- Coordinates submission of pharmacy authorization requests to patient health plans for coverage of medications for payments.- Assess pharmacy vs. medical billing for services and medications - Coordinates with dispensing pharmacies to ensure payment of claims

• Reviewed accurate contractual filling of medications to ensure payment for services • Ensured positive profit margin prior to dispensing medication • Collaborated with prescriber and pharmacist to ensure appropriate medication therapy for multiple disease states

• Contacted insurance companies for benefit investigations and coverage eligibility • Completed prior authorizations with attention to detail and accuracy, to then have the prepared prior authorization reviewed by a clinical pharmacist • Corrected and resubmits rejected Third Party claims per individual insurance plan requirements in an efficient manner to receive payment

• Aided pharmacist in script filling process, including inputting of prescriptions and counting of medications • Functioned as primary contact between pharmacy and health insurance companies, as well as physician offices. This included direct involvement in initiation of prior authorizations, correcting prescription errors, and helping patient obtain necessary information from health insurance companies • Aided pharmacist in inventory management or both controlled and non-controlled medication