Hi, I’m
TAMEKA SCALES
Houston,Texas
Summary
Customer service, data entry,retail, call center, specialty, independent and work from home and customer-focused, attention to detail. Also, ever-increasing complexity. Multitasking and relationship-building abilities. Bringing over 24 years success in clinical settings in the pharmacy healthcare field. Seeking to work with data- entry customer service agent or representative remote field. The next career step would be to branch out and work in a different field or industry. I am a professional who is organized and respectful and can keep and maintain high priority files and cases. Skilled at filling and labeling prescriptions accurately, keeping track of drug inventories, updating pharmacy records for PBM's, Provider Offices, Prior Authorizations, Insurance Companies, and Patients. Expert at customer service, data-entry, claim adjudications, filling prescription orders accurately, keeping confidential records, and supporting quality improvement and pharmacy procedure changes. Customer-focused over 24 years of serving employers and the customers. Experience in customer service, Data-Entry,Retail,claim adjudications, prior authorizations.Specialty experience with exceptional customer service skills, problem-solving, prior authorizations, attention to detail.
Tech-savvy professional with advanced training and experience in customer service. Delivers above-average results to delight customers and drive internal enhancements. Always seeking new and improved strategies to achieve objectives.
Overview
19
years of professional experience
Work History
IQVIA HealthcareDurham, NC
Contract Remote Pharmacy Support Rep In Training
10.2024 - 11.2024
Job overview
- Trained on the medication Kesimpta copay cards approvals and denials and their meanings based on the rejection code.
- Trained on how to retrieve the code and how to resolve the claim based on the rejection code
- Trained on how to report AE's Adverse Events Using Novartis tools and training websites to retrieve information.
- Trained on different situations that may occur in the pharmacy when using the copay card and how to handle the rejections that may occur when transmitting
- Maintained positive working relationship with fellow staff and management.
- Collected, analyzed and reported on data for use in operational planning.
Scripts Rx Pharmacy
06.2021 - 01.2024
Job overview
- Created and updated patient profiles to include current information such as allergies, health conditions and insurance information in Salesforce.
- Assisted customers with placing orders, navigating systems, and locating items in person or over the phone to solve their problems.
- Restocked pharmacy shelves with current merchandise to ensure that peripheral sales remained consistent.
- Double-checked patient data and billing information in order to identify and correct erroneous bills caused by system errors.
- Dispensed medications to patients according to the pharmacist's orders.
- Worked with insurance reps to process claims and calculate the correct co pay amounts for patients.
- Calculated dosages, filled prescriptions, and printed prescription labels with extreme precision.
- Located and measured medications based on prescription information, making adjustments per the Pharmacist request.
- Helped with inventory management, placing and expediting orders, and removed expired medications.
- Ensured that prescriptions were properly entered and processed into the internal system.
- Checked medication dosages, refill authorizations, and patient information with prescribers.
- Answered incoming calls and provided answers to customers and healthcare providers' questions.
Dickinson Independent Pharmacy
Sr. Pharmacy Technician
10.2020 - 06.2021
Job overview
- Resolved issues such as third-party billing, computer system, and customer service issues were resolved by me.
- Was in charge of supervising 2 pharmacy technicians and Coordinated daily tasks.
- Kept the pharmacy clean and orderly for a professional appearance.
- Created and updated patient profiles to include current information such as medications and insurance information.
- Ensured that patients' prescriptions were properly entered and processed into the internal system.
- Stocked, labeled, and inventoried medication to keep accurate records.
- Was in charge of processing incoming drug orders.
- Processed over [Number] prescriptions per day, reducing customer wait times and maintaining high customer satisfaction in a busy pharmacy.
- Checked medication dosages, refill authorizations, and updated patient information in the computer system.
- Was in charge of entering prescriptions into the dispenser system and completing paperwork for filling them as well as receiving drug orders.
- Assisted the pharmacist by filling prescriptions for [Number] customers on a daily basis and answering patient questions about prescription medications and insurance rejects.
- Restocked pharmacy shelves with current merchandise to ensure that peripheral sales remained consistent.
Harris Health System Smith ClinicHouston, USA
PAP Pharmacy Technician
06.2020 - 11.2020
Job overview
- Handled a variety of pharmacy tasks with a strong focus on accuracy, efficiency, and service quality.
- Provided consultations and answered questions about drugs, potential side effects, and specific uses from patients, healthcare professionals, and insurance representatives.
- Non-routine issues such as third-party billing, computer system, and customer issues were resolved by me.
- Communicated with patients to obtain information about prescriptions and medical conditions, as well as to schedule pharmacist consultations.
- Answered incoming calls and provided answers to patients, customers, and office staff and healthcare professionals.
- Worked with insurance reps to process claims and calculate the correct co pay amounts for patients.
- Double-checked patient data and billing information in order to identify and correct erroneous bills caused by system errors.
Blossom PharmacyWebster, USA
Sr. Pharmacy Technician
02.2018 - 02.2019
Job overview
- Kept the pharmacy clean and orderly for a professional appearance.
- Was in charge of supervising 4 pharmacy technicians and coordinating daily tasks.
- Collected customers' co-payments and insurance cards or full payments were collected by me.
- Worked with insurance reps to process claims and calculate the correct co-payments.
- Created and updated patient profiles to include current information such as medications and insurance adjudication, data-entry of prescriptions.
- Stocked, labeled, and inventoried medication to keep accurate records.
- Processed incoming drug orders.
- Answered incoming calls and provided answers to customers and healthcare providers' questions.
- Checked medication dosages, refill authorizations, and patient information with prescribers.
- Counted prescriptions and labeled them with the correct item and quantity.
- Communicated with patients to obtain information about prescriptions and medical conditions, as well as to schedule pharmacist consultations.
- Handled a variety of pharmacy tasks with a strong focus on accuracy, efficiency, and service quality.
- Assisted the pharmacist in clearing problematic prescriptions and answering customer questions to keep the pharmacy running smoothly.
Principle Health
Adherence Pharmacy Technician
08.2018 - 10.2018
Job overview
- Made sure patients were adhering to taking their medication.
- Updated the patient's profile to current status.
- Initiate prior authorizations for the patients, nurses, and physicians.
- Adjudicated the patient insurance and processed refills.
- Provided excellent customer service.
- Contacted medical office for refills and prior authorization updates.
Phar Merica LTC Closed DoorHouston, USA
Pharmacy Technician
10.2014 - 08.2015
Job overview
- Helped the pharmacist fill prescriptions for 70 customers on a daily basis.
- Am responsible for filling and labeling prescription bottles.
- Customers' co-payments or full payments were collected by me.
- Assisted the pharmacist with prescription labeling and filling.
- Double-checked patient data and billing information in order to identify and correct erroneous bills caused by system errors.
- Patients or caregivers received instructions from me.
- Answered incoming calls and provided answers to customers and healthcare providers' questions.
- Dispensed medications to patients according to the pharmacist's orders.
- Counted prescriptions and labeled them with the correct item and quantity.
- Assisted customers with placing orders, navigating systems, and locating items in person or over the phone to solve their problems.
- Double-checked and double-verified customer and insurance provider information.
- Communicated with patients to obtain information about prescriptions and medical conditions, as well as to schedule pharmacist consultations.
- Stocked, labeled, and inventoried medication to keep accurate records.
Optum RxSugar Land, USA
Call Center Pharmacy Technician
04.2013 - 09.2014
Job overview
- Worked closely with physicians and representatives from insurance companies to ensure that prescription discrepancies were quickly resolved.
- Collaborated with the team to determine the most efficient use of drivers based on load type and planned routes.
- Provided accurate information on the course and technique.
- Worked closely with Sr Technician on site, handling tasks such as initiating prior authorizations for doctors, health plans, patients and nurses.
- Assisted Pharmacists by answering phones, and assisting with initiating prior authorizations for patients, doctors, physicians and nurses.
WalgreensBaytown, USA
Sr. Pharmacy Technician
08.2005 - 01.2013
Job overview
- Was in charge of supervising 5 pharmacy technicians and coordinating daily tasks.
- Kept the pharmacy clean and orderly for a professional appearance.
- Customers' co-payments or full payments were collected by me.
- Worked with insurance reps to process claims and calculate the correct co pay amounts for patients.
- Created and updated patient profiles to include current information such as medications and insurance information in People Plus System.
- Ensured that patients' prescriptions were properly entered and processed into the internal system.
- Stocked, labeled, and inventoried medication to keep accurate records.
- Helped with inventory management, placing and expediting orders, and removing expired drugs.
- Was in charge of processing incoming drug orders.
- Processed over 200 Counted prescriptions and labeled them with the correct item and quantity.
- Double-checked and double-verified customer and insurance provider information.
- Restocked pharmacy shelves with current merchandise to ensure that peripheral sales remained consistent.
- Was responsible for a variety of pharmacy operations with a strong focus on accuracy, efficiency, and service quality.
- Helped patients save money on their medical bills by suggesting generic alternatives to prescription medications.
- Dispensed medications to patients according to the pharmacist's orders.
- Assist the pharmacist with prescription labeling and filling.
- Checked out customers at the cash register and initiated prior authorizations.
- Was responsible for entering prescriptions into the dispenser system and filed paperwork and prescription medications.
- Prepared them as well as received drug orders.
- Communicated with patients to obtain information about prescriptions and medical conditions, as well as to schedule pharmacist consultations.
- Handled a variety of pharmacy tasks with a strong focus on accuracy, efficiency, and service quality.
- Assisted the pharmacist by filling prescriptions for [Number] customers on a daily basis and answering patient questions about prescriptions and medication issues.
Education
Colorado Technical University Online
Associate Degree of Science from Medical Billing
Skills
- Data-Entry
- Customer Service Representative
- Resolved patient’s, doctor’s inquiring ,complaints, and transfers to Pharmacists and other staff
- Sent chats out to staff with important information and questions regarding patient’s, doctor’s, prescriptions, allergies and health conditions
- Typos and clerical issues, such as incorrect medication, address, phone number, name, and prescribers information
- Exceptional customer service
- Dispute resolution
- Call center experience
- Organization
- Customer satisfaction
- Live chat support
- Documentation
- Email support
- Escalation handling
- Microsoft office
- Technical support understanding
- Customer service expertise
- Problem-solving
- Technical support
- Communications support
- Customer service understanding
- Customer service
- Teamwork and collaboration
Activities
- Associate Degree of Science Medical Billing & PTCB Certified
- Registered Pharmacy Technician
- Colorado Technical University Online
Timeline
Contract Remote Pharmacy Support Rep In Training
IQVIA Healthcare
10.2024 - 11.2024
Scripts Rx Pharmacy
06.2021 - 01.2024
Sr. Pharmacy Technician
Dickinson Independent Pharmacy
10.2020 - 06.2021
PAP Pharmacy Technician
Harris Health System Smith Clinic
06.2020 - 11.2020
Adherence Pharmacy Technician
Principle Health
08.2018 - 10.2018
Sr. Pharmacy Technician
Blossom Pharmacy
02.2018 - 02.2019
Pharmacy Technician
Phar Merica LTC Closed Door
10.2014 - 08.2015
Call Center Pharmacy Technician
Optum Rx
04.2013 - 09.2014
Sr. Pharmacy Technician
Walgreens
08.2005 - 01.2013
Colorado Technical University Online
Associate Degree of Science from Medical Billing
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