Customer Service Quality Assurance

Breal C. Jones

objective

A Challenging position that will utilize my

education and experience to contribute to the

success of the company.

Experience

****-******* ********** *********** ******ia Beach,

VA

Care Services Technician II

Customer service with call center experience:

Assisting healthcare providers and members with

questions and/or concerns regarding current

formulary inquiries, eligibility verification, and

pharmacy processing issues.

Data entry: Responsible for entering prior

authorization requests via phone and/or fax. Follow

up communication to pharmacies and provider offices

by outbound calls or faxed documentation. Assist

CST's with support, providing assistance and

knowledge as a back up to CST III's and management

when needed.

Assisted with testing of new pharmacy prior

authorization systems

Quality Assurance- Verify prior authorizations

prior to completion, entering overrides into

Caremark system.

Side by Side- Providng feedback to new associates.

Maintain Eligibilty mailbox.

2011-2012 Lake Taylor Transitional Care

Hospital Virginia Beach, VA

Unit Secretary

Maintain Patients Medical Records

Schedule Patients Appointments

Operate Multi-Line Phones

2007-Present Rite Aid Pharmacy Virginia

Beach, VA

Certified Pharmacy Technician

Processed written and oral prescription orders

Insurance Specialist

Responsible for monthly inventory audits

Cash handling

Education Certified with the Board of Pharmacy with the state

of Virginia

2010-Present Tidewater Community College Virginia

Beach, VA

Science

203-2007 Old Dominion University

Norfolk, VA

Human Service Counseling

2004-2005 Virginia School of Technology

Virginia Beach, Va

Medical Assistant

Interests

Community service, volunteering, healthcare,

pharmacy

REFERENCES

Available upon request.

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

1472 Petite ct . virgina beach, VA 23451 . Phone 757-***-****

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