Tamara Tosen
Orlando,FL
Summary
Experienced Customer Service Representative with exceptional oral and written communication skills, talent for active listening, and analytical problem-solving. Committed to enhancing customer experiences through service-oriented behaviors and deep understanding of customer desires. Skilled in providing customized solutions that exceed expectations, fostering long-term loyalty.
Overview
7
7
years of professional experience
Work History
Pharmacy Technician
Walgreens
Orlando, FL
12.2023 - 08.2024
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Stocked, labeled, and inventoried medication to keep accurate records.
- Enhanced pharmacy workflow by assisting pharmacists with medication dispensing, labeling, and packaging.
- Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
- Maintained proper drug storage procedures, registries, and records for controlled drugs.
- Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
Prior Authorization Specialist
Careviso
Orlando
01.2020 - 07.2023
- Input all patient data regarding claims and prior authorizations into system accurately.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
- Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
- Verified eligibility and compliance with authorization requirements for service providers.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
Dental Claims Specalist
VaxCare
Orlando, FL
12.2017 - 01.2019
- Generated, posted and attached information to claim files.
- Checked documentation for accuracy and validity on updated systems.
- Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
- Maintained confidentiality of patient finances, records, and health statuses.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Prepared insurance claim forms or related documents and reviewed for completeness.
- Verified client information by analyzing existing evidence on file.
Education
High School Diploma -
Maynard Evans High School
Orlando, FL05.2006
Skills
- Health Insurance Plan Knowledge
- Status Updates
- Effective communication skills
- Great with cpt codes
Timeline
Pharmacy Technician
Walgreens
12.2023 - 08.2024
Prior Authorization Specialist
Careviso
01.2020 - 07.2023
Dental Claims Specalist
VaxCare
12.2017 - 01.2019
High School Diploma -
Maynard Evans High School