christopher w pharmacy september 2016
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Christopher L. Williamson3833 North 38th StPhoenix, AZ 85016
Phone (480)652-7752E-mail [email protected]
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Career Summary:Pharmacy technician trainee with active license, motivated to apply prompt pharmaceutical skills to resolve and process medical claims and provide a due-diligence, while benefiting the organization’s objectives and mission through 10 years of client service and 5 years of medical benefit claims support.
Highlights of Qualifications: Ability to recognize medical/pharmacy insurance policies, ICD-9 and 10 CPT codes
with knowledge of HIPPA compliance and insurance healthcare claims. Efficient at proofreading and resolving time sensitive work requiring a deadline prior
to final audit. Suburb at evaluating and researching benefit verification information and prior
authorizations through professional contact and follow up. Team player staying focused while working within a group to complete an
assignment or resourcefully independently. Microsoft word and Excel navigating skills, completing common data entry tasks
compiling sorting of data into a main system database on a company quota basis to meeting efficiently goals and standards.
Pharmacy Technician Experience:Pharmacy TechnicianMarch 2016 – Current -Gen Rx-
Phoenix, AZ Mail order Pharmacy processing dermatological prescriptions using data entry
fingerprint systems. Contacted doctors’ offices and insurance companies for approvals on client
processing information. Data entry of prescriptions and third party information to be verified by pharmacist
processing. Inbound calls from customer service representatives resolving client information and
updates. Outbound calls made to medical office and clients to retrieve and resolve client
pharmacy insurance processing information. Processing of copayments and deductibles for prescription medications while solving
rejection issues for prescription claims that have adjudicated incorrectly with improper medical coding.
Billing SpecialistFebruary 2015 – November 2015 -Saliba’s Extended Care Pharmacy- Phoenix, AZ Data entry of admission of client’s demographics from assisted living and skilled
nursing facilities into network system for chart review and medication disbursement.
Perform level one soft collection calls to facilities and clients with past due accounts as well as outbound calls to insurance companies regarding coverage and eligibility.
Compiled write offs, rebills, and refunds for accounts payable processing of billing statements.
Contacted doctors’ offices and insurance companies for approvals on prior authorizations.
Assisted company director and managers during pharmacy audits, retrieving documents and providing records of approvals.
Medical Claims AuditorApril 2014 – September 2014 -Cognizant- Phoenix, AZ Responsible for monitoring and correcting medical claims to ensure proper
compliance were met. Examined scanned medical records to determine the correct allocation for
processing. Resolved error- coding issues allowing medical claims to be adjudicated post audit. Verification of mail order and retail medical claims eligibility to process
reimbursement. Reimbursement CounselorDecember 2013 – March 2014 -McKesson Specialty Pharmacy-
Scottsdale, AZ Support to patients providing prompt and courteous assistance in the processing of
mail order specialty drugs. In-bound/Out-Bound call resolution and support to members requiring medical advice. Accomplished outbound calls and inbound from medical and insurance organizations
finalizing prior authorizations. Examination of denied medical claims to produce financial support, avoiding patients
from a lapse of mediation.
Pharmacy Technician December 2011- October 2013 -Humana- Glendale, AZ Resolution of failed medical prescriptions processed through mail order. Data entry and problem solving with pharmacists to deliver accurate prescription
information. Critical thinker, using logic and reasoning to identify strengths and weaknesses of
alternative solutions to problems, while upholding the company’s mission of integrity. Prior authorization and verification of drug prescriptions via phone, fax or email to
doctors.
Medical Intake Processor August 2009 – April 2010 -Enterprise Consulting Solutions- Phoenix, AZ Scanned and organized charts manually, while error-proofing documents in PDF
Format. Routed medical charts to Insurance companies via Right Fax Microsoft Programs,
processed numeric medical charts needed for chart review.
Customer Service Experience:
Customer Support / Call Center Representative Jan 2016 – April 2016 -CVS Pharmacy-/-Ring- Gilbert, Scottsdale AZ Inbound- outbound calls scheduling deliveries of pharmacy prescriptions. Resolve prescription refill errors, expediting prior authorizations through contact of
medical offices and insurance companies. Support to clients through phone and email interactions setting up mobile security
devices. Routing of calls to appropriate service level within the company to ensure client
resolution.
Education: August 2008 – September 2011 Phoenix College Phoenix, AZJuly 2000 – May 2001 Glendale Community College Glendale, AZCertification: December 2011 – Current Pharmacy Technician Trainee Phoenix, AZ