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Case Manager Customer Service

Location:
Loganville, GA, 30052
Salary:
30,000
Posted:
February 19, 2024

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Resume:

TC

TORI COTTIER

ad3q3a@r.postjobfree.com 770-***-**** Loganville, GA 30052

Accomplished Pharmacy Case Manager and Durable Medical Equipment Patient Account Coordinator with excellent customer service experience. Professional relationships with doctors' offices and insurance companies assisting with the prior authorization process to get patients' diabetes supplies approved. Excellent communication skills to keep doctors and patients updated about the status of the prior authorization process. Team Player

Punctual

Dependable

Fast Learner

Basic Word and Excel skills

Experience helping parents and their children with Type 1 Diabetes obtain their diabetes supplies

Experience submitting prior authorizations to the

different insurance plans (commercial and medicaid) for approval of patients' diabetes supplies

Experience obtaining patients' information for shipping

(address, email, weight, medications, and allergies) Patient Support

Case Management

Email and Telephone Etiquette

Premier Kids Care Monroe, GA

Pharmacy Case Manager

11/2022 - 12/2023

Prepared prior authorizations and submitted them to the various insurance plans for approval

Called the various insurance plans for prior authorization status. Obtained approval dates if approved. If denied, called doctor's office to let them know it was denied and why it was denied

Called patients to schedule shipments

Interacted with doctors, nurses, and office staff to request refills and paperwork needed to submit prior authorizations.

Answered questions from the patients about their insurance coverage and their shipments

Patient Account Coordinator for DME department. Logged CMNs and approved prior authorizations into patients account Completed day-to-day duties accurately and efficiently. Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.

Understood and followed oral and written directions. Identified needs of customers promptly and efficiently. Assisted with customer requests and answered questions to improve satisfaction.

Prioritized and organized tasks to efficiently accomplish service goals. Displayed strong telephone etiquette, effectively handling difficult calls. Approached customers and engaged in conversation through use of effective interpersonal and people skills.

Adhered to ethical principles and standards to protect clients' confidential Summary

Skills

Experience

information.

Advocated for clients by obtaining information regarding treatment options and clinical status.

Provided direct service and support by handling referrals for advocacy issues or resolving complaints.

Assisted individuals with eligibility for available benefits. Self-employeed Loganville, GA

Caregiver

12/2003 - 11/2022

Caregiver for my parents, special needs brother, and special needs daughter

Provided transportation to and from doctor appointments, grocery store, bank, post office, etc

Monitored medications, put medications in pill organizer weekly, ordered refills and picked them up from the pharmacy

Monitored my Mom's oxygen. Returned empty tanks and picked up new tanks

Assisted with my Mom's bathing, dressing, and grooming Accompanied my parents, brother, and daughter to their doctor appointments and provided information (allergies, current medications, surgical history and current and past medical problems) Target Snellville, GA

Cashier

10/2003 - 12/2003

Performed other duties as assigned by management.

Delivered high level of customer service to patrons using active listening and engagement skills.

Ensured compliance with all safety regulations within the store environment.

Boosted customer satisfaction levels by going extra mile to personalize service for each customer.

Worked closely with front-end staff to assist customers. Kept check-out areas clean, organized and well-stocked to maintain attractive store.

Operated cash register or POS system to receive payment by cash, check and credit card.

Learned roles of other departments to provide coverage and keep store operational.

Processed customer payments quickly and returned exact change and receipts.

Built and maintained productive relationships with employees. Scanned items and checked pricing on cash register for accuracy. Adhered to loss prevention policies such as monitoring suspicious activity in order to prevent shoplifting.

Maintained cleanliness of checkout area including countertops, registers, windowsills and floors.

Maintained work area and kept cash drawer organized. Counted money in cash drawer at the beginning of shift to ensure that amounts were correct and have sufficient change.

Completed day-to-day duties accurately and efficiently. CVS Pharmacy Lawrenceville, GA

Lead Pharmacy Technician

10/2000 - 06/2002

Received written prescription or refill requests, verified information for completeness and accuracy.

Maintained accurate patient records and updated prescription information as needed.

Provided customer service to patients by answering questions related to prescriptions, insurance coverage.

Ordered supplies and restocked shelves when necessary. Ordered, labeled and counted stock of medications and entered inventory data into computer.

Interpreted physician's instructions accurately when preparing prescriptions.

Established and updated patient profiles, medications and insurance details.

Dispensed appropriate medications while adhering to all state laws governing controlled substances.

Checked medications for content, accuracy and completeness of drug packaging and labeling.

Received written prescriptions and refill requests from patients, evaluating information for completeness and accuracy before filling. Oversaw inventory management processes such as ordering, stocking, tracking expiration dates.

Monitored supply inventory and promptly submitted replenishment orders to prevent shortages.

Established or maintained medications and other patient profiles. Ensured that all medications were stored properly, following safety protocols.

Efficiently processed cash register transactions for new and refilled prescription orders.

Received and stored incoming supplies and informed supervisors of stock needs and shortages.

Assisted customers by answering questions, locating items or referring to pharmacist for medication information.

Consulted with customers via telephone or in-person to assist with navigating pharmacy systems and completing requests. Worked with insurance companies to process claims, resolve problems and obtain payments.

Cleaned and maintained equipment or work areas according to prescribed methods.

Entered prescription information into computer databases. Answered telephones to respond to questions or requests. Compiled customer demographic, allergy and medical history background. Maintained clean and organized pharmacy shelving and work areas. Communicated effectively with doctors and insurance agencies to resolve prescription cost discrepancies.

Reviewed orders for completeness, accuracy, and compliance with applicable laws and regulations.

Assisted pharmacist with clearing high volume of prescriptions and responded to customer questions.

Maintained proper storage and security conditions for drugs. Adhered to regulatory guidelines for workplace safety and customer confidentiality.

Managed inventories, rotated stock, removed expired or damaged drug products and resolved discrepancies in drug counts. Completed day-to-day duties accurately and efficiently. Displayed strong telephone etiquette, effectively handling difficult calls. Assisted with customer requests and answered questions to improve satisfaction.

Provided excellent service and attention to customers when face-to-face or through phone conversations.

Prioritized and organized tasks to efficiently accomplish service goals. Understood and followed oral and written directions. Identified needs of customers promptly and efficiently. Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.

Maintained updated knowledge through continuing education and advanced training.

Eckerd Snellville, GA

Pharmacy Technician

04/1999 - 07/2000

Created new customer profiles and updated demographics, allergies and new medications in pharmacy computer systems.

Leveraged database to confirm validity of prescriptions, patient data and drug side effects.

Transmitted claims to insurance companies for payment and reconciled EOBs

Maintained daily inventory of pharmaceuticals and ensured proper storage conditions.

Mixed pharmaceutical preparations according to written prescriptions. Prepared medications for dispensing by counting, pouring, labeling, and verifying doses.

Ensured compliance with all federal, state, local laws and company policies related to pharmacy operations.

Cleaned and maintained equipment or work areas according to prescribed methods.

Checked medications for content, accuracy and completeness of drug packaging and labeling.

Assisted customers by answering questions, locating items or referring to pharmacist for medication information.

Received payment from customers and processed credit card transactions when necessary.

Checked expiration dates on medications to ensure that only unexpired products were dispensed.

Received written prescriptions and refill requests from patients, evaluating information for completeness and accuracy before filling. Assisted pharmacist with clearing high volume of prescriptions and responded to customer questions.

Organized work areas so that everything was easily accessible when needed.

Operated cash registers to accept payments from customers. Teamed with peers, technicians and pharmacists to prioritize and complete orders.

Established or maintained medications and other patient profiles. Answered telephones to respond to questions or requests. Verified accuracy of medication labels before they were dispensed to customers.

Interpreted and processed medication orders under supervision of pharmacist.

Professional Career Development Institute Norcross Education and Training

Pharmacy Technician in Pharmacy

08/2001

South Gwinnett High School Snellville, GA

High School Diploma

06/1997

U.S. Career Institute Fort Collins, CO

Pharmacy Technician in Pharmacy

Gwinnett Technical College Lawrenceville, GA

Some College (No Degree) in Accounting

GA Pharmacy Technician License 10/12/23 - 06/30/25 PTCB - National Certification In Progress

License/Certifications



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