Jennie Thammavongsa
Optum
Wheaton,IL
27
years of professional experience
Detailed oriented and analytical provider installation specialist with 2 years of experience. Strong attention to detail to ensure accurate provider data management in facet , NDB, and CSP systems . Excels at reviewing complex details, resolving discrepancies, and updating data systems with high accuracy and integrity. Brings positive attitude and commitment to continuous learning and growth.
Work History
Provider Installation Specialist
2 Years 1 Month- Processed provider installation requests, ensuring accurate enrollment and demographic data entry across internal systems.
- Verified provider credentials and contracting details before activating records in operational workflows.
- Coordinated with network, credentialing, and configuration teams to resolve installation discrepancies.
- Updated provider files, addresses, specialties, and taxonomy codes to maintain current directory information.
- Reviewed submitted documentation for completeness, reducing rework and accelerating installation turnaround.
- Applied policy and system guidelines to support compliant provider setup and maintenance activities.
- Resolved provider data exceptions by researching records and correcting system mismatches.
- Consult with supervisor with more complex issues as needed
Clinical Administrative Coordinator
5 Years- Provide excellent customer service skills to healthcare professionals and internal colleagues
- Document MSE and MSE injectable/infusion cases for clinical review, verify eligibility, identify drug carve outs according to plan and use appropriate plan benefit language.
- Document admin deny MSE cases when necessary for the nurses for review
- Monitored case status queues, escalating urgent issues to maintain service continuity.
- Standardized administrative processes to improve accuracy and reduce workflow delays.
- Trained new staff on looking up required plan benefit language for documentation standards for services, reducing errors or discrepancies in documentation.
- Assist supervisor with escalations as needed
- Placed outbound calls to provider's office to verify /obtain additional information as needed.
- Knowledge of ICD-10 codes, J-codes, and CPT codes
- Knowledge in medical terminology and medications
- Accurate documentation and verifying HIPPA when speaking with providers
- High volume inbound calls assisting healthcare professionals with prior authorizations
- Assist with training new employees with inbound calls, following guidelines and protocols for prior authorizations.
- Managed prior authorization workflows, ensuring accurate documentation and timely submission.
- Supported cross-functional teams with eligibility and referral coordination tasks.
- Reviewed cases to determine need for escalation.
- Contributed to a positive work environment by fostering collaboration among team members and maintaining open lines of communication.
Junior IT Help Desk Technician
7 Months- Excellent Interpersonal and client service skills
- Ability to learn new technologies efficiently
- Basic active directory functions
- Creating local admin accounts via SCCM
- Creating symantec certificates for onsite servers
- Mapping smart card certificates to domain accounts daily
- Programming temporary smart cards
- Processing new employee forms for the cyber security team.
- Resolved help desk tickets using ServiceNow, documenting incidents, resolutions, and escalation details.
- Administered Active Directory accounts, password resets, and access provisioning for end users.
- Supported remote users with VPN, and connectivity issues using secure troubleshooting procedures.
- Consult with supervisor on help desk/IT issues as needed
- Coordinated with technical teams to escalate complex issues and maintain service continuity.
- Supported remote users with VPN, email, and connectivity issues using secure troubleshooting procedures.
- Responded to customer inquiries and provided technical assistance over phone and in person.
Certified Pharmacy Technician Customer Service Rep
2 Years 8 Months- Processed specialty prescriptions, verifying accuracy, patient demographics, and medication details before dispensing
- Adjudicated insurance claims, resolving coverage issues and coordinating prior authorization support for prescriptions
- Communicated with patients and providers to clarify prescriptions, refill requests, and benefit requirements
- Maintained HIPAA compliance while handling confidential patient records, pharmacy data, and billing information
- Responded to customer inquiries, providing timely updates on order status, refill coordination, and delivery concerns
- Trained new pharmacy technicians on proper procedures and best practices, ensuring consistent quality of service.
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Completed paperwork, entering prescription and insurance or billing information into patient profiles.
- Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
- Increased customer satisfaction by delivering friendly, personalized service during transactions.
- Solved customer problems by providing assistance with placing orders, navigating systems, and locating items.
- Worked with computerized and automated systems for dispensing medications and editing new patient profiles.
- Collected co-payments or full payments from customers.
- Resolved non-routine issues like third-party billing, computer system, and customer service issues.
- Communicated directly with doctors offices via telephone, fax and email.
- Reviewed and verified customer information and insurance provider information.
- Communicated with prescribers to verify medication dosages, refill authorizations, and patient information.
- Collaborated with pharmacists to resolve medication-related issues, optimizing patient outcomes.
Certified Data Entry Pharmacy Technician
2 Years 3 Months- Entered prescription data accurately into pharmacy system, supporting timely dispensing workflows.
- Verified patient, prescriber, and medication information to reduce processing errors.
- Processed refill requests and updated order status within pharmacy database.
- Coordinated with pharmacists to resolve missing details and prescription discrepancies.
- Maintained confidential patient records while following HIPAA and pharmacy compliance standards.
- Enhanced pharmacy efficiency by accurately inputting prescription data into the system.
- Reduced data entry errors through meticulous attention to detail and thorough review of entered information.
- Collaborated with pharmacists to address discrepancies or issues related to prescriptions, demonstrating strong problem-solving skills.
Certified Dispensing Pharmacy Technician
9 Years- Prepared medication fills, packages, and labels according to long-term care dispensing procedures.
- Coordinated cart fills, cycle fills, and refill requests for resident medication delivery.
- Reviewed order details for accuracy, identifying and correcting discrepancies before dispensing.
- Supported pharmacists by managing workflow, prioritizing urgent orders, and maintaining production efficiency.
- Trained new pharmacy staff on fulfillment procedures, safety standards, and system navigation.
- Maintained compliance with pharmacy regulations, controlled substance procedures, and quality assurance practices.
- Stocked, labeled, and inventoried medication to keep accurate records.
- Calculated dosage, filled prescriptions, measured and compounded medications ,prepared prescription labels with absolute accuracy.
- Assisted in maintaining a clean and organized work environment, ensuring compliance with safety regulations.
- Assisted in training new team members on standard operating procedures to ensure consistent quality of service across the entire team.
- Liaised with other pharmacies to eliminate issues related to product expiration.
Certified Nursing Assistant
2 Years- Assisted residents with bathing, dressing, grooming, and toileting while preserving dignity and comfort.
- Monitored vital signs and reported changes promptly to nursing staff for timely intervention.
- Supported safe transfers, ambulation, and repositioning using proper body mechanics and fall-prevention practices.
- Documented resident care, intake, and output accurately in required records and charts.
- Provided feeding assistance and hydration support according to individualized care plans.
- Maintained clean, sanitary resident environments while following infection control and isolation procedures.
- Responded quickly to call lights and resident requests, ensuring attentive daily support.
- Guided newer aides on routine care standards, safety practices, and resident-focused communication.
- Assisted patients with daily living activities for enhanced comfort and wellbeing.
- Conducted regular rounds to monitor patients'' physical and mental status throughout shifts.
- Utilized therapeutic communication, empathy and active listening skills to encourage and develop positive relationships with patients.
Education
No Degree - Pharmacy Technician
High School Diploma
Skills
Attention to detail
Reliability
Excellent communication
Critical thinking
Adaptability and flexibility
Problem-solving abilities
Analytical thinking
Continuous improvement
Timeline
Provider Installation Specialist
Optum
09.2024 - CurrentRead More
Clinical Administrative Coordinator
Optum
09.2019 - 09.2024Read More
Junior IT Help Desk Technician
Belcan Government
11.2018 - 06.2019Read More
Certified Pharmacy Technician Customer Service Rep
CVS Specialty Pharmacy
03.2016 - 11.2018Read More
Certified Data Entry Pharmacy Technician
Omnicare Pharmacy
06.2011 - 09.2013Read More
Certified Dispensing Pharmacy Technician
Omnicare
12.2001 - 12.2010Read More
Certified Nursing Assistant
Vintage Faire Nursing and Rehabilitation Center
11.1999 - 11.2001Read More
Abrams College
No Degree from Pharmacy Technician
Read More
Johansen High School
High School Diploma
Read More