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
