George Mitchell II

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Provider Relations Analyst - Cigna - Orlando

(2020-05)

• Facilitated resolution of complex claims disputes between providers, members, and insurance carriers in a timely manner.
• Developed strong working relationships both internally across departments as well as externally among contracted providers to ensure seamless coordination of services.

Senior IV Compounding Pharmacy Technician - Express Scripts/Cigna - Orlando, FL, USA

(2018-10 - 2020-04)

• Compound/mix IVs for advanced therapy medications in accordance with USP 800 standards
• Maintain accurate pharmacy records for auditing purposes

Pharmacy Technician/Jidoka - Express Scripts/Cigna - Orlando, FL, USA

(2017-12 - 2018-10)

• Analyzed prescriptions after data entry to ensure accuracy prior to submission
• Performed quality audits on prescriptions to decrease errors and improve third party reimbursement

Resolution Team Lead - Express Scripts/Cigna - Orlando, FL, USA

(2016-05 - 2017-12)

• Resolved customer/client concerns regarding billing or prescriptions issues
• Utilized Verint to assess the root cause of escalated issues
• Created cases for analysis breakdown of inbound calls for related coaching points

Patient Care Advocate - Express Scripts/Cigna - Orlando, FL, USA

(2015-09 - 2016-04)

Assisted patients with prescription scheduling in call center environment

• Handled inbound/outbound physician calls to accurately schedule REMS medications
• Utilized RxHome and eSD to obtain patient/drug information in accordance with policies and procedures

Pharmacy Technician - US Scripts

(2015-04 - 2015-09)

• Performed prior authorizations by collaborating with physician offices and insurance companies
• Obtained and verified eligibility of services by documentation of patient information

Associates Degree - Western School of Health and Business (1997-05)