Stephanie House
Elberta,AL
Summary
To successfully complete all tasks to the best of abilities. To learn all job related responsibilities. To obtain a full/part time position that will utilize skills and offers the opportunity for growth and advancement based on personal professional experiences. Driven Pharmacy/Clinical Review Technician with proven track record and success in building strong relationships with patients and clients. Detail-oriented with a commitment to maintaining high-quality assurance and control standards when filling prescriptions and billing/reviewing insurance claims. To seek and maintain full/part time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
18
18
years of professional experience
Work History
Clinical Review Technician
C4 Technical Services/Prime Therapeutics
08.2023 - Current
- Consulted with insurance company representatives to complete claims processing, resolve concerns and reconcile payments.
- Reviewed patient cases to be processed correctly.
- Approved or denied cases at technician level.
- Outreached to clinics for confirmation of information.
- Experience in commercial insurance and Medicaid
Certified Pharmacy Technician
Winn Dixie Pharmacy
09.2006 - 03.2015
- Worked with insurance companies to process claims, resolve problems and obtain payments.
- Consulted with customers via telephone or in-person to assist with navigating pharmacy systems and completing requests.
- Efficiently processed cash register transactions for new and refilled prescription orders.
- Prepared pricing and instruction labels for placement on prescriptions. Completed and filed patient paperwork, updating records in system with insurance carrier changes and allergy information.
- Assisted pharmacist with clearing high volume of prescriptions and responded to customer questions.
- Managed medication stocks, including conducting counts, labeling products and maintaining controls.
- Maintained strict patient confidentiality to adhere to HIPAA regulations and avoid data compromises.
- Maintained clean and organized pharmacy shelving and work areas.
- Created new customer profiles and updated changes such as demographics, allergies and new medications in pharmacy computer systems.
- Data entry
Education
Advanced Diploma -
Mary G Montgomery High School
Semmes, AL05.1999
Skills
- Excellent customer service & interpersonal communication skills
- Computer literate; Microsoft word, data entry, Power Point, Microsoft excel
- Knowledge of administrative and clerical procedures/Quality Review Process
- Medication dispensing
- Dependable, Reliable, Demonstrates strong work ethics, ability to learn quickly
- Friendly, enthusiastic,social/interactive skills
- Able to sit or stand for long periods of time
- Strong problem-solving and conflict-resolution skills
- FDA Drug and Safety guidelines
- Patient History Documentation
- Bulk Medicine Prepacking
- Pharmaceutical Needs
- Active Listening
- Ability to work from home with very little to no distractions
- Multi-tasking and working between multiple applications at once
Timeline
Clinical Review Technician
C4 Technical Services/Prime Therapeutics
08.2023 - Current
Certified Pharmacy Technician
Winn Dixie Pharmacy
09.2006 - 03.2015
Advanced Diploma -
Mary G Montgomery High School
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