Data entry, customer service, time management, adaptability, Microsoft
Resume:
Bachelor Of Science:
Psychology
Fayetteville State University
Fayetteville, NC
*********.********@*****.***
Temple, TX 76501
Skills
• Prior Authorization Processing
Pharmacy Benefit Management
(PBM)
•
Claims Adjudication (RXClaims,
PEGA, CORE Systems)
•
Electronic Medical Records (EMR
/ EHR)
•
HIPPA Compliance and
Confidentiality
•
Customer Relationship
Management (CRM)
•
Call Center Operations and
Phone Etiquette
•
Data Accuracy and Quality
Assurance
•
• Microsoft Office Suite
• Adobe/Nitro PDF Tools
Education
Experienced Data Entry Clerk demonstrates exceptional attention to detail and time management skills looking for employment. Proficient at utilizing Electronic Medical Record (EMR) systems, Microsoft Office Suite programs, and Adobe/Nitro, while fostering strong relationships with healthcare providers to enhance patient care and satisfaction. Pursuing full-time role that presents professional challenges and leverages interpersonal skills, effective time management, and problem- solving expertise.
Prime Therapeutics LLC - Clinical Operating Technician Remote
05/2025 - 09/2025
Prime Therapeutics LLC - Commercial Pharmacy Technician Remote
08/2022 - 05/2025
Clinical Pathology Laboratory - Customer Service Referral Support Specialist Austin, TX
06/2021 - 07/2022
Christina Macias
Professional Summary
Work History
Reviewed and researched medication requests from prescribers sent via fax and mail, to input information into the CORE system accurately for the prior authorizations of medications.
•
Collaborated with providers via phone and fax to resolve missing information, to further the review of the prior authorization process for members medications.
•
Managed the work queue to meet client-specific turnaround times for prior authorizations of medications.
•
Confirmed and accurately data entered unpopulated or incorrect member information with medication prior authorization, against Pega and RXClaims systems.
•
Outreach calls to both confirm information and obtain missing information from providers.
•
Managed work queue meeting client specific turnaround times, meeting and exceeding metrics for handling cases as well as position expectations in yearly reviews.
•
Contributed to smooth operations by taking on administrative assistant duties as needed, increasing overall efficiency.
•
Answer a broad range of client queries with confidence by becoming knowledgeable to laboratory testing and standards using companies EMR, which consistently bolster the lab's reputation among the competition.
•
Clinical Pathology Laboratory - Customer Service Representative Support Austin, TX
12/2019 - 06/2021
Decor Builders Hardware - Customer Service Representative Austin, TX
08/2019 - 11/2019
TruGreen - Customer Service Representative
Round Rock, TX
04/2019 - 08/2019
Gender:
References available upon request.
Initiated communication with healthcare providers, sharing critical lab results without delay, which decreases the amount of time between testing and delivering of treatment plans.
•
Researched and followed up on equipment orders to assure on-time delivery by maintaining order data in Excel spreadsheet, raising laboratory uptime.
•
Contributed to smooth operations performing on administrative assistant duties as needed, increasing overall efficiency.
•
Guided customers through decision-making process by developing expertise on company products and services, a key to achieving customer retention rate.
•
Liaised with internal support teams and customers by showing concern and a desire to resolve issues, which contributed to the location customer satisfaction.
•
Responded to customer requests for products, services, and company information.
•
Answering customer requests and complaints via phone or chat, while managing work queue. All while being both sympathetic and emphatic, all while being professional and efficient and staying within company policies.
•
Customers requests ranging from scheduling, rescheduling, or modifying programs and complaints were dealt with professionally.
•
Personal Information
References
Contact this candidate