Ravyn Fayall
Phoenix,AZ
Summary
Performance-driven and action oriented professional with over 8+ years of experience in Data Entry, Quality Control Analyst, Customer Service, Medical and Pharmacy Claims. In-depth knowledge in various softwares that aid in compiling and tracking data accurately while maintaining exceptional problem-solving skills and the crucial ability to think critically to increase customer satisfaction through process improvements.
Overview
10
10
years of professional experience
Work History
Consumer Engagement Representative 2
Humana
07.2017 - Current
- Worked to implement new methods that would help the team complete tasks more effectively.
- Worked with customers to gather requirements and collect details about concerns.
- Exceeded quality goals to support team productivity.
- Resolved routine and complex issues by performing detailed research.
- Identified and corrected data entry errors to prevent duplication across systems.
- Created new customer profiles and updated demographics, allergies and new medications in pharmacy computer systems.
- Completed and filed patient paperwork, updating records in system with insurance carrier changes and allergy information.
- Adhered to regulatory guidelines for workplace safety and customer confidentiality.
- Requested scripts from doctors
- Merchandised related products to drive pharmacy department sales.
- Established and updated patient profiles, medications and insurance details.
- Consulted with customers via telephone or in-person to assist with navigating pharmacy systems and completing requests.
- Maintained policy, procedures, work instructions and projects for quality and continuous improvement agendas.
- Streamlined processes, increasing efficiency and consistency to support quality initiatives.
UM Coordinator 2
HCPR
03.2015 - 07.2017
- Receive, document and resolve customer inquiries over the phone
- Process Prior Authorizations for members prescriptions
- Assist Home Office Associates with the Prior Authorization prescription process
- Working production Queues (Authorization, Unresolved, Notifications , NMI, Fax Received)
- Training and assisting associates within the department
- Taking advantage of available resources to complete work efficiently
- Educate customers, providers and employers about Humana Pharmacy products and services
- Assisted with pharmacy contract phone calls
Quality Control Analysts
Marshalls Distribution
Phoenix, Arizona
09.2014 - 02.2015
- Followed proper selection procedures as established by the company
- Worked at a rapid pace to meet tight deadlines
- Performing and Audit to ensure the quality of each individual's work
- Reduced operating budget by the number of miss ships, misroutes, and mislabeled merchandise
- Conducted monthly, quarterly, and yearly inventories of warehouse stock
- LayUp/Inventory Control
Marshalls Distribution
Phoenix, Arizona
05.2014 - 08.2014
- Problem Solving
- Routed items to correct area throughout distribution center
- Trained new employees
- Rotated stock by code and receiving date
- Verified and recorded the count and condition of cargo received
Education
High School Diploma -
Primavera High School
04.2013
Skills
- Computer and electronic literate
- Microsoft Office skills
- Proficient in CRM/Salesforce, Argus, Epost, Pahub, CoverMyMeds
- Multitasking and Organization
- Complex Problem Solving
- Verbal and Written Communication
- Complaint Handling
- Teamwork and Collaboration
Timeline
Consumer Engagement Representative 2
Humana
07.2017 - Current
UM Coordinator 2
HCPR
03.2015 - 07.2017
Quality Control Analysts
Marshalls Distribution
09.2014 - 02.2015
Marshalls Distribution
05.2014 - 08.2014
High School Diploma -
Primavera High School