Shanna Keller

• Salesforce
• Verified eligibility and compliance with authorization requirements for service providers.
• Tracked referral submission during facilitation of prior authorization issuance.
• Fielded telephone inquiries on authorization details from plan members and medical staff.
• Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
• Enhanced patient satisfaction by promptly addressing inquiries about prescriptions, insurance coverage, and medication costs.

Salesforce

Outgoing calls to providers for refills an behalf of patients

Rx 30

• Collaborated with team members to ensure timely completion of projects within given deadlines
• Utilized advanced computer skills to accurately enter large volumes of numerical data into multiple databases and spreadsheets
• Performed data entry and validation of customer information in a high-volume, fast-paced environment
• Fill orders for LTC
• AS 400
• Billing

Rx 30

Filled orders for substance abuse clinics

Delivered meds to clinics

• Demonstrated ability to manage multiple tasks while remaining adaptable and flexible
• Responded quickly to meet customer needs and resolve problems
• Committed to delivering excellent customer service while working in a fast-paced environment
• Focused on learning new skills and staying updated with industry changes
• Participated in ongoing training to enhance own job skills and knowledge
• Met deadlines while maintaining high-quality deliverables
• Skilled in using various software applications and programs including Microsoft Office and Adobe Creative Suite
• Place outbound calls to providers to provide information or obtain clinical information for approval of medical authorizations
• Inbound calls from providers in regards to prior authorization submitted
• UtilizedProPat to verify CPT/HCPCS codes
• And profax which was used to receive incoming faxes sent by providers

• Collaborated with departmental leaders to establish organizational goals, strategic plans and objectives
• Sought continuing education opportunities to stay current with industry trends
• Stocked and replenished shelves to remove out-of-date items from inventory
• Maintained pharmacy inventory by restocking shelves, disposing of outdated drugs, and ordering new medications as needed
• Demonstrated knowledge of pharmaceutical terminology including generic and brand names and abbreviations
• Maintained patient confidentiality when handling records and sensitive data
• Managed the daily operations of the pharmacy including receiving orders from wholesalers, stocking shelves and preparing medication for delivery or pickup
• Processed insurance claims and payments for medications
• Selected drug and quantity, delivering items to pharmacist for review and dispensing
• Monitored inventory levels and maintained shelves, stocking with adequate supplies
• Sorted medications for delivery and distribution

• Adhered strictly to HIPAA regulations related to confidentiality of patient information at all times
• Input patient and prescription information to produce product labels and assist in prescription filling process
• Maintained patient confidentiality when handling records and sensitive data
• Demonstrated knowledge of pharmaceutical terminology including generic and brand names and abbreviations
• Stocked and replenished shelves to remove out-of-date items from inventory
• Selected appropriate medicine and measured dosages to fill prescriptions under pharmacist direction
• Performed administrative duties such as filing documents, answering phones, scheduling appointments, and handling customer inquiries
• Complied with state regulations to maintain safe, clean pharmacy
• Selected drug and quantity, delivering items to pharmacist for review and dispensing
• Organized medications for dispensing by prefilling prescriptions and calculating quantities