Inbound pharmacy customer care Representative
Resume:
DEANNA BORCHARDT
***************@*****.***
Galveston, TX
OBJECTIVES
I have over 10 years of experience in different aspects of the healthcare industry. I am trained as an Administrative Medical Assistant/Coder. I have an education in Business and Computer Technology. I have owned and operated a pet store for 11 years. The last few years have been difficult, moving with my husband’s work and COVID. I am a dedicated employee and eager to find a company where I can put my experience and education to work for them.
EDUCATION
Wright Business School, Oklahoma City, OK AMA/Coding, 1998
Metro-Tech Center, Oklahoma City, OK Business and Computer Technology Certification, 1996
Galveston College, Galveston, TX
Healthcare Management Associates (with an emphasis on Coding Licensure) Double major in Accounting
Still attending
)6
SKILLS
Coding
Customer Service
Claims Processing
Data Entry
Charge Entry
Research
TOOLS AND TECHNOLOGY
Peoplesafe
MS Office
Excel / Word / Outlook
Avaya X
TheSource
Webex
Skype
Teams
Bhive
Mysis
Tiger
Laserfiche
EXPERIENCE
CVS Caremark Work From Home
Customer Service 2020 – 2021
Answering the phone for a busy pharmacy, most questions were related to prescription status, refills, benefits and making sure the customer was happy and satisfied. Researching and speaking with customers and providers in a complete and detailed manner, to properly meet the customer’s needs. I used various software to meet those needs, Peoplesafe, Excel, Outlook Avaya X, TheSource, Webex, Skype, Teams and Bhive.
American National Work From Home
Records Specialist II 2020 – 2020
Primarily data entry and managed the flow of paper and electronic documents for all types of insurance claims, specifically, unemployment, life and disability. I provided support for the Credit Insurance Claims Department.
Johnny’s Pets Oklahoma City, OK
Owner/Operator 2008 - 2019
Owned and operated all aspects of running a small pet store with my husband. Managed the day-to-day operations, planning and budgeting. Manage inventory, set-up and receive deliveries. Forecasting, budgeting and monitoring of sales. Set prices and marketing and paid all the bills. Researched most and least profitable inventories. Managed the live animals, including fish and aquariums, etc. And helped meet the customer’s needs on a daily basis.
Consolidated Physicians Receivables Oklahoma City, OK
Data Entry 2006 – 2008
Analyze data from Emergency Department medical charts and transcribe demographic information into individual profiles using proprietary software. Properly process insurance data to bill patients, medical claims and payments. Utilize problem solving skills to identify missing or incorrect information and either correct the information or refer to a specialist i.e. coding or hospital for correction. Work independently to meet daily and monthly performance goals.
Shared Management Services Work From Home
Charge Entry 2002 – 2006
Analyzed data from Radiology charts, entered the charges and verified the amounts balanced correctly for billing. Worked independently to meet daily and monthly goals.
American Administrative Group Work From Home
Claims Processor 1998 – 2002
Accurately entered data on some claims. Evaluated necessity, consistency and descriptions stated on the claims to ensure claims met correct allocation of benefits, collections of deductibles and observance of policy limits. Maintained accident reports in a timely and accurate manor. Reviewed EOBs and insurance policies on a routine basis.
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