Administrative Office Professional
Resume:
Kafia Coleman
************@*****.***
Administrative Office Professional
●Strong administrative skills
●Proficient in Microsoft Excel, medical terminology, and general accounting functions
●Accurately and efficiently process accounts via phone, fax, email
●Provide excellent customer service in a challenging environment
●Able to multitask in fast paced dynamic environments
●Attention to detail to find discrepancies and correct errors
Professional Experience:
Care New England September 2019- present
Secretary
Receptionist \ Patient Financial Coordinator hired permanently as a secretary after serving as a temporary worker for Prokatchers Staffing Agency September 2019 to August 2021
●Welcome and check in patients, gather personal and medical information
●Verify insurance
●Schedule, reschedule, and confirm patient appointments
●Answer a multiphone line; taking and relaying messages to physicians and nurses; providing information to callers
●Sort and distribute faxes and incoming mail
●Upload electronic records to patient charts using CERNER or iManage for employee charts
Magellan Health, Middletown, RI Mar 2017 – Sept 2019
Administrative Support \Certified Pharmacy Technician II
●Assist the pharmacists on a clinical initiative regarding statin use in patients with diabetes and cardiovascular disease.
●Duties include making outbound calls to the doctor’s offices of the patients to gather all pertinent information (recent lipid panel results, applicable diagnosis, appointment dates and any contraindications to statin therapy)
●Assist in medication reviews by making calls to patients to schedule appts and setting the appts for the RPh.
●Administrative duties include mailing outbound correspondences, faxing and printing as needed. updating daily analytic reports.
●Assist in Medicare Coverage Determination. Initiate and or approve Prior Authorizations, Quantity Limits, Tier exceptions and Non-Formulary request, under the supervision of the pharmacist.
●Answer incoming calls about plan benefits, benefit stages (initial, coverage gap and catastrophic). Help with payment information and take premium payment over the phone. Process enrollments.
●Help familiarize newer technicians on the authorization process from incoming request from medical doctor’s office
CVS Corporation, Cumberland, RI Sep 2015 – Sep 2016
Customer Service Representative \Certified Pharmacy Technician II
●Check the status of Prior Authorizations, Non-Formulary requests, Quantity Limit Exceptions, and Tier Exceptions.
●Familiar with Medicare part D, CMS guidelines, ICD codes and medical terminology.
●Address adherence issues, with the customer.
●This position also included receiving inbound calls from CVS pharmacy (local stores) across the country for outside vendor medication orders.
●These phone calls may include educating technicians that were in the store about which medications they can order online through the outside vendor and walking them through this process if needed over the phone.
Education:
●A.A., Business Administration- Bristol Community College, Fall River, MA
●Dean’s List Spring 2021/ expected graduation 2023
●Member of Phi Theta Kappa Honors Society
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