Verna Estes

**** ****** *** ***** **** C

Loveland OH 45140

513-***-****

Career Objective:

Position that will allow me to use my problem solving customer service and high level organization skills to Increase Department Productive.

Education:

University of Cincinnati

Major: Psychology

Currently taking part-time classes toward four year degree

Southern Ohio College

One Class away from obtaining Associates of Computer Science Degree.

Specialized Course Work: Cobol I and II. C Language, Operating System: Basic, Database IV, PowerPoint, Computer Logic, RPG 1 & II. Microsoft Word and Windows. I completed all necessary academic courses with the exception of Algebra. Switch Major at University of Cincinnati.

June 2018-Present-Triplefin 50 E Business Way Cincinnati, OH 45251

Eversana 8990 Duke Blvd, Mason OH 45040 (Perfect Attendance)

Position-Program Specialist II & Processor

Job Requirements: -Primarily responsible for proving patient assistance services for qualifying individuals. Provide dedicated, personalized support delivered over the phone. Complete investigations and answer question regarding insurance benefits, including information about the coverage Medicare Part D, Out-of-Pocket costsCollaborate with patients and doctors to assist with issues related to denials and appeals. Assists with prior author authorization assistance and medical necessity processes, benefit verification and prior authorization assistance. I also process application for patient, enter orders, change orders track shipments and enter customer notes to complete/consumer transaction. Must be able to process order in a timely manner. Maintain positive attitude and a helpful approach to customer and clients.

October 2017-June 2018-SGS Auto motives Service-9435 Water stone Blvd Suite 300 Cincinnati OH 45249

Position-Scheduler

Job Requirements: Using an automated dialing system, service inbound and outbound telephone calls to set up inspection appointments. Also required entering in pertinent information in a Citrix Based scheduling system. Must be able to solve issue within a timely manner. Must meet performance goals.

April 2011-August 2017 Humana Pharmacy -101 Merchant Ave Cincinnati OH 45233

Position-Order Entry Clerk (Perfect Attendance)

Job Requirements: Classify Validate, Scanning and research information process prescription orders. Update patient profiles, health condition information as needed. Data Entry, fax, email, scan scripts meet and maintain minimum accuracy and productions standards. Work with our dedicated staff of pharmacist to ensure our customer received the best pharmaceutical care. The following

Que’s that requires productivity –Quick Key, RTP, OEP-MS, OEP-OTC.

Job Requirements-August 2017- Tester, required create and -run new programs for the Order Entry

Department.

June 2010-Dec 2010-Express Scripts 4600 Duke Boulevard Mason oh 45040.

Position-Prior Authorization Rep

Job Requirements: Taking Incoming Calls from Nurses, Pharmacists and Doctors to approved Medication from Medicare Part D, Cal Optima an Anthem Blue Cross and Blue Shields Patient. Also Resolve high volume of issue if medication cannot be approve. Must be able to multi task many screens.