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Customer Service Technician

Location:
Corona, CA
Posted:
September 02, 2013

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Resume:

Michelle Pierce

**** ***** ***** ******, ** *****

************@*****.***

Cell: 951-***-****

Objective

To incorporate my years of extensive knowledge in various areas of

healthcare to

insure patient care to the best of my ability.

SUMMARY OF QUALIFICATIONS

. Patients served include neonatal, pediatric, adolescent, adult and

geriatric age groups

. Highly skilled in all facets of transcription and preparation of

medication prescriptions, inpatient physician orders, chemotherapy and

IV admixture and corresponding inventory management

. Experienced in IV compounding, cassette fill, order entry, billing and

narcotic handling

. Up-to-date and extensive knowledge of medical/pharmaceutical

terminology combined with strong computer experience associated with

the practice of pharmacy proficiency

. Understanding of pharmaceutical law, ethics and accountabilities

. Ability to handle multiple projects and assignments

. Computer experience includes Medidose, Horizon Med Manager and Pyxis

. Possess ability to assess data reflective of patient's status and

interpret the appropriate information needed to identify patient's

needs in relation to age and provide care needed

. Life-long learner with fifteen years of superior service

. Efficient, well-organized, reliable and highly motivated with

exceptional medical/administrative skills

Work Experience

Cardinal Health Rxe-Source, Irvine, CA September 2005 - Feburary 2012

Pharmacy Technician

Entering medication order information into the client facility data

processing system

via emulation capability.

Initiating communication with healthcare providers to obtain patient

demographic

data, specifically allergies, height, weight and age.

Maintaining fax machines and printers by stocking with paper and toner.

Answering the telephone and referring the call to pharmacist when

professional

communication is required.

Perform duties under the direct supervision of a licensed pharmacist.

Fountain Valley Regional Hospital, Fountain Valley, CA February 2001 -

September 2005

Pharmacy Technician

Assist pharmacist with transcription and preparation of medication

prescriptions, in-

patient physician orders and all intravenous, chemotherapy solutions and

pharmaceutical

inventory control. Prepare IV additive solutions and hyperalimentations

using automated

dispensing systems. Troubleshoot machines typically associated with the

practice of

pharmacy proficiency. Accountabilities: retrieve, sort and route medication

orders to

appropriate work stations, prepare, mix, assemble, count,

pour, reconsitute, package and label medications. Fill routine orders for

unit doses and

prepackaged pharmaceuticals. Dispense unit dose medications for inpatients.

Strong

computer skills associated with the practice of pharmacy proficiency.

Prescription Solutions, Costa Mesa, CA August 1998 - February 2001

Claims Associate I

Independently performed routine to complex prescription direct member

reimbursements by

reviewing, coding and inputting data into information system. Determined

eligibility of

claims. Reviewed, researched and coded claims and document resolution.

Authorized payments

witin specified limits. Participated in other special projects as assigned.

Lifeguard HMO, San Jose, CA May 1996 - August 1998

Claims Analyst II/Pharmacy Technician

Claims Analyst II/Coordination of Benefits Analyst III, Dual/Coordination

of

benefits. Verified accuracy of CPT4/McGraw Hill and ICD 9 codes to insure

proper payment

of medical claims. Researched and resolved complicated claims including

third party

payments. Medicare, POS, OOA, and PPO. Received medical claims and directly

entered

payment into interactive payment system. Researched, resolved and released

claims for

payment. Maintain quality assurance of source documents and entered data.

Performed

alphabetical and numerical data enty.

Pharmacy Technician/Customer Service Representative, Provided both in-

person and

telephone customer assistance to members, pharmacies and physicians with

questions

regarding pharmacy coverage or pharmacy plan administration. Assisted

members with

utilizing Lifeguard pharmacy plan types correctly. Determined applicable

prescription

benefit package and quoted benefits to members and providers. Verified

member eligibilty

on HSII and Advanced Paradigm pharmacy system. Created correspondence to

request medical

information required for prior authorization process. Provided findings,

adjustments and

recommendations to customers and Lifeguard personnel. Processed manually

submitted

prescription claims.

Saint Joseph Hospital, Orange, CA February 1988 - March 1996

Pharmacy Technician

Assisted pharmacist with transcription and preparation of medication

prescriptions, in-

patient physician orders, all intravenous and chemotherapy admixture

solutions and

pharmaceutical inventory control. Data entry of out-patient prescriptions.

Education

California Paramedical & Technical College, Riverside, CA

Other - Pharmacy Technician, February 1988

Certifications

Licensed Pharmacy Technician, #33314

State of California, Expires 4/2014

- Medical Office Skills, Certificate of Achievement

- Hospital Occupations, Certificate of Achievement



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