Michael Buno Email & Phone Number

Zurich, Ch

Conrad, Ia, Us

• Maintain inventory of front- and back-end pharmacy products to ensure on-hand accuracy and availability of products on store shelves• Serve as point of contact for internal warehouse wholesaler and outside vendors• Act as emergency technician in store's periods of customer rushes and high call volume• Generate daily reports to appropriate entities regarding controlled drug filling, customers with active house accounts balances, total prescription volume, and register closeouts

Chicago, Us

• Filling nuclear imaging orders and guaranteeing accuracy of typed orders through a central database• Generating & circulating monthly cumulative report to VPs country-wide of script count through internal DB exports & additional research• Managing inventory volumes of industry-specific materials across location

Woonsocket, Ri, Us

• Monitored receipt of specialty items by comparing confirmed orders and inventory to electronically-placed purchase orders• Responsible for quality assurance receipt & storage of high value products, including storage management for sensitive materials• Drove cross-team optimization initiative that allowed warehouse to improve return receipt & restock volume, thereby improving customer experience through faster refund turnaround; partnered with Customer Service to reconcile customer accounts

Us

• Updated Medicare drug coverage databases per client request• Reviewed issues submitted by Daily Claim Review team to ensure processing accuracy• Tested rules engine model used for claims approval by uploading trial claim sets as batches• Troubleshot and refined flags and rules based on batch load results

Us

• Identified potential electronic claim adjudication issues and escalated to Medicare team for review• Leveraged MS Access DB to review potentially litigious rejections for accuracy and language• Processed 1000s of claims daily by automating review parameter checks; streamlining review metrics• Point person for generating team SOPs during business merger (SXC/Catamaran to OptumRx) to integrate legacy processes with new tools

Us

• Worked with MS Excel and Access databases to update internal networks as directed by the Account Management team; Assisted with QA testing for 1/1/15 go-live date• Revised plan reimbursement rates with extremely high accuracy for preferred providers across the nation, impacting 100K+ user orders/month• Initiated correspondence contact refresh to reduce returned paper checks & reports; coordinated call, email outreach initiative to smaller pharmacies encouraging transition to electronic receipt

Us

• Processed paper and electronic reimbursement claims for all legacy clients• Served as the primary processor for all Medicare Part D member and pharmacy claims• Updated Manual Claims master client list to reflect new or terminated clients and applicable changes to existing plans or procedures

Us

• Took prior authorization requests via phone and fax from public and private sector clients• Created work instructions for employees to use as a reference for taking requests• Communicated with pharmacists, supervisors, and leads to ensure a minimal turnaround

Chicago, Us

• Filled, typed, and edited prescriptions• Performed self-audits on hard copy, faxed, and electronic prescriptions• Trained new technicians on retail pharmacy essentials, including processing prescriptions, on-hand counts, and work flow• Initiated monthly pharmacy inventory checks and returns of expired medications