
Healthcare professional with expertise in pharmacy operations and third-party insurance processing. Experienced in managing insurance claims, prior authorizations, and billing coordination while resolving coverage issues. Committed to enhancing operational efficiency within health insurance or medical billing teams.
• Managed high-volume prescription workflow, processing 100+ prescriptions daily with accuracy and efficiency
• Performed 200+ daily data entries for prescriptions, insurance billing, and patient profiles with strong attention to detail
• Coordinated extensively with insurance companies (third-party payers) to resolve coverage issues, claim rejections, and prior authorization requirements
• Initiated and followed up on prior authorizations by communicating with physician offices and insurance providers to ensure timely medication approval
• Contacted physician offices to clarify directions, quantities, and potential drug interactions to ensure patient safety and claim accuracy
• Communicated directly with patients regarding medication status, insurance coverage, and prescription issues, demonstrating strong customer service and communication skills
• Demonstrated strong problem-solving skills by resolving complex third-party billing issues under time pressure
• Managed multiple priorities simultaneously in a fast-paced environment while maintaining high productivity and accuracy
• Answered high-volume phone calls and maintained professional communication with patients, providers, and insurers
• Recognized for speed, accuracy, and teamwork; received a strong recommendation letter from Pharmacy Manager
Experienced in third-party insurance coordination, claim follow-up, prior authorizations, and resolving coverage issues through direct communication with insurance providers and patients.
Pharmacist Trainee