Pharmacy Assistant - MURPHY PHARMACY - Charlottetown, PEI
(2023-08)
Support the efficient functioning of the pharmacy and assist in the dispensing of medications.
- Answer telephone inquiries regarding prescription status, store hours, and pharmacy procedures.
- Demonstrate professionalism and empathy when handling sensitive patient situations while preserving confidentiality.
- Manage rejected claims and billing discrepancies with insurance providers.
- Maintain accurate patient profiles and pharmacy documentation.
- Assist with compliance packaging, blister packs, and medication administration records (MARs).
- Collaborate with pharmacists, nurses, and long-term care facility staff to ensure timely medication services.
- Utilize pharmacy management software for prescription processing and billing activities.
Code Based Reimbursement Specialist - Cleveland Clinic Abu Dhabi
(2019-10 - 2023-07)
Responsible for reviewing, abstracting, analyzing and coding diagnostic and procedural information accurately to meet DOH regulatory and JCI requirements.
- Assigned and sequenced ICD10, CPT and HCPCS codes to diagnoses and procedures from patient records.
- Performed quality checks for team members and actively trained new joiners.
- Maintained collaborative relationships with physician groups to resolve coding-related challenges.
Team Leader – Coding & Reconciliation - Accumed Practice Management LLC - Dubai
(2014-07 - 2018-12)
- Handled high balance insurance billing and denial management.
- Ensured compliance with billing regulations and insurance requirements.
- Processed PBM services and prescription claims.
- Reviewed and audited claims prior to submission.
Medical Claims & Billing Auditor - Cambridge Management Technology
(2013-07 - 2014-07)
- Audited outpatient coding and billing for multi-specialty clinics.
- Worked with insurance companies, healthcare providers, and patients for claim processing.
- Processed authorizations and outpatient claims.
- Processed claims according to ICD-9, CPT and HCPCS standards.
