Telisha Rose

Jennings, FL *****

ad2os1@r.postjobfree.com

+1-386-***-****

Hardworking Office Manager with Four years of experience working with Customer Support and

Client Services. Trained in Project and Time management with extensive knowledge of Applying

Laws, Regulations to policies and procedures, Customer complaints and Resolutions, and extensive

multitasking abilities. Upbeat and energetic, with grace in handling difficult situations through

resourcefulness and adaptability. Committed to best-in-class customer service and maintaining

professionalism.

Authorized to work in the US for any employer

Work Experience

Prior Authorization Pharmacy Technician

United Health Care Optum

November 2022 to June 2023

Performed detail medical reviews of prior authorization request following established criteria and

protocols. Schedule peer to peer reviews for physicians to discuss medical necessity with insurance

providers. Coordinated resolutions for issues and appealed denied authorizations. Notified ordering

providers of denied authorizations. Contacted insurance companies to obtain authorizations, notifications

and pre-certifications for patients.

RCA Rural Carrier Associate

Post Office USPS - Lake City, FL

March 2021 to May 2022

Collected mail, by sorting in route order, delivering to rural areas. Provided customer service and

collected outgoing mail and packages.

LTC Pharmacy Technician

Baya Pharmacy - Lake City, FL

February 2019 to December 2020

• Created and modified patient profiles in QS-1 to include certain information such as medications and

insurance details

• Helped pharmacist clear problematic prescriptions and address customer questions to keep pharmacy

efficient

• Verified patient data and billing information to discover and resolve erroneous bills due to system

errors

• Resolved non-routine issues like third party, billing, computer system and customer service issues

• Monitored ordering of pharmacy medication stock to maintain streamlined inventory and low overhead

• Consult with insurance company representatives to complete claims processing, resolve concerns and

reconcile payments

• Provided consultations and answered inquiries from patients, healthcare professionals and physicians

• Imputed prescriptions written by physicians, ARNP's and nurses

Administrative Assistant

Douglas Assisted Living Facility - Lake City, FL

July 2018 to December 2018

• Arranged schedules for management to meet with clients and business partners

• Created and organized training materials for various office positions

• Composed, sent, received and distributed correspondence through letters and emails

• Handled customer questions and complaints with professionalism

• Inventoried office supplies and managed ordering of new supplies whenever required

• Juggles answering phones while attending to clients in person

• Managed dictations and transcribed them for management

• Managed note-taking during business meetings and later composed report for management

• Followed manualized instructions to make decision on important documents

• Interpreting and Applying technical procedures (SSA policies)

• Provided guidance and communication with persons with disabilities to obtain and/or clarify documents

• Communicated orally with people of different backgrounds explaining policy and procedures

• Implemented and wrote Rules and Regulations on State and Federal Laws under Ch.59A-10

Office Manager

Hidden Oaks Assisted Living - Jennings, FL

July 2015 to June 2018

• Answered phones, greeted patients and collected patient information, such as demographic and

insurance to update medical records and billing claims

• Collected feedback, developed resolutions and implemented changes in accordance with

departmental, organization, state and federal regulations

• Established department budgets to ensure optimal operations

• Hired, trained and coached registration clerks, receptions and clerical staff

• Listened to concerns and resolved patient and staff complaints

• Maintained current knowledge of ethical and legal issues

• Maintained and Created schedules of administrative staff and facility staff

• Organized and managed health records

• Oversaw all aspects of patient information, including advocacy, case management, admission and

care coordination

• Read and understood policy and procedures to make proper decision and explain to staff

• Completed Admission packets precisely explaining and conveying rules, policies and procedures to

disabled clients

• Trained staff on Upcoming Laws, Regulations, Policy and Procedures for Ch, 59-A-10 Florida

Administrative Codes

• Protected patient privacy and maintained information confidential

Pharmacy Technician

CVS Pharmacy - Lake City, FL

May 2009 to July 2012

• Accurately transacted purchases using a computerized system and daily cash flow receipts

• Communicated with doctor's offices and medical clinics regarding medication dosage, refills and patent

information

• Compounded medications as directed in orders for physicians

• Delivered prompt, courteous service over a busy multi-line phone system

• Ensured patient privacy by recording HIPPA paperwork and abiding by regulations

• Monitored inventory control system to ensure stock rotation and current expiration dates

• Organized inventory to ensure adequate supply and informed Cardinal of shortages

• Processed insurance claims and submitted orders for billing via computerized system

• Received incoming inventory and verified quantities against shipping paperwork

• Received, processed, and dispensed an average of 600 prescriptions daily

• Recorded patient information in computerized software and consulted records for every transaction

to ensure safety and health customers

Life Insurance Agent

Liberty National Life Insurance - Lake City, FL

January 2008 to August 2009

• Adhered to company procedures and policies including maintaining relationships that matched with

company's core values

• Built trusting relationships by keeping regular contact with clients via phone calls, mail, or email

• Communicated with customers to better determine specific insurance needs, offered consultative

solutions and made appropriate recommendations

• Maintained accurate records and files through agency documentation system

• Remained current with new products and services by participation in continuing education and training

• Provided yearly reviews for existing clients and recommended changes when life circumstances

dictated

Education

Some College in Business Administration

Florida Gateway Community College - Lake City, FL

August 2005 to July 2007

High school diploma in High School

Hamilton County High School - Jasper, FL

August 2001 to May 2005

Skills

• Business Development

• Financial Report Writing

• Training & Development

• Data Entry and Management

• Invoicing and payments

• 60 WPM

• Payroll

• Knowledge in State and Federal Regulations

• Administative Duties

• Data Entry, Answering Phones

• Reading Training Materials

• Microsoft Office

• Note- taking

• Report Preparation

• Multi-line phone talent

• Good Listening skills

• Administrative Skills

• Pharmacy Technician Experience

• Developmental Disabilities Experience

• Typing

• Medical Billing

• Case Management

• HIPAA

• Medical Terminology

• Office Management

• Insurance Verification

• Laboratory Experience

Certifications and Licenses

Administrator License

May 2016 to Present

I have successfully took the Assisted Living Core Competency test to Operate or Own Assisted Living

Facilities as an Administrator

Pharmacy Technician

April 2019 to December 2020

I'm registered with the Florida board of pharmacy as a Pharmacy Technician

Pharmacy Technician Certification

November 2022 to December 2024

RPT85237- License number

Contact this candidate