June Marichu Delez
Pharmacy Billing Specialist
Whitby,Ontario
Summary
A highly motivated and organized Pharmacy Billing specialist with extensive professional experience in managing complex billing operations and ensuring accuracy and efficiency. Proficiently initializing Kroll software and tools to analyze data. Strong attention to detail and analytical skills to identify discrepancies and reconcile billing issues. Well-verse in Ontario Drug Benefits Program, OHIP, third-party billing, Team-oriented, dependable and performance driven.
Overview
7
7
years of professional experience
Work History
Pharmacy Billing Specialist
National Pharmacy
Scarborough, Ontario
09.2022 - 07.2023
- Processed batch billing in Kroll on daily basis
- Performed regular reconciliation, analyzed or resolved billing rejection
- Monitored and reviewed outstanding account and following up with the appropriate internal and external teams to ensure payment is made
- Conducted outbound calls, related to collect outstanding account
- Reconciled accounts, investigate irregularities and provide recommended solution
- Responded to emails in a timely manner
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
- Worked with team members to identify and develop process improvements
- Processed payment and other financial data to keep customer accounts up-to-date in the system with great attention to details
- Processed refunds on credit balances to maintain positive account
- Maintained accurate customer account records
- Solved internal and external issues with well-organized and professional approach
- Maintain confidentiality on all patient record data.
- Generated monthly invoices and statement for customers in multiple formats to provide transparency
- Responded to customer concerns and questions in professional manner
Pharmacy Billing Specialist
Medisystem Pharmacy
10.2019 - 08.2022
- Contacted insurance providers to verify insurance information and obtain billing authorization
- Investigated and resolved issues to maintain billing accuracy
- Worked with team members to identify and develop process improvements
- Leveraged integrated billing software to submit accurate claims
- Completed billing audits in identified timeframes to report and investigate findings
- Solved issues with well-organized and professional approach
- Assessed and resolved variances in accounts, databases and bills.
Pharmacy Data Entry Specialist
Medisystem Pharmacy
10.2016 - 06.2019
- Created new patient profiles and maintained existing records housed in our internal server
- Identified and corrected data entry errors to prevent duplication across systems
- Adhered to strict data confidentiality policies to prevent information leakage
- Exceeded quality goals to support team productivity
- Contacted MD and nurses for clarification of orders
- Processed resident's prescriptions in a timely manner
- Responded to daily inquiries and requests within mandated timeframe to meet deadlines
- Scanned and stored files and records electronically to reduce paper files and secure data
- Performed ad hoc tasks as required
Education
Certificate - Accounting Fundamentals Certification
Corporate Finance Institute (CFI)
Online CourseCertificate - Accounting Principles And Standard Certification
Corporate Finance Institute (CFI)
Online Course 07.2023 - 07.2023
Pharmacy Billing
Certificate - Ontario Pharmacy Association
Online Course 01.2023 - 01.2023
Pharmacy Assistant
Medix College
Scarborough, Ontario Diploma of Pharmaceutical Quality Assurance - Quality Control
Academy of Applied Pharmaceutical Sciences
Toronto, ONBachelor of Science - Pharmacy
Southwestern University
Skills
- Knowledgeable in Kroll, Intuit QuickBooks, MS Word and Excel
- Complex Problem solving
- Expert in customer service
- Strong oral and communication skills
- Effective Time management
- Expert in Medical Terminology
- Exceptional organizational skills
- Ability to work independently and excellent team player with high volume of assignment
- Excellent management skills
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Certificate - Accounting Principles And Standard Certification
Corporate Finance Institute (CFI)
07.2023 - 07.2023
Pharmacy Billing
Certificate - Ontario Pharmacy Association
01.2023 - 01.2023
Pharmacy Billing Specialist
National Pharmacy
09.2022 - 07.2023
Pharmacy Billing Specialist
Medisystem Pharmacy
10.2019 - 08.2022
Pharmacy Data Entry Specialist
Medisystem Pharmacy
10.2016 - 06.2019
Certificate - Accounting Fundamentals Certification
Corporate Finance Institute (CFI)
Pharmacy Assistant
Medix College
Diploma of Pharmaceutical Quality Assurance - Quality Control
Academy of Applied Pharmaceutical Sciences
Bachelor of Science - Pharmacy
Southwestern University
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