked with customers to present mock-ups and collect innovative ideas and applications
  • Selected colors and themes while adding functionality to increase sales & referrals due to the high demand for new designs.

Education

High School Diploma -

Unidad Educativa Vicente Campo Elias

Skills

  • Medicare Compliance
  • Financial Assistance
  • Professional Consultations
  • Eligibility Determinations
  • Quality Assurance and Control
  • Medicare and Medicaid Processes
  • Patient Confidentiality
  • Problem-Solving Skills
  • Pharmacy technician license or pharmacy technician trainee license from the Texas State Board
  • Strong communication and customer service skills
  • Work a flexible schedule, including evenings and weekends
  • Ability to read and transcribe pharmaceutical information
  • Sit for long periods of time, stand for intermittent periods of time
  • Flexibility to work in an office setting and work from home

Timeline

Pharmacy Care Coordinator I

Stellus Rx
12.2023 - Current

Insurance Sales Agent

Casa Arteaga
03.2023 - Current

Driver

Amazon
04.2022 - 04.2023

Graphic Designer

Follet on Demand
10.2019 - 04.2022

High School Diploma -

Unidad Educativa Vicente Campo Elias
Rafael Budesa