Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Susan Lumb

Hudson,NH

Summary

Efficient billing professional with over 3 years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive.

Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Billing Specialist/Data Entry Pharmacy Technician

PillPack Pharmacy
06.2020 - Current
  • Responsible for adjudication of at least 125 rejected claims per day or more.
  • Responsible for working with Insurance PBM's to resolve rejection issues, and obtain correct coverages or insurance information.
  • Reviewed and verified customer information and insurance provider information.
  • Communicated directly with doctors offices via telephone, fax and email.
  • Responsible for initiating prior authorization requests as needed and providing daily follow-up.
  • Communicated with prescribers to verify medication dosages, refill authorizations, and patient information.
  • Responsible for prescription entry of 25 per hour with speed and accuracy into customer database, including written, faxed, and electronic formats while maintaining performance expectations
  • Reviewing prescriptions for accuracy and legal requirements as well as correcting errors. Worked with Resource Techs for guidance or follow-up needed for discrepancies with prescriptions.
  • Responsible for basic pharmacy calculations to determine days supply and quantity authorized amounts.
  • Researched and resolved billing discrepancies to enable accurate billing.
  • Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.

Data Processing Specialist

American Carpet South (ACS)
10.2018 - 03.2020
  • Used computer software to store and retrieve data.
  • Utilized techniques for increasing data entry speed.
  • Created spreadsheets for more efficient recordkeeping.
  • Reduced errors in data entry by conducting thorough quality checks and implementing robust validation processes.
  • Double-checked the accuracy of hard copy paperwork and rectified any issues.
  • Compared transcribed data with source documents to detect and correct errors.
  • Checked for accuracy by verifying data and records.
  • Identified data errors and discrepancies and implemented swift corrections.
  • Followed data entry protocols, rules, and regulations.
  • Collaborated with other departments to enforce data accuracy and enhance productivity.
  • Located and corrected data entry errors and reported them to management.
  • Managed and organized documents for data entry tasks.
  • Corrected data entry errors to prevent duplication or data degradation.
  • Managed high-volume data processing tasks, ensuring timely completion of projects without compromising on quality.
  • Scanned documents and saved in database to keep records of essential organizational information.
  • Worked well in a team setting, providing support and guidance.

Customer Service Associate

Home Depot
11.2014 - 09.2018
  • Delivered prompt service to prioritize customer needs.
  • Assisted colleagues with challenging situations, providing guidance based on expertise and experience in the industry.
  • Solved problems with products and services by providing customers with technical support.
  • Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
  • Processed orders accurately and efficiently, ensuring timely delivery of products or services to customers.
  • Responded to customer requests, offering excellent support and tailored recommendations to address needs.
  • Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
  • Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
  • Followed up with customers about resolved issues to maintain high standards of customer service.
  • Handled customer complaints professionally, resulting in satisfactory outcomes and positive feedback.
  • Maintained up-to-date knowledge of product and service changes.
  • Managed timely and effective replacement of damaged or missing products.
  • Provided product and service recommendations to guide customers on products to meet varying needs.
  • Utilized internal software and tools to meet customer needs and resolved issues promptly.
  • Achieved consistently high levels of customer satisfaction by prioritizing empathy, patience, and effective problem-solving skills during interactions.
  • Maintained a high level of product knowledge, providing accurate information to customers.
  • Monitored cash drawers in multiple checkout stations and maintained adequate cash supply.
  • Sought ways to improve processes and services provided.
  • Promptly responded to inquiries and requests from prospective customers.
  • Answered customer telephone calls promptly to avoid on-hold wait times.

Education

Bachelor of Arts - Business Management

Franklin Pierce University
Nashua, NH
05.1997

Associate of Science - Small Business Management

Hesser College
Manchester, NH
05.1993

High School Diploma -

Nashua High School South
Nashua, NH
06.1991

Skills

  • Profile Updating
  • Serve Customers
  • Insurance Claim Processing Software
  • Patient Data Management Systems
  • HIPAA Regulations
  • Administrative Support
  • Medication Side Effect Knowledge
  • Information Documentation
  • Patient Confidentiality

Certification

  • CPhT - Certified Pharmacy Technician

Timeline

Billing Specialist/Data Entry Pharmacy Technician

PillPack Pharmacy
06.2020 - Current

Data Processing Specialist

American Carpet South (ACS)
10.2018 - 03.2020

Customer Service Associate

Home Depot
11.2014 - 09.2018

Bachelor of Arts - Business Management

Franklin Pierce University

Associate of Science - Small Business Management

Hesser College

High School Diploma -

Nashua High School South

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Susan Lumb