Insurance Pharmacy Technician
Resume:
Jamie Foster-Dean
Mesa, AZ *****
******@*******.***
EXPERIENCE
OfficeTeam Temp – Centene
Tempe – Program Coordinator
February 2017 – May 2017
HEDIS Project
Liaison between Field Staff and Management
Focus on retrieving charts from Providers
Coordinate receipt of charts via fax, paper, CD or USB
Organize database for incoming records
Review charts for measure compliance
Upload for abstraction
Maintain Member Rewards database
Ryan LLC
Scottsdale Analyst
September 2015 – December 2016
Pay tax bills for clients
Identify and research bills with anomalies
Prepare reports for clients detailing check requests
RemX Temp - McKesson
Scottsdale Claims Analyst
October 2014 - April 2015
Process claims for medication
Outbound calls for insurance verification
Audit claims processed
Enroll patients in medication program
Renaissance Personnel Temp - Blue Cross Blue Shield
Phoenix Pharmacy Technician
January 2014 - October 2014
Process prior authorizations for medication
Verify insurance coverage against plan formulary
Audit correspondence with patients
Create new efficient online internal process
United Healthcare Military and Veterans
Phoenix - Prior Authorizations
February 2013 - December 2013
Process military prior authorizations
Verify insurance coverage against plan formulary
Lead for night shift Letters team
Subject Matter Expert for Behavioral Health and Letters team
SKILLS
Microsoft Office Suite
Tax Solution Software
Pharmacy and Prior Authorization Software
Salesforce.com
Argus
PA Hub
AS/400
AWARDS
Most customer compliments in 2012 across all call centers
Employee of the month March 2011
EDUCATION
Gateway Community College 2012 – Health Information Management
VOLUNTEER
Saving Paws Rescue: Puppy Nanny
Desert Labrador Retriever Rescue: Home Visit Coordinator
Humana Insurance Clinical Pharmacy Review
Tempe – Prior Authorization
January 2011 – July 2012
Assist pharmacies and doctors with prior authorization requests
Work exclusively with Medicare Part D
Verify insurance coverage against plan formulary
Floor Subject Matter Expert and daytime coach
Knowledge of formulary and appeal process
Contact this candidate