Pharmacy Benefit Manager - Customer Care Representative
Professional profile
Utilized company documentation and CRM systems, including Microsoft Outlook, Excel, Client CIF Sources, and internal coding.. Analyzed and resolved financial claim review reports, ensuring accuracy and policy compliance.. Identified and flagged instances of potential fraud, waste and abuse within pharmacy operations.. Managed prescription orders and provided precise cost estimates under various patient insurance policies.. Maintained awareness of state and federal pharmacy regulations.
Obtained required signatures on insured, registered, and certified mail.. Kept detailed documentation reports for mail tracking and collections of postage due.. Delivered letters, legal documents, and parcels safely to local businesses and residences.. Adhered to all federal privacy and mail confidentiality requirements.. Safely operated postal delivery vehicle across challenging weather while maintaining clean driving record.
Maintained strong, loyal relationships with recurrent clients.. Performed chemical treatments, coloring, styling, and hair care services.. Applied strict safety and sanitation protocols, including knowledge of anatomy, bloodborne pathogens, and cross-contamination prevention.. Managed front-desk operations, including client scheduling, booking, and documenting transaction dates.