Personable and dedicated Customer Service Representative with extensive experience in pharmacy. Solid team player with upbeat, positive attitude and proven skills in establishing rapport with co-workers, supervisors, managers, clients, etc. Motivated to maintain customer satisfaction and contribute to company success. Specialize in quality, speed and process optimization.
●Call Center Experience
●Inbound/Outbound Call Experience
●Conflict Mediation Aptitude
●Active Listening Skills
●Adaptive Team Player
●Respectful & Courteous Demeanor
PHARMACY SPECIALIST II
Corvel Pharmacy Solutions - Dublin, OH - (11/2013 to 04/2020)
●Identified prescription bills that were non-compliant with the pharmacy benefit network.
●Communicated with claims adjusters on claimant status and eligibility.
●Utilized proprietary systems and softward to add and change claimant data.
●Communicated with pharmacies to update processing information to ensure correct future billing.
●Obtained prior authorizations from claims adjusters to approve non-formulary prescriptions.
●Contacted adjusters for permission to extend eligibility of claimants' cases.
●Assisted with additional department projects as needed and served as back-up when call volume was heavy.
CUSTOMER SERVICE REPRESENTATIVE
Medco Pharmacy Solutions/Express Scripts - Dublin, OH - (08/2007 to 07/2013)
●Responsible for both inbound and outbound calls to schedule specialty medications for patients including completing assessments and setting up overnight delivery.
●Assisted Memphis Accredo supervisors with resolving no-go shipments.
●Communicated closely with key personnel such as pharmacists, coverage review specialists and the billing department to ensure that patients received their critical medications in a timely manner.
●Assisted pharmacists with several drug recall assignments.
●Supported supervisors as a SME (Subject Matter Expert) in many training classes as well as online.
EDUCATION AND TRAINING
University of Kentucky - Lexington, KY and Franklin University - Columbus, OH
Completed various business, accounting, social work and psychology courses.
Total Credit Hours (42)
Graduated from Hilliard High School, Hilliard, OH with Diploma (Member of National Honor
National Certified Pharmacy Technician.