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Customer Care/ Analyst

Location:
Jacksonville, FL
Posted:
November 27, 2020

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Resume:

Objectives

To obtain a challenging position where my skills, knowledge and experience can be utilized.

Critical Employability Skills

Computer Programming

Project Management

Oracle

Microsoft Suite

General Accounting

Troubleshooting

Detail oriented and organization

Quality Assurance and System Evaluation

Management of Change

HAZOP /ISO 9000

Process optimization, Manufacturing, and Design

DB2/SQL

Logistics

Financial Aid

Data Entry/Analysis

Mainframe Systems

Contract Negotiation and Acquisition

Billing and Scheduling

Research

Claims, Third Party Billing and Prior Authorizations

Computer Hardware and Software

Problem Solving and Conflict Resolution

Human Resource Systems

Experience

Volunteer /Temporary Work Jacksonville, FL. 06/2019-Current

Online scoring

Distributing food to the community

Teaching a Consumer Tips/Finance Class

Door to Door ministry

Project Manager

Back office administrative/billing Pharmacy

Pharmacy Call Center Tech PerformRx- Jacksonville, FL 06/2016-05/2019

Analyze, troubleshoot and resolve inbound inquiries for multiple lines of businesses to avoid escalation.

Effectively communicate with internal and external stakeholders to ensure the efficient flow of information

Exercise autonomy to eliminate the need for escalating concerns simultaneously using multiple screens.

Maintain and enforce center standards to ensure process accuracy and operational effectiveness.

Use corporate technology tools and internal technological systems to perform operations within guidelines.

Provide extraordinary customer service while addressing prior authorization inquiries.

Research laws, corporate policies, and standard operating procedures to resolve formulary and benefit issues.

Meet or exceed established productivity quotas or operational targets to positively impact the bottom line

Provided recommendations that were implemented for reference guides relative to multiple lines of business to improve customer satisfaction and improved company outcomes as well as created error flowcharts for the training department.

Appointed to assist with Workman Comp Claims Project

Instrumental in savings for company by recognizing incorrect enrollment of members as well as specialty medication being filled at undesignated pharmacy and prior authorizations approved incorrectly to secondary.

Environmental Quality Tech City of Jacksonville- Jacksonville, FL 06/2015-10/2015

Research pertinent advances in areas of corporate interest such as EPA laws and industry regulations.

Observe, master, and ensure adherence to established safety precautions, regulations, and practices to reduce critical incidents.

Disseminate regulations, audit findings, and potential solutions to identified deficiencies to management groups.

Conduct site investigations based on data and reports to coordinate services and ensure compliance.

Enforce corrective activities in partnership with other governmental agencies.

Evaluate confidential records to collect and compile data and prepare technical reports.

Ensure federal, state, and local environmental regulations are in compliance for high risk pollution sources.

Develop and maintain databases and Excel spreadsheets to report confidential data and related records.

Pharmacy Technician Wal-Mart - Jacksonville, FL 08/2010- 06/2015

Provide quality customer care and interact with physician’s offices to ensure proper distribution of pharmaceuticals.

Increase speed of service delivery and pharmacy efficiency by preparing and filing completed prescriptions.

Establish or maintain patient profiles, including lists of medications taken to avoid contraindications.

Third party billing (insurance).

Order, receive and store incoming supplies, verify quantities against invoices, check for outdated medications in current inventory, and inform supervisors of stock needs and shortages.

Mix pharmaceutical preparations according to written prescriptions.

Accept payment from customers using the company’s POS system.

Maintain equipment and work areas to meet cleanliness standards.

Additional Professional Experiences

Collector 3 Citibank Jacksonville, FL 11/2014- 06/2015

Instructor Virginia College Jacksonville, FL 06/2011- 12/2011

Quality Evaluator Convergys /UHC Jacksonville, FL 09/2009-02/2010

Financial Aid Officer Paul Mitchell the School Jacksonville, FL 09/2008-03/2009

Documentation Clerk Crowley Maritime Jacksonville, FL 08/2006- 12/2006 Human Resources Assistant Everbank Jacksonville, FL 02/2006-05/2006

VE/Adjunct/Program Facil. FCCJ Jacksonville, FL 07/2001-12/2005

Operations Spec./Analyst AETNA Jacksonville, FL 04/1997-08/2000

Process Engineer PPG Industries Lake Charles, LA 06/1989-01/1996

Education

Cert. – Transp. And Logistics Univesity of North Florida Jacksonville, FL 06/2011

MSCE, N+, A+ Enterprise Integrations Jacksonville, FL 01/2001

BS in Chemical Engineering McNeese State University Lake Charles, LA 05/1989



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