Jessica N. Breitner Excelsior, MN
***************@*****.*** (Ph.) 763-***-****
National Sr. Certified Pharmacy Technician, Customer Service Provider Relations Advocate
Objective
To obtain, pursue and continue to expand my passion of 10+ years experience in the healthcare industry. A position within a reputable company that will allow me to grow alongside the corporation and embodies the same aspiration for health care and services that I pride myself on. Seeking a position that provides challenges, as well as learning opportunities, which will enhance my character and help differentiate me from others in the industry.
Experience
Securitas Technology Alarm Monitoring Dispatch Operator 2025
Respond to all incoming alarm signals in automation software through procedures.
Make appropriate make outbound calls to the premise, while taking inbound calls, notifying authorities, and proper contacts.
Logging immediate and accurate information.
Operates multi-line alarm telephone systems.
Ensures confidentiality of customer information.
United Health Group Provider Advocate 2021
Support service relationships with all participants such as and including physicians, providers and administrators of or within provider network and co-networks.
Respond to electronic and direct inquiries from clients about policies, rates, changes, referrals, eligibility, and credentialing using not only current or aged software in preparation for the always new and changing features to further our future.
Coram Medical Device Insurance Specialist 2019
Conduct with doctors or healthcare executives about their company's medical device offerings.
Duties for DME (durable medical equipment) representatives include maintaining contract records, taking orders, surveying clients options, staying abreast of clinical data, and monitoring competitors’ activity.
SafetyCall International Poison Control Toxicology Specialist 2018
Perform as a toxicology information specialist with a forum to promote the reduction of morbidity and mortality from poisonings through public and professional education and scientific research, and ways to set voluntary standards for poison center operations together with criteria for certification and certainty.
Emergency Medical Responder training.
Prime Therapeutics Clinical Medical Coding CPhT 2016-2018
Determines appropriateness for medications. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists.
Researches, resolves and documents prior authorization outcomes in pharmacy system.
Communicates selected prior authorization criteria, pharmacy benefit coverage and formulary alternatives to physicians, physician`s office staff, medical management staff and/or pharmacists.
Escalates requests to Pharmacist when request requires extensive clinical review or denial.
Monitors telephone system to ensure adequate staffing to maintain client services levels.
Assesses training needs within the team. Serves as a training resource, mentor and coach to others. Identifies and shares best practices.
Demonstrates, advocates and reinforces a positive team environment.
Senior Certified Pharmacy Technician/Trainer 2009-2017
Walgreens Pharmacy
Researching adjudicated insurance claims that have been submitted and or paid by handling errors.
Presenting and prom\oting webinars/seminars throughout districts to newfound employees.
Promotion to Sr. Certified Pharmacy Technician concluded over additional training processes.
CphT obtained during course of employment.
Senior Certified Pharmacy Technician 2013-2015
Lunds and Byerlys Pharmacy
Manage and organize inventory
Educate pharmacists and Pharmacy Technician employees on insurance billing policies and procedures including all aspects of pharmaceutical, medical, and hospital guidelines.
Maintain steady production flow in a high volume setting in order to satisfy consumer expectations.
Provide information to patients and physicians about pharmaceutical products and procedures within regulated scope, dictated by local and federal laws.
Commercial Insurance Group Inc. 2012-2013
Customize and coordinate protection of life, medical, and home insurance policies to suit individuals and families exigencies.
Monitor claims to ensure requirements are fulfilled.
Develop marketing strategies to compete with other companies.
Confer with clients to obtain and provide information when claims are made or changed.
Presbyterian Homes (Intensive Care Assisted Living Volunteer) 2012
Assisted in level one care of memory patients within the assisted living facility.
Worked with a variety of patients and levels of care, yet maintained a high level of professionalism and passion within their treatment.
Developed communication skills and advanced relationships with patients, created trust through effective communication and customer service skills.
Demonstrated awareness of a variety of patients’ needs.
Education
Rasmussen College 2014
Criminal law
Hodges University 2011
Health science
Heritage Institute 2009
Obtained accredited National Pharmacy Technician certification, through the study of laws and conditions of pharmacy, medical communications and technology, insurance policies and procedures including Medicare and Medicaid, patient services, pharmacology, and dosing calculations.
One year pharmacy intern leading to immediate job placement.
North Fort Myers High School 2008
Diploma
Skills
I exhibit excellent customer service as well as communication skills in order to achieve a high level of quality service to clients, coworkers and companies. I provide a level of compassion that goes unmatched by many other in the healthcare industry.
Possess knowledge of, as well as base my actions on the fundamentals of compliance and other State/Federal rules and regulations. I truly believe that quality of service is non-negotiable regardless of the company that I work for, ultimately making me a better candidate and employee.