Data Entry Office
Resume:
Objective:
My objective is to obtain an administrative position which will allow me to utilize my knowledge, experience in the healthcare field which will also provide an opportunity for career advancement.
Career Profile:
Pharmacy Coordinator skills and knowledge in the following areas but not limit to:
Interacting with Provider, Pharmacist and Patients with insurance related questions and concerns.
Assisting Pharmacist, and Providers with paid claims. (running test claims)
Training new hires
Intake patient information, review prior authorizations, and create overrides.
Assist member services with co-pays, out of pocket and co-insurance protocol.
Specialize in Medicare criteria for prior authorizations.
Professional Experience:
Pharmacy Coordinator
June 2018- Present
Gateway Health Plan
Review and approve prior authorizations.
Run test claims
Provide co-pay, out of pocket, deductible information to members, providers, and pharmacists.
High volume inbound and outbound calls.
Intake patient information for review, approval, and denial of prior authorizations.
Train new hires.
Patient Care Coordinator
July 2017- May 2018
PA Health & Wellness
Data Entry
Prior Authorization
Test Claims
High volume inbound calls
Patient Care Coordinator
June 2016 – May 2017
Aureus Specialty Pharmacy
Data Entry
High volume inbound and outbound calls
Insurance verification
Schedule patient medication deliveries
Prior Authorizations and Test Claims
Data Entry
February 2014-October 2016
Lash Group/Amerisource Bergen
Intake patient request forms
High Volume inbound outbound calls
Training new staff in procedures and protocol
Verify Insurance benefits
Interface with medical facilities (doctors) government agencies.
Emergency Room Registration Clerk
August 2000 – May 2006
Saint Joseph’s Medical Center, Stockton, CA
Register emergency room patients and bed-side registration
Confirm insurance eligibility, collect payment and co-pays
Transport out-patients to services
Train employees on HIIPA policy and protocol
Data entry, filing and general office duties
Technical Skills:
Microsoft office
Word
Excel
Power Point
Outlook
Type: 40 wpm
Formal Education:
San Joaquin Delta College- some college complete
Skills:
Strong Management and Leadership Skills
Basic Networking and Computer Skills
Basic knowledge of standard office equipment
9 years of experience in the following areas:
Office Management
Quality Assurance
Client/Customer Support
Procedure and Protocol Training
References available upon request
Contact this candidate