· Transferred data received from hard-copy documents to our client’s internal database. · Sorted and scanned hundreds of documents per day while ensuring that all individual cases are properly separated. · Indexed and secured live checks until they were shipped to our client on a weekly basis.

Process incoming mail, sort according to Client ID, scan, and verify and input data according to client specifications.

Logistics, accurately classify documents for customs regarding incoming ocean shipments.

• Create, update and maintain confidential client records • Direct signed prescriptions to appropriate pharmacy• Assist with shipping as needed • Effectively address, follow-up and rectify client concerns and issues • Provide excellent customer service via heavy call volume, email and fax • Assist Manager as needed (opening and closing office, overseeing employees, ordering supplies, addressing concerns with vendors, planning office events)

• Answer provider questions regarding the portal, EOBs (Explanation of Benefits), EFT (Electronic Funds Transfer) and ERA (Electronic Remittance Advice) via phone and email – heavy call volume• Process new applications and activate new accounts• Educate and assist providers with the registration process• Conduct EFT (Electronic Funds Transfer) outreach• Generate activation emails on new accounts so providers can utilize the Provider Portal • Provide accurate and timely responses to provider inquires• Facilitate provider access in the portal including but not limited to: reactivation, assistance with password resets and/or issues• Verifies demographic and bank information for new EFT (Electronic Funds Transfer) and Change of Financial information• Maintain and update Provider Portal policies and procedures• Update all forms pertaining to Provider Portal on a yearly basis or as deemed necessary by Director • Maintain confidentiality on PHI (Protected Health Information) of members and providers. • Assist other departments as needed (Member Services, Prior Authorization, Pharmacy)• Work on special projects as delegated by management team • Maintains office supply inventory

• Welcomes guests and customers by greeting them, in person or on the telephone; answering and directing inquiries• Conserves Director’s time by reading, researching, and routing correspondence; drafting letters and documents; collecting and analyzing information, initiating telecommunications• Maintains Director’s appointment schedule by planning and scheduling meetings, conferences, teleconferences and travel • Represents Director by attending meetings in the Director’s absence; speaking for the executive• Receipt, sort, date stamp and log all incoming member and provider grievance correspondence. Log internal incoming member grievances and distribute to QA department. • Maintains members’ confidence and protects operations by keeping information confidential and following HIPAA guidelines• Assist other departments as needed (Member Services, Prior Authorization, Pharmacy)• Completes projects by assigning to staff, and following up on results • Prepares reports by collecting and analyzing information • Produces information by transcribing, formatting, inputting, editing, retrieving, copying, and transmitting text, data, and graphics• Secures information by completing database backups • Provides historical reference by developing and utilizing filing and retrieval systems, recording meeting discussions• Maintains office supplies inventory by checking stock to determine inventory level; anticipating needed supplies, evaluating new office products ; placing and expediting orders for supplies; verifying receipt of supplies • Maintains professional and technical knowledge by attending education workshops and reviewing professional publications• Contributes to team effort by accomplishing related results as needed

• Document and fax denials of members’ medications to providers• Compose and mail Notice of Action letters to members • Answer pharmacy calls and assist with processing of members medication(s)

• Contacts/interacts with customers on a proactive and reactive basis to ensure timely receipt of pharmaceutical/ancillary supplies• Assists pharmacists in the processing of medication orders• Work collaboratively with other team members and supervisor to ensure that best-practices are shared• Maintains productivity and quality standards

• Process all new and refill prescriptions• Verify eligibility, proof and input prescriptions while maintaining productivity and quality standards • Document correspondence and follow up in system. • Prepare audit sheets and provide feedback to supervisor.• Forward incomplete or rejected scripts to appropriate department for resolution and track status in system• Work collaboratively with other team members and supervisor to ensure that best-practices are shared. • Provide backup support to other pharmacy groups based on business needs or production levels.