Customer Service Nursing Home
Resume:
Carol Y. Thompson
Jackson, Mississippi 39206
Email Address: ************@*****.***
Telephone Number: 601-***-****
PROFESSIONAL ACCOMPLISHMENTS
March 2007-August 2008 Account Management Department
Clinton, Mississippi
Catalyst Rx
Client Services Coordinator: State of Mississippi and
Louisiana
. Processed pharmacy benefits for the clients.
. Provided support to Account Management team and clients on a
daily basis.
. Effectively processed claims through referrals to the help desk
or manually implement changes.
. Worked with Account managers on assigned accounts.
. Processed cards for Blue Cross Blue Shield of Mississippi.
. Regularly communicate with clients and establish strong
relationships.
. Assisted in updating benefits design documentation and
formularies and made information accessible to Customer Service
Pharmacy Technicians.
. Assisted Client Services team in preparation of quarterly status
briefs and physician meetings.
. Ran reports, assisted in client implementation process.
. Terminated member's accounts in the SXC system.
. Investigate pay flags and member eligibility concerns.
. Served as first line for State of Mississippi and State of
Louisiana customer service calls and issue resolution.
. Provided Account Management team with industry trend
information.
. Provided training, support, and direction to client specific
information.
. Supported client open enrollment process by preparing
communication materials and attending open enrollment meetings.
. Attended and sponsored benefits and health fairs.
. Assisted implementation of the LA CHIPS program for the State of
Louisiana.
2004-2007 PharMerica/AmeriSource-Bergen Ridgeland,
Mississippi
Billing/Admissions Coordinator
. Managed and facilitated admissions and readmissions for
approximately 20 nursing home facilities in Greensboro, North
Carolina and Sarasota, Florida.
. Completed status and payment changes (MedicareA-B, Medicaid, Med
D and Private insurance) billing information.
. Informed pharmacies of patient expiration, discharges, and leave
of absences from the nursing home facilities.
. Printed, reviewed, and changed monthly billing statements.
. Entered billing and collection notes on accounts.
. Processed final end of the month statements for facilities.
. Worked and completed monthly pharmacy correction requests.
. Received and supported customer service calls.
. Maintained and verified insurance benefits investigations.
2001-2004 St. Dominic Memorial Hospital Jackson,
Mississippi
2001-2001 Kroger Pharmacy Jackson, Mississippi
Certified Pharmacy Technician
. Responsible for the dispensing and regulation of medications throughout
the hospital.
. Made intravenous devices for patients and delivered medications to
prospective patients.
. Credited and distributed medications to other medical facilities.
. Maintained the upkeep of Robot Rx needs and facilitate all Robot
Rx restocking and maintenance. Worked as I.V. room technician.
Education
May 2000-Mississippi State University
Mississippi State, Mississippi
Bachelor of Arts with emphasis in Communications
Concentrated area of study: Broadcast Journalism
Minor area of study: Public Relations
Professional Development/Training
. Microsoft Office Applications (Word, Power Point, Excel)
. Desk-Top Publishing
. Quark Express
. Corel
. AS400
. IntelliSrcipt
References
Chad Wilson Hayden
Brandon, Mississippi
Mossie S. Spann
Pearl, Mississippi
Annie P. Walker
Jackson, Mississippi
Shuntay Womack
Magee, Mississippi
Contact this candidate