Data Entry Customer Service
Resume:
Kinshasa Franks
Houston, TX *****
ad05ye@r.postjobfree.com
I am a successful and driven 3rd Party Adjudication Specialist/Data Entry Technician & Customer Service Representative seeking a position that I can grow in a team environment. Authorized to work in the US for any employer
Work Experience
3rd Party Adjudication Specialist Supervisor
Pharmscript Pharmacy - Houston, TX
June 2017 to May 2023
• Creating Prior Authorization forms and email to nursing facilities.
• Call insurance for medication override
• Retro claims
• Adjudicating claims
• Supervising 14 employees to make sure claims are worked properly and run goes out on time Data Entry Pharmacy Technician
Wellfount Pharmacy - Houston, TX
October 2013 to February 2017
• Answering incoming calls from Dr. Offices
• Approving denied medications from the pharmacy
• Problem solving
• Maintaining my daily calls of at least 60
• Making outbound calls if I would need to call the nursing staff back
• Reporting to my Sr. Rep Team for assistance if needed
• Making sure the correct criteria form was worked when initiating the Prior Authorizations with the authorized party
• Making sure a test claim is processed for paid claims
• Order entry
Office Administration Specialist I
HWCA - Houston, TX
September 2011 to February 2013
• Answering phones
• Scheduling appointments
• Collections
• Problem solving
• Insurance verification
• Claim inquiry
• Research accounts
• Data entry
• Appeal patient accounts
Pharmacy Technician in Training
Kroger - Houston, TX
March 2010 to February 2013
• Dealing directly with customers
• Greeting customers
• Ringing up the customers items
• Scanning prescriptions into the computer system
• Blood pressure check
• Cash handling
• Problem solving
• Maintaining a clean and organized work environment Certified Pharmacy Order Entry Technician
Freedom Pharmacy - Indianapolis, IN
May 2006 to October 2010
• Dealing indirectly and directly with customers
• Problem solving
• Order entry
• Making sure documents are sent to the proper department
• Shelf maintenance
• Pulling medications from the tote if they were not going to be delivered to the facility Education
Medical Assistant
ATI Career Training Center - Houston, TX, US
November 2010 to September 2011
Skills
• Customer Service (10+ years)
• Cover My Meds
• Operating the fax machine
• Insurance Verification
• Dosage calculations
• Sales
• Filling Prescriptions
• Problem solving
• Data Entry
• Inventory
• Medical Scheduling
• Framework/Docutrack
• Order Entry
• English
• Phone Etiquette
• Typing
• Pharmacy Technician Experience
• Operating the copy machine
• Medical Office Experience
• Internet basic
• Greeting customers
• Medical Terminology
• Approving denied prescriptions
Assessments
Work style: Reliability — Proficient
March 2022
Tendency to be reliable, dependable, and act with integrity at work Full results: Proficient
Medical billing — Completed
May 2023
Understanding the procedures and forms used for medical billing Full results: Completed
Administrative assistant/receptionist — Proficient March 2022
Using basic scheduling and organizational skills in an office setting Full results: Proficient
Retail customer service — Proficient
August 2022
Responding to customer situations in a retail setting Full results: Proficient
Medical terminology — Completed
June 2023
Understanding and using medical terminology
Full results: Completed
Attention to detail — Proficient
March 2022
Identifying differences in materials, following instructions, and detecting details among distracting information
Full results: Proficient
Protecting patient privacy — Completed
May 2023
Understanding privacy rules and regulations associated with patient records Full results: Completed
Medical receptionist skills — Proficient
June 2023
Managing physician schedules and maintaining accurate patient records Full results: Proficient
Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.
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