Customer Service Pharmacy Technician
Resume:
RONEISHA HOWARD
**** ****** ****** ************, ** 32208 904-***-**** ****************@*****.***
PROESSIONAL PROFILE
Well-rounded professional backed by cross-functional healthcare, pharmacy technician, call center, and customer service experience. Able to provide timely and accurate data to ensure reimbursement for patient services. Follow policies, procedures, and guidelines to ensure consistent quality. Maintain and assure patient privacy and confidentiality.
Bilingual – English and American Sign Language (ASL).
Ultimate Medical Academy – HIPAA Essentials for Healthcare Professionals Certificate.
Effective problem solver, able to assess situations and identify solutions.
Strong time management skills with ability to establish priorities to meet timelines.
Pay close attention to detail for accurate and compliant documentation.
Adaptable to change and consistently deliver quality customer service.
Able to work in team-based environments with emphasis on quality, performance, and customer service.
Microsoft Office Applications – Word, Excel, and PowerPoint.
CERTIFICATIONS / REGISTRATIONS
State of Florida Registered Pharmacy Technician – License # RPT115046
American Red Cross Adult and Child First Aid, CPR, AED, and BLS
KEY QUALIFICATIONS
Medical Billing Accounts Receivable Collections Co-Pay Deductibles Co-Insurance EOBs
Revenue Cycle Management Posting Payments Government (Medicare & Medicaid) Third Party Payers
Electronic Health Records (EHR) Electronic Medical Records (EMR) Managed Care (HMO PPO POS)
Workers Compensation Insurance Verification Insurance Claim Processing CMS 1500 CMS 1450 (UB-04)
Front Office Operations Medical Office Procedures Scheduling Medical Terminology
Anatomy & Physiology HIPAA Compliance Medical Coding (ICD-10-CM HCPCS CPT)
EDUCATION
Ultimate Medical Academy Associate of Science Degree – Medical Billing and Coding, 2025
WORK EXPERIENCE
HealthCare Support – Maitland, FL 08/2024 – Current
Prior Authorization Specialist / Call Center Agent / Customer Service - Remote
Process incoming prior authorization requests for both formulary and non-formulary medications with a focus on delivering exceptional customer service and maximizing productivity.
Handle authorization requests received via fax and telephone from healthcare providers and pharmacists, ensuring timely and accurate responses.
Conduct clinical reviews of authorizations in compliance with legal, contractual, and regulatory requirements, including adherence to turnaround times (TATs) and service level agreements (SLAs).
Clearly and professionally communicate detailed information to members, customers, and providers while maintaining high standards of accuracy.
Document interactions and decisions thoroughly to meet contractual and regulatory standards.
Walgreens – Jacksonville, FL 12/2022 – 08/2024
Retail Pharmacy Technician / Customer Service
Provided excellent customer service by answering incoming telephone calls, responding to inquiries, and assisting customers at pharmacy counter.
Entered insurance and demographic data into computer system, verified insurance coverage, operated cash register, processed transactions, and accepted payments.
Counted, stocked, and rotated medication inventory, placed supply orders, and removed outdated drugs.
Prepared prescriptions handled customer issues and complaints and carried-out duties in strict adherence to regulations and HIPAA privacy guidelines.
Fanatics Inc – Jacksonville, FL 10/2010 – 07/2022
Fraud Protection Agent
Monitored and analyzed daily alerting, flagged potentially fraudulent activity, and took action to mitigate losses.
Entered customer account data and communicated in a clear and concise manner.
Documented activity in customer accounts in an accurate manner and ensured confidentiality.
Identified customer needs, provided resolutions to problems, and followed established procedures.
Volunteer experience includes work as a Team Mom for Pop Warner Grand Park Viking 6U in Jacksonville, FL since 05/2024
Contact this candidate