Process and label 500 customer prescriptions daily. Run automated sorting and counting equipment. Replenish product for sorting and filling. Maintain and clean equipment, work areas, and shelves. Interact with customers regarding mail orders, pharmacy benefits and other issues over the phone. Perform post fill audits to verify prescription information. sort and stock medications.

Responsible for auditing 150 medical bills per day to ensure that they adhered to State Fee Schedules, customer guidelines and PPO discount.Prepared over 300 incoming medical bills for scanning.

Processed moderate to complex customer transactions accurately and efficiently. Communicated benefits and products and identified sales opportunities to diverse client and groups. Initiated referrals for qualified new accounts. Performed outbound calls for service/dales follow up.

Operated cash register, answer 100+ phone calls and pack 150+ to-go orders per day. Processed monetary transactions including cash, checks and gift certificates. Maintained fast, friendly customer service for up to 100 tables.

Audited enrollment or customer service activities for accuracy and timeliness according to audit policies, procedures and mandate guidelines. Investigated and resolved difficult issues to ensure customer satisfaction. Maintained company standards by meeting and closing 100% of inventory. Processed over 13,000 medical insurance claims submitted by providers and members per year. Determined eligibility and benefits. Reviewed and processed CMS Medicare and Medicaid in addition to HMO, PPO, PSO. Applied coordination of benefits, fee schedules, manual pricing, contractual provisions. Reviewed coding for ICD-9 and 10, CPT, HCPCS, referrals and authorizations.

Process over 13,000 medical insurance claims submitted by providers and members per year. Determine eligibility and benefits. Review and process CMS Medicare and Medicaid in addition HO, PPO, POS. Apply coordination of benefits, fee schedules, manual pricing, contractual provisions, review coding for ICD-9 and 10, HCPCS, referrals and authorizations.