Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease.
Overview
4
4
years of professional experience
6
6
years of post-secondary education
Work History
Pharmacist-in-Charge
Life Pharmacy Healthcare group
Abu Dhabi
01.2022 - Current
Achieved and maintained top customer satisfaction and retention by cultivating productive relationships with patients
Completed accurate cycle counts, inventory management and will-calls for customers
Dispensed and verified patient prescription orders, conducting necessary utilization reviews with 97% accuracy.
Monitored ordering of pharmacy medication stock to maintain streamlined inventory and low overhead
Implemented guidelines that minimized administrative errors from 15% to 2%
Monitored medication dispensing machines within hospital pharmacy to make supplies readily available to clinical staff
Hand counted controlled medications, measured liquids and reconstituted antibiotics
Provided consultations and answered inquiries from patients, healthcare professionals and physicians regarding drugs, potential side effects and specified use
Medical Insurance pr
Prime Health co
Khartoum
11.2018 - 12.2021
Handled 59 calls per day to address customer inquiries and concerns.
Used coordination and planning skills to achieve results according to schedule.
Managed large volume of medical claims on daily basis.
Paid or denied medical claims based upon established claims processing criteria.
Used administrative guidelines as resource or to answer questions when processing medical claims.
Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
Responded to correspondence from insurance companies.
Evaluated accuracy and quality of data entered into agency management system.
Reviewed 250 patient cases per week and verified insurance coverage information.
Education
Bachelor of Science - Pharmacy
University of Khartoum
Khartoum, Sudan
11.2008 - 10.2014
Skills
Insurance claims processing
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Timeline
Pharmacist-in-Charge
Life Pharmacy Healthcare group
01.2022 - Current
Medical Insurance pr
Prime Health co
11.2018 - 12.2021
Bachelor of Science - Pharmacy
University of Khartoum
11.2008 - 10.2014
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