Creative, resourceful and flexible, able to adapt to changing priorities and maintain a positive attitude and strong work

Respond to inquiries from providers on a broad scope of coverage issues pertaining to eligibility,

Was responsible for handling phone calls, answering questions and taking prescription orders over the phone.

Was responsible for handling phone calls, answering questions and taking prescription orders over the phone.

TONYA R DAVIS

Home: 704-***-****

acxktv@r.postjobfree.com

PROFESSIONAL SUMMARY

ethic.

LICENSES

Certified Pharmacy Technician

SKILL HIGHLIGHTS

Frameworks

Proficient in using Microsoft Office

Medical Billing

Insurance Specialist

Collection Specialist

Exceptional Communication Skills

Data Entry

Administration

PROFESSIONAL EXPERIENCE

LTC STANLEY LAB

Charlotte, NC

Billing Specialist

Medicare A, B and D knowledge.

Call on accounts with outstanding medical balances.

Call insurance companies to get prior authorization for medications and get claims paid.

Handle rejected and paid claims through insurance companies.

Assist account holders in setting up payment plans for outstanding balances.

Responsible for research and solve unpaid, pended, unprocessed and denied claims.

coordination/explanation of benefits, and payment schedules.

Experience with Medicare verification.

Experience with insurance verification/pre-authorization.

Perform data entry and maintain various computer databases.

HIPAA exposure.

CVS PHARMACY

Cheraw, SC

Pharmacy Technician

Filled prescriptions and made sure customers understood the side effects and correct dosage.

Assisted Pharmacist in price checking and restocking of drugs.

Labeled products under Pharmacist's supervision.

Assisted in prepackaging as well as labeling of the medications.

ECKERD PHARMACY

Columbia, SC

Pharmacy Technician / Insurance Specialist

Was responsible for research and solve unpaid, pended, unprocessed and denied claims.

Filled prescriptions and made sure customers understood the side effects and correct dosage.

Assisted Pharmacist in price checking and restocking of drugs.

Labeled products under Pharmacist's supervision.

Retrieved counts and measured drugs.

Handled insurance claims and made sure they were filed correctly.

12/2007 to Current

03/2001 to 04/2006

09/1998 to 02/2001

Communication Skills, Data Entry, Databases, Insurance, Medical Billing, Excel, Microsoft Word, Research, Supervision

EDUCATION AND TRAINING

BACHELOR'S DEGREE: BUSINESS ADMINISTRATION

Ashford University

GPA: GPA: 3.4

Business Administration GPA: 3.4

DIPLOMA

Chesterfield High School

SKILLS

and Excellent Customer Service Skills

August 13, 2017

May 30, 1991

Contact this candidate