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Call Center Support Analyst

Location:
Irving, TX
Posted:
January 19, 2023

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Resume:

Latoya Perry

Dallas,TX adusad@r.postjobfree.com

WORK EXPERIENCE

CPhT-Prior Authorization/Transfer Team

Senderra Specialty Pharmacy, Dallas TX

March 2022- Current

Responsible for investigating and calling the plans to determine the reasons for payment denials, the Physicians and facilities to provide the reasons for denial, while collaborating with teammates to update and document prior authorization statuses.

Act as a resource to the facilities in obtaining information, completing necessary documentation

Make outgoing calls to patients’ Plans, and Physician’s offices as needed regarding approvals

Prioritize work to meet daily goals and competing deadlines.

Developed a strong understanding of the insurance verification, adjudication, back-end billing process and am becoming a subject matter expert on the transfer queues and billing workflow.

Added copay cards to select patients if needed, tranferred out scripts if not contracted under patients insurance plan.

CPhT/ Product Support Analyst

McKesson/Macro Helix- Irving, Tx.

November 2017 – February 2022

Built and enhanced customer relations to promote program success and product improvement.

Met and exceeded customer services levels to achieve customer satifaction goals.

Responsible for interfacing with customers to handle a variety of 340B questions and functions in relation to 340B Architect and other company software.

Received inbound calls, emails, and requests directly from clients acting as first point of contact.

Analyzed and troubleshot triage tickets to determine root cause and resolution.

Walked clients through troubleshooting and resolution processes in a call center environment.

Provided high-level anlytics, reporting, and other support as needed.

Analyzed a substantial amount of data (data mining), often utilizing Excel,Word, or Power Point

Proactively provided status updates and follow-ups with internal/external customers for pending requests.

Certified Pharmacy Technician

AHS PharmStat - Irving, TX

September 2016 to November 2017

Call center (PBM) pharmacy technician.

Take in-coming calls from members, providers, etc. and provide professional phone assistance to callers through the criteria-based call center process.

Able to maintain complete, timely and accurate documentation of all approvals and denials, and transfer all clinical questions and judgment calls to the pharmacist.

Deal with a diverse customer base in a friendly and confident manner (internal and external customers); have the ability to work in a team environment that requires availability to work various shifts where I am able to learn new operating systems and new communication strategies.

Certified Pharmacy Technician

DLH Solutions, Inc. - Lancaster, TX

February 2015 to August 2016

Used typing and PC computer skills.

Fill/stock medications in various automated devices.

Able to multitask multiple computer screens, use scanning equipment, select specific drugs/products required to fill an order by name, strength and NDC number

Cleaned cells and performed first preventative maintenance which includes, cleaning off lights, vacuuming, making minor adjustments to equipment.

Able to lift up to 50 pounds; push or pull up to 150 pounds on a rolling cart or using a pallet jack, able to stand or sit for long periods of time, stoop, reach upward and withstand various types of repetitive motion inherent in various tasks.

Performed basic mathematical calculations, used precaution when handling hazardous materials and hazardous waste. Production environment.

Certified Pharmacy Technician (CPhT)

QoL meds - Waxahachie, TX

March 2013 to January 2015

Worked independently without manager on duty for eight months

Acted as a liaison between CMC site and pharmacy in Dallas, Tx via own personal vehicle, PTCB Certified, TSBP Registered

Reliably traveled M-F totaling five hundred and ten miles per week in a timely manner without supervision

Enrolled new patients and educated them on our compliance protocols

Loaded vehicle with medications/products for delivery purposes

Frequently delivered medications to patients and verified receipt and provided signatures for receipt of items delivered

After working independently for a while, I began working under direct supervision of pharmacist

Identified ways to improve work processes and improve customer satisfaction

Performed all activities related to the preparation, dispensing, and sale of prescription of pharmacy-related products

Knowledge of third-party payers and how to adjudicate with them

Accurately filled prescriptions in a timely manner

Ordered/received and stored incoming pharmacy supplies

Verified medication stock and entered data into computer and maintain inventory records

Prepared bubble packs for patients who have trouble remembering their dosages

EDUCATION

CPhT- Pharmacology

Sanford-Brown College - Dallas, TX

2010 to 2011

High School

Franklin D. Roosevelt - Dallas, TX

2000 to 2004

CERTIFICATIONS/LICENSES

Certified Pharmacy Technician (CPhT)

October 2011 to October 2023

Registered – 143687

Certified PTCB - 560************



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