1. A dynamic, passionate and resourceful young professional seeking a full-time
challenging position
Competencies:
■ Self-driven leader entrusted with key responsibilities of typing and filling drug prescriptions
■ Aptitude for problem solving, and comprehension of medical and pharmaceutical terminology
■ In depth knowledge of infection control policies and protocols
■ Excellent interpersonal skills for communicating internally and with customers
■ Strong computer & organizational skills - MS Word, Excel, PowerPoint, Outlook, Access, e-mail, and research
Employment History:
TEAMHealth – Denials Resolution Analyst / April 2015 ~ December 2016
As a Denials Resolution Analyst will review, organize, and monitor incoming payment denials, taking
appropriate corrective action as directed by the Denials Resolution Supervisor and the A/R Manager. The
Analyst responds to carrier issues as needed and processes all appeals including Medicare, Blue Shield, and
Commercial carriers.
■ Monitored and reviewed all payment denials as assigned in Enterprise Task Manager and process these claims in the
time frame assigned within the system.
■ Utilized the telephone and various carrier websites as research tools to expedite resolution for issues.
■ I assembled and forwarded documentation to appeal disputed claims.
■ Assist with research and development of appropriate denial procedures.
2. ■ Contacted carriers to inquire on claims that have been denied and appealed.
■ Assembled and forwarded appropriate documentation to the Senior Analyst for provider related issues.
■ Review carrier manuals and websites and informs management of any new procedures implemented by the carrier that
are impacting our claims.
■ Report any consistent errors found during claims review that may affect claims from being processed correctly.
■ Consistently met established completion times for projects and assignments..
■ Consistently met and maintained the QA (95% or better) and designated production standards per sub-team
Summa Akron City Hospital – Licensed Pharmacy Technician / 2008 ~ Present
As a first and second shift licensed tech, I ensured that the prescriptions received were accurate and complete before
continuing with the preparations. During the course of my career, I learned how to run the carousel's smoothly and get my
job done on VC1 & VC2 on time and sufficiently. I have extensive experience in the IV room and always keep my area
clean, organized, and all the equipment sterile.
■ Organized drugs and medications accurately in the pharmacy
■ Assisted pharmacists in managing the pharmacy
■ Filed and recorded required information of controlled prescriptions.
■ Responsible for streamlined organization and cleanliness of the pharmacy
■ Extensive experience in the IV room
■ Extremely hard worker that always accepted additional shifts when others called off
CVS Pharmacy, Inc. – Licensed Pharmacy Technician / February 2004 ~ June 2008
As a full-time licensed technician, I was given key responsibilities to accurately type and fill prescriptions to the public.
With the many changes in Medicare rules and regulations, I compassionately worked with seniors and their families to
understand the intricacies of their new drug plans.
3. ■ Organized drugs and medications accurately in the pharmacy
■ Handled all paperwork associated with the distribution of medications to the general public including
inventory control, daily reports and events within the pharmacy department
■ Responsible for streamlined organization and cleanliness of the pharmacy
■ Responsible for register checkouts at the pharmacy
■ Achieved great respect from my pharmacists and co-workers as a reliable and friendly employee
Education:
The University of Akron – Akron, OH ~ 2004 to 2006
General studies focusing on sciences – pursuing a career in medical business and marketing
Carlow University- Pittsburgh, PA ~ 2003 to 2004
On full scholarship for basketball – pursuing studies for a nursing degree
Walsh Jesuit High School – Cuyahoga Falls, Ohio ~ 1999 to 2003
Completed all course studies with a 3.4 GPA / Volunteered at Akron General Hospital and Akron Children’s Hospital
during junior and senior years while maintaining a strong academic course-load and year-round basketball
■ 4 years as a varsity basketball player / 3 year letterman / Senior team captain / AAU standout athlete
■ Outstanding Jr. High athlete and team leader in basketball, softball, and volleyball at St. Martha’s in Akron, OH