Josh C

Josh C Email and Phone Number

Prior Authorization Representative- Medicare Part B @ CVS Health
Little Ferry, NJ, US
Josh C's Location
Little Ferry, New Jersey, United States, United States
About Josh C

My name is Joshua Capistrano. Recent graduate of Rutgers, I am looking to expand my career opportunities using both my education and work history. I'm looking to gain experience and see what pathways are open to me. Very interested in working in the medical field, but also very interested in digital, communication, information, and media related. I put all my time and energy into everything I do and as you can see by my work experience, I am very committed to my work.

Josh C's Current Company Details
CVS Health

Cvs Health

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Prior Authorization Representative- Medicare Part B
Little Ferry, NJ, US
Josh C Work Experience Details
  • Cvs Health
    Prior Authorization Representative- Medicare Part B
    Cvs Health
    Little Ferry, Nj, Us
  • Cvs Health
    Prior Authorization Representative- Medicare Part B
    Cvs Health Oct 2021 - Present
    Remote
  • Cvs Pharmacy
    Inventory Specialist
    Cvs Pharmacy Mar 2015 - Nov 2021
    Plainsboro, New Jersey, United States
    -Analyzes trends of drugs usage and demands, identifies cost-saving opportunities to improve cash flow and meet budgetary goals. Orders drugs and supplies from vendor to restock inventory including controlled substances, non-scheduled, OTC medication and specific requests from patients based on preference and insurance.-Assist in preparation for inventory audit and follows waste disposal procedures, such as cycle counting medication, adjusting balance on hand (BOH), reporting any controlled substance discrepancies, and disposing expired/damaged medication for reimbursement/credit. -Identifies and resolves coding and billing issues in a timely manner, handling, Medicaid, Medicare D, private insurance, and Worker’s Compensation, reviewing proper diagnosis code for billing for Medicare Part B billing and processing insurance claims for COVID-19 vaccination and testing.-Accurately enters data from prescription, validates authenticity of prescription information with prescribers, maintains updated patient profiles, and obtains required information for proper documentation and online adjudication. Used software RxConnect for prescription billing and EPIC for medical.
  • Cvs Pharmacy
    Pharmacy Technician
    Cvs Pharmacy Aug 2015 - Mar 2018
    Monroe, New Jersey, United States
    -Accurately and efficiently processed 300+ prescriptions for over 100 patients daily by classifying drug, calculating proper dose, generating, and affixing labels with correct information, and packaging mediation after pharmacist verification.-Served as liaison to patients are pick-up, drop-off, and drive thru, to ring up their prescriptions, answer any questions or concerns, and follow up on patient care for future fills while adhering to HIPAA.-Handle insurance claims for medications, complies information for prior authorizations, and proactively resolving any outstanding insurance issues by communicating with the insurance and/or doctor’s office.
  • Cvs Pharmacy
    Customer Service
    Cvs Pharmacy Sep 2011 - Aug 2015
    Monroe, New Jersey, United States
    -Maintained inventory once a week to ensure the shelves were fully stocked, face products on shelf and helped with renovation of the store by rearranging plan-o-grams and structures of aisles. Assisted customers with their purchases by locating specific products, ringing up their purchases and providing information about the store’s hours and services.
  • Brookdale Senior Living
    Dietary Aide
    Brookdale Senior Living Sep 2010 - Aug 2011
    Monroe, New Jersey

Josh C Education Details

Frequently Asked Questions about Josh C

What company does Josh C work for?

Josh C works for Cvs Health

What is Josh C's role at the current company?

Josh C's current role is Prior Authorization Representative- Medicare Part B.

What schools did Josh C attend?

Josh C attended Rutgers University - New Brunswick, Monroe Township High School.

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