Pharmacy Technician Customer Service

Nirja Modi, MHA

Mobile: 913-***-**** adbzd1@r.postjobfree.com

***** **** ***** *******, ******, KS 66061

Highly motivated Business/Clinical Coordinator with a strong work ethics and advanced complex problem-solving skills along with expertise in process improvement, quality control, customer service and business development, where consistently exceeded management and stakeholders’ expectations in rapidly changing competitive business environment.

SYSTEM KNOWLEDGE

Advanced in MS Office Applications (Access, Excel, PowerPoint, Word, Outlook), JIRA, Genesis, Care link 1.0, Care link 2.0.

PROFESSIONAL EXPERIENCES

BriovaRX infusion Services (UHG), Overland Park, KS April 2017 -Present

Clinical Administrative Coordinator

Responsible to ensure the patients have proper authorizations for visits, procedures, and ancillary tests. Determine financial responsibility of patient/ insurance provider and to perform administrative tasks to remain current on procedures and claims processing resources and to update claims system data.

Responsibilities

Researching and resolving issues such as missing information, confirming insurance verifications and eligibility of patient.

Developing effective working relationship with internal and external clients to achieve business development goals.

Documenting activities and communications and entering information accurately into payer systems named Carelink 1.0, Carelink 2.0 and CPR.

Coordinating with other team members to proactively identify areas of improvements within daily work activities.

Ensuring projects adhere to frameworks and all documentation is maintained appropriately for each project.

Following established guidelines to communicate type and frequency of initial authorization request; submitting authorization requests to payers and tracking benefit limits.

Subject matter expert in fixing and adjusting past claim including working with finance for approved claim adjustments after insurance approval.

Coordinating the implementation activities with business stake holders.

Reviewing unbilled/non-billed lists to identify and resolve issues which prevent services from billing using Carlink 2.0 and CPR.

CVS PHARMACY, Lenexa, KS March 2015 -March 2017

Pharmacy Technician/Coordinator

Responsible to perform in accordance with state and federal regulations, assists the pharmacist, under direct supervision, in the practice of pharmacy.

Responsibilities

Assisted Pharmacists with providing safe and appropriate Pharmacy services to the patients in accordance with policies and procedures of CVS, the state professional standards and other regulatory entities.

Developed efficient method to do Pharmaceutical calculations in order the provide correct does of the medication.

Coached other staffs in customer best service practice, improving customer experience and increasing customer retention rate.

Assisted with the product purchasing and inventory and equipment management.

Maintained a safe and clean pharmacy by complying with procedures, rules, and regulations.

Alpha Transport, Lenexa, KS May 2011 - October 2014

Project Coordinator

Responsible for solving a range of stakeholder challenges by analyzing solutions using standard business analysis procedures, preparing estimates, verifying requirement of documents, to support stakeholder value.

Responsibilities

Responsible for identifying and applying basic analysis and modeling techniques to understand stakeholder needs by specifying, verifying, and validating requirements to support value delivery and recommended solutions.

Contributed to the design, development and maintenance of reports, analyses, dashboards, etc. to drive key business decisions using JIRA.

Developed transportation strategies to cop up with changing market and competitive conditions with the understanding of external capabilities ensuring transportation strategies exceed business goals.

Created and implemented models and business metrics to Coordinate logistics activities and perform data analysis using JIRA and Excel.

Identified and resolved performance issues by conducting driver evaluations and tracking driver route and holding meetings with drivers.

Assisted upper management in planning and monitoring Business Analysis approach to arrive at the best approach and determine business/product needs.

Developed and implemented transportation and logistics services through contract negotiations to: support client initiatives and optimize lead time and cost.

EDUCATION

Master’s in Healthcare Administration – Webster University, USA March 2015 – May2017

Bachelor’s in Commerce- S.P.B. College, India June 2006-May 2009

REFERENCES

Available Upon request

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