Camile Daniels

* **** Maggiewood Lane * Fuquay-Varina, NC 27526 * 202-***-**** * ac85jj@r.postjobfree.com

My primary goal is to improve the quality of care for each and every patient. Being a dynamic, flexible, and motivated team player with exceptional leadership skills, another goal would be to progress with the Pharmacy and become an asset to your company. I am a logical, compassionate and excellent problem solver who is willing to do everything I can to ensure my patients are comfortable and receive the best treatment possible.

SUMMARY OF QUALIFICATIONS

Excellent written and oral communication skills

Perform well independently and within a team environment

Ability to collect and analyze third party information to solve problems quickly and accurately

Deliver diligent care to patients and customers

PROFESSIONAL EXPERIENCE

2017-2019 Customer Service Representative

CSRA, Raleigh, NC

Performed reviews of prior approval requests submitted by enrolled providers.

Escalated problems to appropriate personnel when needed.

Performed under North Carolina's approved criteria that outline policies and requirements this position determines prior approval for specific procedures.

Answered incoming provider calls regarding prior approval request processing and documents prior approval requests and associated history.

Evaluated available information to validate prior approval requests.

Verified policyholder information, policy effective dates, premium status and verification of prior approval request eligibility. -Sent prior approval request form to provider for updating, correction or completion

Investigated simple to moderately complex prior approval request and determined level or resolution if appropriate; advised provider of status; assisted in negotiating settlement and resolution of prior approval request.

Identified need for additional information; contact appropriate source to obtain needed information.

Performed review of prior approval requests for pharmacy program

2013-2017 Certified Pharmacy Technician Lead

Zebulon Drug, Zebulon NC

Implemented and managed automatic refill system for patients.

Established, updated, and maintained patient records while providing excellent customer service

Managed inventory control for schedule 2-5 drugs

Worked with doctors and patients to find solutions to insurance issues such as Prior Authorizations

Retrieved, counted, poured, measured, and seldomly mixed compound medications

Transferred and received transfer prescriptions from alternate pharmacies

Maintained all drug recalls

2011-2013 Certified Pharmacy Technician Lead

Medicap Pharmacy, Raleigh NC

Assisted Pharmacists with data entry of prescriptions and clerical duties

Organized and maintained patient records

Handled patient insurance rejection claims

Dispensed prescriptions while offering excellent customer service

Maintained inventory for controlled and noncontrolled medications

Processed returns and drug recalls accordingly

2010-2011 Certified Pharmacy Technician Lead

Brier Creek Pharmacy, Raleigh NC

Responsible for assisting pharmacists in filling prescriptions, helping patients in person and on the phone

Focused on customer service, prescription order processing, and problem resolution

Answered multiple-line telephone system

Responsible for training all new hire technicians

Responsible for inventory management

2005-2010 Certified Senior Technician

Walgreen’s Pharmacy, Raleigh, NC

Served as mentor and trainer to Pharmacy Support Staff members

Responsible for checking out prescriptions, answering telephones and Pharmacist referrals.

Provided excellent customer service to patients and other customers

Ensured inventory counts were correct

Found solutions to prescription insurance issues

EDUCATION

Current Associates in Business Administration, Wake Technical Community College, Raleigh, North Carolina

May 2000 High School Diploma, Pine Forge Academy, Pine Forge, Pennsylvania

CERTIFICATIONS

2006-Current North Carolina State Board Certified

2007-Current PTCB Certified

2011-Current Certified MEDI Technician

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