Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic

SAIMA MALIK

Palatine,IL

Summary

I am eager to apply my skills to an organization where I share the values of accountability and empowerment. I have outstanding professional experience working with patients and healthcare professionals in pharmacy and clinical settings, customer service skills, and leadership experience. I am an organized and dependable candidate, successful at managing multiple priorities, with a positive attitude and the willingness to take on added responsibilities to meet team goals.

Overview

21
21
years of professional experience
1
1
Certification

Work History

Benefit Analyst/Certified Pharmacy Technician

OptumRx
02.2017 - Current
  • Started as a contractor with OptumRx February 2017 and worked as a phone agent attending to high call volumes from members, doctors and 3rd parties until September 2017
  • Hired for permanent position, October 2017. I trained and worked with Clinical Appeals team for 2-3 months.
  • Transferred with a specialized team (Outreach) reaching out to members and doctors gaining clinical information. Helped guide and manage team in absence of supervisor. Ran hourly reports on workbaskets managed by team/check queues. Managed an overseas team from the Philippines.
  • Hired as Associate Benefit Analyst on C&S team July 2019 Able to multi task and manage multiple assignments and complete before/by due date. Ran queries, v-lookup, analyze, code/implement and test data
  • Analyzed data from multiple sources to identify trends in benefits usage and recommend adjustments as needed for optimal performance of the program.

Receptionist/Billing (PT/INS AR)

SCHAUMBURG & LOMBARD IMMEDIATE CARE
04.2014 - 07.2015
  • Register patients; Verify insurance; Handle heavy call volume
  • Patient Account Receivables; Submit insurance claims with assistance from biller/coder
  • Insurance Account Receivables; Post insurance payments
  • Collections
  • Streamlined front desk operations for increased efficiency by effectively managing phone calls, emails, and walk-in clients.
  • Enhanced customer satisfaction by promptly addressing inquiries and providing accurate information.
  • Maintained a well-organized reception area with updated materials, contributing to a welcoming environment for visitors.
  • Collaborated with management to improve internal processes and procedures for better workflow optimization.
  • Supported office efficiency by performing clerical tasks such as data entry, photocopying, scanning, and faxing documents.

Certified Pharmacy Technician (CPhT)

WALMART
07.2004 - 01.2013
  • Handle heavy phone volume; Take care of doctor calls up to technician’s potential; Register patients; Input prescriptions
  • Fill medicines, Handle drop off and pick up window
  • Call insurance companies for claim disputes
  • Answer customer questions; Keep outside pharmacy department stocked and clean
  • Resolve troubleshooting prescriptions; Review and place medicine orders
  • Worked closely with District Manager scheduling pharmacists in 2 districts. Trained with Pharmacy Manager and gained knowledge (ie: scheduling Pharmacy employees, returning overstock/expired medicines)
  • Enhanced patient care by accurately filling and dispensing prescriptions in a timely manner.
  • Maintained accurate inventory levels for efficient pharmacy operations and cost control.
  • Collaborated with pharmacists to resolve medication-related issues, optimizing patient outcomes.
  • Increased customer satisfaction by delivering friendly, personalized service during transactions.
  • Managed insurance billing and claims processing, streamlining the reimbursement process for patients and pharmacy.
  • Trained new pharmacy technicians on proper procedures and best practices, ensuring consistent quality of service.
  • Performed regular audits to maintain compliance with state regulations and company policies.
  • Answered incoming phone calls and addressed questions from customers and healthcare providers.
  • Communicated directly with doctors offices via telephone, fax and email.
  • Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
  • Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
  • Counted, measured, and compounded medications following standard procedures.
  • Managed opening and closing duties for pharmacy.

Cashier

Kohls
06.2003 - 07.2004
  • Keep work area neat & organized; keep department(s) zoned (clean).
  • Prevented loss by vigilantly monitoring potential theft or fraud situations in store.
  • Promoted store promotions and incentive programs to increase overall sales revenue.
  • Enhanced customer satisfaction by providing efficient and accurate cash transactions.
  • Maintained a balanced cash drawer, ensuring accurate accounting at the end of each shift.
  • Assisted customers with inquiries and provided exceptional service, resulting in positive feedback from shoppers.
  • Answered questions about store policies and addressed customer concerns.

Education

Harper College

High School Diploma -

Palatine High School
06.2004

Skills

  • Microsoft Office Outlook (Word)
  • PowerPoint
  • Excel
  • Customer Service
  • Benefits Administration
  • Analytical Skills
  • Microsoft Excel
  • Benefits Explanation
  • Call Management
  • Data Entry
  • Appointment Scheduling

Certification

  • Certified Pharmacy Technician (PTCB), 07/31/2024
  • Registered Pharmacy Technician (Texas Board of Pharmacy), 12/31/2024

Languages

English
Native or Bilingual

Timeline

Benefit Analyst/Certified Pharmacy Technician

OptumRx
02.2017 - Current

Receptionist/Billing (PT/INS AR)

SCHAUMBURG & LOMBARD IMMEDIATE CARE
04.2014 - 07.2015

Certified Pharmacy Technician (CPhT)

WALMART
07.2004 - 01.2013

Cashier

Kohls
06.2003 - 07.2004

Harper College

High School Diploma -

Palatine High School

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SAIMA MALIK