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Insurance Customer

Location:
Washington
Posted:
January 25, 2014

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Resume:

Shara Rice

Gambrills, MD

accb5h@r.postjobfree.com - 240-***-****

WORK EXPERIENCE

Reimbursement Counselor

AmerisourceBergen - Rockville, MD - April 2011 to Present

Assist patients with enrollment of clinical support from Nurses Call patients for additional information as needed

to complete the application Call patients to inform approval or denial of application Process and prepare

orders eligible for shipment Call insurance companies to process claims Process Rx claims to insurance

companies Update customer profiles with any new information Call doctor’s for additional information required

for completion of application Send incomplete application request to patients and doctors Enter new patient

information into the database Reimbursement Counselor Duties Process reimbursements Analyze applications

for possible prescription fraud Receive and enter inbound applications Run Medicare Eligibility check Phone

coverage Run test claim for medications Analyze prescriptions for possible fraud Approve/Deny application

Benefit investigations Assist with Co-pay assistance Assist with patient assistance program

Certified Pharmacy Technician

Safeway Pharmacy - Upper Marlboro, MD - November 2007 to December 2011

Assist customers Ring up medication purchased (balance not paid by insurance company) Assist in over the

counter recommendations for illnesses Locate customers prescriptions Call insurance companies for claims

Receive prescriptions at drop-off Fill prescriptions Assist customers in finding products within the grocery

store Update customer profiles with any new information Warn customers about possible drug interactions

Manage automatic prescriptions fill dates Enter new customer information into the database Pharmacy Duties

Return filled medications that have not been picked up back to the shelf Maintain control of inventory

Medication returns Pull expired drugs Phone coverage Maintain a running file of prescriptions received Analyze

prescriptions for possible fraud

Certified Pharmacy Technician

CVS Pharmacy - Bowie, MD - March 2004 to November 2007

Assist customers Ring up medication purchased (balance not paid by insurance company) Assist in over the

counter recommendations for illnesses Locate customers prescriptions Call insurance companies for claims

Receive prescriptions at drop-off Fill prescriptions Assist customers in finding products within the grocery

store Update customer profiles with any new information Warn customers about possible drug interactions

Manage automatic prescriptions fill dates Enter new customer information into the database Pharmacy Duties

Return filled medications that have not been picked up back to the shelf Maintain control of inventory

Medication returns Pull expired drugs Phone coverage Maintain a running file of prescriptions received Analyze

prescriptions for possible fraud

EDUCATION

MS in Management Information Systems

Bowie State University - Bowie, MD

2010 to 2014

BS in Biology/ Chemistry

Bowie State University - Bowie, MD

2004 to 2009



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