Customer Service Technician

Renee Miranda

*** ******** **., ****** ****, CA *5037

Phone: 408-***-**** / 408-***-**** email: *******@*******.***

Summary of Qualifications

Over 8 years of experience as a Pharmacy Technician / Customer Service.

Extensive practical experience in resolving insurance issues/problems.

Knowledgeable in pharmaceutical terminology, transcribing

information, problem solving. Knowledge in maintaining benefits

records; assists in verifying and compiling data and preparing

reports; Bookkeeping principles, practices and terminology. Organizing

and checking/cross-checking records and data to assure accurate

accounts information. Computer skills: Microsoft Word, Excel,

Internet and email systems, pharmacy data base systems. Pharmacy

Technician - License No. 113922

Employment History

Longs/CVS Pharmacy, Gilroy,

CA

9/2008-3/2010

Pharmacy Technician

Accountable for counting and dispensing meds. Read and understand

prescriptions. Pull drugs from inventory to fill orders. Check in orders

and put orders away accurately. Process waiting bin reports and keep track

on rx dollar amount. Understand I-CD9 codes. Get prior authorizations

started for patients and MD's. Provide MD's with formulary information for

prior authorizations. Daily billing, resolve insurance problems, workers

compensation and various insurance plans. Processing tars to medical,

billing medicare B and D. Eletronic billing.

Medical Pavilion Pharmacy, Gilroy, CA

4/2006 - 8/2008

Pharmacy Technician

Regularly provided exceptional customer service to clientele.

Obtained prescriptions from customers daily.

Counted, poured and mixed pharmaceuticals under industry guidelines

and under pharmacist's direction.

Responsible for data entry of prescriptions on to computerized data

base. Billed customer's insurance for billing purposes.

Regularly read, understood and transcribed pharmaceutical drug

information. Pulled drugs from inventory to fill orders and prepared

drugs for pharmacist review and approval.

Checked-in orders from company vendors and regularly ensured

stock of pharmaceuticals are replenished when necessary.

Placed orders directly through vendor as appropriate.

Lifeguard Incorporated, San Jose, CA

1996 - 2000

Lead Pharmacy Technician III (1996-2000) - promotion

Effectively supervised 9 Customer Service Technicians - handled

training of new employees, authorizations,

escalations. Regularly educated sales and marketing representatives

on products and group eligibility updates. Worked directly with sales

and marketing personnel in determining best plans to sell to customers

to effectively service clientele.

Served as liaison between sales, customers, and providers. Managed

detailed explanation of plans and plan designs

to successfully aid customers and doctors' office personnel.

Efficiently researched, resolved and reported complex and

major grievances/complaints, benefits/customer satisfaction issues.

Consistently met standards of providing excellent customer service-

managed up to 80 calls per day including escalations and difficult

situations.

Long's Drugs, Santa Clara, CA

1991 - 1996

Pharmacy Technician

Interfaced with high volume of customers - provided assistance,

guidance and service. Assisted in maintaining payroll and

bookkeeping records from time sheets and payroll adjustments as

directed by supervisor.

Managed prescription and refill orders, customer satisfaction

issues and complaints.

Maintained manuals for pharmacological and technological

references

Adjudicated insurance policies to successfully gather patient

data.

Training and Certification

- Certified Pharmacy Technician License No. 113922

- Extensive customer service training with Lifeguard - seminars, continuing

education

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