JERRILYN SMITH

CELL 405-***-**** MESSAGE 314-***-****

EMAIL ad18ow@r.postjobfree.com

OKC, OK 73120

SKILLS

*Customer Service Excellence

*Active Listening

*Flexible Personality

* Time Management

* Problem Solving

* First call Resolution

Programs Used, Microsoft Word, Excel, Navigator, Rx Claim, Microsoft Outlook, Nice Web station, Convey Phone System

EXPERIENCE

08/2017-12/2022 Sr. Pharmacy Customer Service Representative, Optum Rx/Uhc, OKC, OK

Duties: Responsible for providing assistance to different pharmacies, as well as internal service representative in addressing most pharmacy issues. Well trained in Med Part D and the pharmacy formulary tool. Also assisted in general prior authorization information was able to determine if prior authorization was approved or denied, also able to determine prior authorization term dates. Provided lost, stolen and vacation and emergency supply override on a daily basic. Followed all HIPPA and client’s guidelines and procedures. Assisted in taking inbound calls from members assisted members with copay and accumulators and formulary information. Helped the department achieve and maintain kp service levels. Resoled issue on first call resolution. Crossed trained in home delivery and first line benefit, assisted the department with other lines of business ques when needed.

09/2013/-04/2017 Tier 2 Eligibility Representative, Maximus/Soonercare, OKC, OK

Duties: Contracted for the oklahoma Medicaid program. Handled inbound calls form members, agency partners and providers regarding eligibility inquires. Assisted members with enrollment process, application updates and renewals. Also assisted agency partners with eligibility question and application updates. Researched cases and analyzes and resolved all callers concerns and inquiries. Assisted with workflow task, meet all deadlines and also placed outbound calls as needed to assist member providers and agency partners and providers. Crossed trained in member service department and provider relations. Complied with all HIPPA regulator standards, followed all guidelines and procedures, performed other duties as requested by supervisor.

07/2010-02/2012 Diet Office Operator, Sodexo/Children Hospital, OKC, OK

Duties: Excellent customer service skills and telephone etiquette, responsible for receiving telephone orders from patients and guest. Educated patients about their current diets, viewed meditech continuously for updates on diet, modified diet changes on a system call health touch, complied with all regulatory standards and hospital policies and procedures.

EDUCATION

06/1991-06/1992 Dorsey High School, Los Angeles, CA-Diploma in general studies

06/1994-06/1997 Los Angeles Southwest College, Los Angeles, CA- some college coursed completed

REFERENCE AVAILABLE UPON REQUEST