Peggy Price
Caledonia, Ohio 43314
PROFESSIONAL EXPERIENCE
Kelly Service, Express Scripts Inc. Dublin, Ohio United States
Express Scripts Inc. Nov 2013-May 2014
May 2014- Present
Prior Authorization Representative
Handle inbound telephone and written inquiries from pharmacists and doctors regarding prior authorization by screening
and reviewing requests based on benefit plan design, client specifics and clinical criteria
Provide information to clients, participants, pharmacists and doctors regarding participants pharmacy benefit, drug
coverage and provide accurate procedures for medication exceptions.
Facilitate resolution of drug coverage issues and pro-actively address, research and resolve issues while maintaining
accurate and complete documentation of all inquires for continuous improvement
Review requests from doctors and pharmacists to determine whether medication coverage prior authorization can be
given by screening and resolve issues while maintaining accurate and complete documentation of all inquires for
continuous improvement.
Worked on different projects: Pharmacy E-Mails, COE WellPoint Medicare, and COE California Mandate.
Cambridge Home Health Care
Marion, Ohio United States
Home Health Aide Apr 2012-June 2014
Perform a variety of duties as requested by client, such as obtaining household supplies or running errands
Provide patients with help moving in and out of beds, baths, wheelchairs, or automobiles and with dressing and
grooming.
Care for patients by changing bed linens, washing and ironing laundry, cleaning, or assisting with their personal care.
Assisted clients with daily living activities, personal care, housekeeping and errands.
H & R Block Tax Services Marion, Ohio United States
Nov 2013 - Apr 2014
Customer Service Receptionist Jan 2013 - Apr 2013
Jan 2012 - Apr 2012
Jan 2011 - Apr 2011
Operate telephone switchboard to answer, screen, or forward calls, providing information, taking messages, or scheduling
appointments.
Greet persons entering establishment, determine nature and purpose of visit, and direct or escort them to specific
destinations.
File and maintain records.
Receive payment and record receipts for services.
Schedule appointments and maintain and update appointment calendars.
Perform duties, such as taking care of plants or straightening magazines to maintain lobby or reception area.
Transmit information or documents to customers, using computer, mail, or facsimile machine.
Lowe's Home Improvement
Marion, Ohio United States
Cashier Nov 2011 - May 2012
Receive payment by cash, check, credit cards, vouchers, or automatic debits.
Issue receipts, refunds, credits, or change due to customers.
Assist customers by providing information and resolving their complaints.
Establish or identify prices of goods, services or admission, and tabulate bills using calculators, cash registers, or optical
price scanners.
Maintain clean and orderly checkout areas and complete other general cleaning duties, such as mopping floors and
emptying trash cans.
Request information or assistance using paging systems.
Assist with duties in other areas of the store, such as monitoring fitting rooms or bagging and carrying out customers'
items.
Offer customers carry-out service at the completion of transactions
GTE/Verizon North
Marion, Ohio United States
Customer Service Sales Representative Jul 1993 - Apr 2010
Confer with customers by telephone or in person to provide information about products or services, take or enter orders,
cancel accounts, or obtain details of complaints.
Keep records of customer interactions or transactions, recording details of inquiries, complaints, or comments, as well as
actions taken.
Determine charges for services requested, collect deposits or payments, or arrange for billing.
Refer unresolved customer grievances to designated departments for further investigation.
Resolve customers' service or billing complaints by performing activities such as exchanging merchandise, refunding
money, or adjusting bills.
Solicit sales of new or additional services or products.
Complete contract forms, prepare change of address records, or issue service discontinuance orders, using computers.
Obtain and examine all relevant information to assess validity of complaints and to determine possible causes, such as
extreme weather conditions that could increase utility bills.
Recommend improvements in products, packaging, shipping, service, or billing methods and procedures to prevent future
problems.
EDUCATION
RIVER VALLEY HS Marion, Ohio United States
High School Diploma, May 1980
General Studies
TRI-RIVERS CAREER CENTER Marion, Ohio United States
High School Diploma, May 1980
Agri-Business Course/ Senior year
MARION TECHNICAL COLLEGE Marion, Ohio United States
Completed coursework towards Health Information Technology, Mar 2012
Certified Nursing Aide Class/ Completed March 2012
ADDITIONAL SKILLS
Office experience with copy machine, faxing, scheduling filing and answering the phone.
Experience working with the public. Have used quite a few different computer systems through the years.
References
Name: Kristine Rovtar
Title: Office Manager/Tax Specialist
Relationship: Previous Employer
Contact Information: 740-***-****
Name: Crystal Rodgers
Title: Branch Manager- Cambridge Home Health Care
Relationship: Previous Employer
Contact Information: 740-***-****
Name: Robert Pugh
Title: Pugh Family Farms LTD
Relationship: Neighbor/ Friend
Contact Information: 740-***-****