Jakena Bittle Customer Service Rep and
CPhT
Charlotte, NC 28213
Phone: 704-***-****
E-mail: adtvxx@r.postjobfree.com
Profile
Goal oriented healthcare professional with more than 6 years’ of inpatient and outpatient pharmacy experience
Punctual and flexible, team player at all times, maintaining positive and friendly attitude in all work environments
Skilled Certified Pharmacy Technician with ability to quickly learn and perfect any medication preparation technique
Strengths include providing exceptional customer service, multi- tasking, paying close attention to detail, and trouble shooting
Possesses extensive knowledge of various insurance plans from commercial to Medicare Part D
Able to perform with speed and accuracy, especially under pressure and in fast paced working environments
Quickly completes given tasks with high sense of urgency and exceeds expectations working alone and/or in groups
Recognized by pharmacy leadership for outstanding customer service and pharmacy claims troubleshooting
Education/Certifications
Kaplan University May 2022 – current
Pharmacy Technician Certification Board November 2013 Technician Certification
North Carolina Board of Pharmacy March 2012
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Garinger High School Diploma June 2006
Experience
Premier Transportation Sept 2022- Current
Load and unload freight, keep track of inventory.
Use Pallet jack to transport large loads and assist with packing goods Onto pallets by using a scanner for verification.
Accrue Partners / Cardinal Health. May 2021- Dec 2021 Responsible for the prevention, detection, and investigation of fraudulent claims and other program waste and abuse by members and service providers.Scan LIP application from providers (medicaid) to make sure it is properly filled out correctly.Notify Providers their application status after the 61st day from the date of the application process.. Send applicants notification of Cardinal’s decision in writing. If the nomination is approved, providers will be sent an application for credentialing and enrollment for the new site(s) and/or service(s) that will include detailed instructions and timelines for completion. Coordinates, manages and monitors care and transitions across the continuum of health care, in various settings, and in conjunction with individuals, providers and others in order to connect components of the healthcare team and improve outcomes for individuals. Demonstrates strong interpersonal skills to interact with others in a constructive manner that builds trust.Clearly and accurately documents business processes and related audit findings.Completes work independently receives general guidance on new projects
LASH GROUP/ TALENTBRIDGE Oct 2019 - March 2020
Feb 2021 – March 2021
Benefits Verification Specialist collects and reviews all patient insurance information needed to complete the benefit verification process. Verifies patient specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options according to Program specific SOPs. · Verification process could include electronic validation of pharmacy coverage and medical eligibility. Triages cases with missing information to appropriate program associates. Identifying
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any coverage restrictions and details on how to expedite patient access. Documenting and initiating prior authorization process and claims appeals. Reporting any reimbursement trends or delays to management. AECOM/NCQUICKPASS July 2018- OCT 2019
Answering routine telephone inquiries or in person in a customer- oriented call center operations environment by following standard scripts and procedures and making any necessary follow-up outbound calls.
Knowledgeable in the processing of toll transactions and video bills in the system; receives, processes, and deposits payments; updates accounts and video bills as to their status; and opens new accounts.
Takes credit card payments over the phone or in person for accounts, video notices, and new accounts.
Researches and resolves customer issues.
Processes and fills out multiple types of forms.
Writes and receives correspondence via fax, mail, in person and email.
Negotiates payments and fee reductions up to their established limits.
Performs data entry.
Documents phone calls and in person interactions and actions in the database.
Receives and processes account update requests from inbound phone calls, in person and mail, as directed.
Records individual completed daily work statistics.
Troubleshoots situations accurately, quickly and efficiently for customers on the phone, in person or via electronic communication.
Helps other departments with their tasks when work volume is low.
May be assigned to the following tasks: Ferry Reservation Requests and Inquiries
Storefront Operations
Payment Processing
Service Request Processing
Mail Processing
Collections Accounts Processing
DMV Hold Processing
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Certified Pharmacy Technician
Presbyterian Medical Center – Charlotte, NC Feb 2016 – Jan 2018 Caromont Health – Gastonia, NC June 2015 – Feb 2016 Wal-Mart Pharmacy – Charlotte, NC Feb 2011 – Feb 2016
Complying with facility rules and regulations as well as HIPAA (Health Information Portability and Accountability Act
Inputting, troubleshooting, and filling customer’s prescriptions
Handling inbound and outbound calls providing customer care and ensuring patients are in compliance with medication therapy
Operating cash pharmacy cash register, verifying customer identification for restricted medication purchases
Assisting customers with over the counter items and medication inquiries
Maintaining the cleanliness of the pharmacy
Managing both over-the-counter and prescription inventory orders
Processing prescription insurance claims
Traveling to work in various pharmacy locations when needed
Packaging and labeling medication to ready for Pyxis replenishment
Following and staying within time schedule for daily given tasks
Delivering medication to nursing units throughout facility
Utilizing Pyxis machines to store delivered medication and patient specific drugs
Troubleshooting and resolving Pyxis discrepancies
Preparing IV medication for patients during their hospital stay
Utilizing computer programs such as Epic and Pharmogistics to answer messages from Nurses, dispense patient specific medication, order medication for units, and monitor drug inventory
Delegating tasks amongst fellow technicians
Answering and routing phone calls to appropriate Pharmacist
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Skills
Customer Service, Interpersonal Skills, Data Entry, Microsoft Office, Compounding, Medication Dispensing, IV Preparation, Medication Delivery, Inbound & Outbound calling, Prescription Inputting & Transferring, Inventory Management, Documenting/Recording, Volunteering, Basic Office Skills, Calendar/Time Management, Basic Math/Accounting, and Problem Solving