Iram Muzaffar

Healthcare administration professional with 15 years of experience in patient services, insurance verification, claims review, and pharmacy operations. Skilled at resolving patient and provider inquiries, processing pre-authorizations, and keeping sensitive information secure under HIPAA. Currently completing a B.S. in Health Administration. Trilingual in English, Hindi, and Urdu, with strong technical skills from IT support and computer science training.

Patient Service Representative at Loomis Company (2024-08 – Present)

• Provide customer service to claimants, providers, and clients on claims and policy questions by phone and written correspondence
• Process incoming client correspondence with quick turnaround and maintain accurate customer service logs
• Support special projects that improve team workflow and response times

Patient Care Assistant at Keystone Villa (2024-01 – Present)

• Assist residents with daily living activities including bathing, dressing, grooming, meals, and mobility, promoting dignity and independence
• Take and record vital signs, observe changes in residents' condition, and report concerns promptly to nursing staff
• Document care accurately and protect resident privacy in line with HIPAA and facility policies

Patient Advocate at Dermatology Partners (2024-05 – 2024-08)

• Scheduled patient appointments, verified demographic and insurance details, and answered ongoing patient inquiries
• Served as liaison between patients and clinical departments, escalating urgent concerns for prompt resolution
• Coordinated interdepartmental communication and supported projects to improve office workflows

Member Outreach Representative at AmeriHealth Caritas (2023-03 – 2023-12)

• Conducted member outreach and insurance eligibility verifications; processed pre-authorizations for medical procedures
• Collaborated with providers to collect clinical data and maintained member databases to streamline claims processing

Pharmacy Technician at Reading Hospital Ambulatory Pharmacy, Tower Health (2017-05 – 2023)

• Led the reconsideration department, reviewing medical and hospital claims and auditing outgoing claims for accuracy
• Answered questions on membership, eligibility, benefits, claims, and medical policies; routed clinical reports to on-site physicians
• Managed 340B prescription procedures, using Excel to filter out non-eligible transactions
• Calculated dosages, prepared and dispensed prescriptions, and flagged dosage conflicts and harmful drug interactions
• Maintained the project issues log and partnered with management on staffing model projects

Pharmacy Technician at CVS Caremark (2011-03 – 2017-05)

• Filled, packaged, and labeled prescriptions accurately; processed insurance claims and POS payments
• Handled calls from physicians, pharmaceutical representatives, and customers
• Tracked inventory and placed orders ahead of shortages; supported quality improvement and records retention procedures

Tax Advisor at Liberty Tax (2009-09 – 2011-09)

• Prepared returns and corrected client tax information as a Liberty Tax–certified preparer, with close attention to detail

Bachelor of Science in Health Administration – Alvernia University (2026-11)

A.A.S. in Computer Science & Business Management – Reading Area Community College (2019-06)