Obtain a position where I can maximize my work experience and use my customer relations experience to improve customer satisfaction.
Overview
13
13
years of professional experience
1
1
Certification
Work History
CLAIMS RECOVERY
AltaMed Health Services
Montebello, CA
11.2024 - Current
Reconcile accounts using daily refund logs to ensure accuracy and compliance
Verify and apply refund checks to appropriate claims within internal systems
Prepare and issue overpayment request letters Process incoming mail, including scanning, logging, and organizing documentation
Retract and adjust claims as needed
Maintain organized and audit-ready files for recordkeeping
Pharmacy tech
Catinat Pharmacy
Santa Ana, CA
01.2023 - Current
Performing data entry of prescriptions
Inventorying, replenishing and managing inventory
Assisting pharmacists with the preparation and dispensing of medication and supplies
Contacting health insurance to verify patients eligibility
Providing great consumer service
Contacting medical offices for PA requests/ or following up
Contacting customers to remind them to pick up medication or schedule a delivery
Answering phones calls and assisting customers’ needs
Regularly rotated stock and check for expired medications
Customer Support Representative
AltaMed - Altura MSO
Montebello, CA
08.2023 - 11.2024
Provide excellent customer service to incoming and outbound calls, an average of 70+ calls and inquiries per day.
Assist members, providers, and health plan with inquiries/requests in a timely and accurate manner pertaining to authorizations, claims, and eligibility.
Accurately complete research and provide caller with resolution to there escalated calls regarding redirections, denials, payment disputes, and check tracer sending detailed notices to the pertaining departments via email, SHARE, or Epic.
Pharmacy Tech
Pacific View Pharmacy
Long Beach, CA
01.2016 - 12.2022
Performing data entry of prescriptions
Inventorying, replenishing, and managing inventory
Assisting pharmacists with the preparation and dispensing of medications and supplies
Performing cash register operation and providing customer services
Contacting health insurance to verify patients eligibility
Providing great customer service
Contact customers to remind them to pick up medications or schedule a delivery
Pharmacy Tech
LA’s Pharmacy and Medical Equipment
Cudahy, CA
10.2013 - 12.2015
Performed data entry of prescriptions
Inventoried, replenished, and managed inventory
Assisted pharmacists with the preparation and dispensing of medications and supplies
Performed cash register operation and provided customer services
Answer phone calls and provide the best customer service
Regularly check stock for expired medications
Pharmacy Tech - Internship
Kaiser Permanente
Los Angeles, CA
07.2013 - 09.2013
Filled prescriptions, stocked OTC merchandise and incoming supplies
Performed administrative tasks, maintained medicines in order
Prepared pharmaceutical products
Provided customer service
Education
Pharmacy Technician - undefined
UEI College Pharmacy Tech Program
Gardena, CA
01.2023
School Diploma - undefined
Lynwood High School
Los Angeles, CA
01.2010
Skills
Microsoft Windows, MAC OS
Applications: Microsoft Word, Excel, Power Point
Languages: English/Spanish
Typing speed 30 wpm
10 years of customer service experience
Certification
California Registered Pharmacy Technician Valid through …….