Melissa L. Riley

Cell: 936-***-****

E-mail: acgi5p@r.postjobfree.com

**** ***** **** #***

Houston, Texas 77036

Objective

I would like to obtain an entry-level position with a growth oriented company, where I am able to illustrate my skills

and competency in a professional setting and have the opportunity to learn more about the company while learning

from others.

Education

2009 Penn Foster Career School Online

2000-2004 Willis High School

Work Experience

08/2013-Present ACS/Xerox

Pharmacy Technician

Answered incoming calls from members, providers and pharmacies

Processed Prior Authorization request from providers, hospitals, Hospice, and Long term care facilities

Sent and processed fax authorization requests from providers, hospitals, Hospice and Long term care facilities.

11/2012-08/2013 Media Riders Inc.

Pharmacy Technician (Contractor)

Answered incoming calls from members, providers and pharmacies

Processed Prior Authorization request from providers, hospitals and pharmacies

09/2012-11/2012 Molina Healthcare

Call Center Representative-MSR 1 (temp position)

Answered incoming calls from members, providers and pharmacies

Sent and verified authorizations for pharmacy, DME and procedures

Handled issues and concerns with claims, billing and premiums/copays

Verified benefits and enrollment for members and providers

08/2011-06/2012 Healthspring

Call Center Representative-CSR 1 (temp to hire position)

Answered incoming calls from members, providers and pharmacies

Sent and verified authorizations for pharmacy, DME and procedures

Handled issues and concerns with claims, billing and premiums/copays

Verified benefits and enrollment for members and providers

References

Gizelle Williams, Supervisor, Molina Healthcare, 281-***-****

Jeb Corley, Director, Medix Staffing Agency, 713-***-****

Linda Brewer, Operations Supervisor, Healthspring, 615-***-****

Languages

Beginner Level Spanish (non fluent)

Computer Skills

MS office and related programs

Internet and Email

MHC/QNXT

Sanovia

SXC

CCMS and EZcap

RXClaims/AS400

CAS/PeopleSafe

MedHok

Licenses and Certificates

Certified Pharmacy Technician (CPhT) 06/2011 (renewed 6/2013)

Registered with Texas State Board of Pharmacy 03/2012 (renewed 8/2014)

Contact this candidate