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     ZAID A. SHAMSI 
6918 Eleanor Pl Darien, IL 60561 
(630)664­5674 (C), Email: zaidashamsi@gmail.com 
 
 
An articulate and innovative professional experienced in communications, strategy/analysis, project and 
employee management with extensive work in medical billing and coding, HIPAA compliance procedures 
and protocols, and managing third party clients.   
Summary of Expertise  
 
● Intervention/crisis counselor at Suicide Prevention Services Hot line. Crisis cases that included extreme                         
depression, suicide ideation, alcoholism, and domestic abuse. 
● Creative and artistic with strong presentation and oral capabilities; outstanding verbal/written communication                       
skills.  
● Knowledge of DSM 5, HCPC, and CPT coding.   
● Emergency Medical Training that encompassed the usage of respiratory devices and resuscitation techniques. 
● Billing, managing, and documenting third party claims that encompass both private and commercial                         
prescription plans. 
● Trained/supervised pharmacy technicians. Efficient user of MS Office Suite                 
(Word/Excel/PowerPoint/Access) 
● Proficiency in EHR­electronic health records­software. Specifically Helper Software, Rx Claims Software,                     
Frameworks, and Casamba.  
Education 
● 2009 BA (Bachelor of Arts) in Psychology  Benedictine University, Lisle, Illinois  
● Emergency Medical Certification and general             College of Dupage, Glen Ellyn, Illinois 
education requirements.  
Professional Experience 
Symbria Rx Services, Warrenville, IL            ​September 2013­current 
A long term care pharmacy providing pharmaceutical needs to skilled and assisted living facilities.   
Pharmacy & Rehab Biller 
● Proficiency with Frameworks Software in regards to patient management, client management, and third 
party claims submissions.  
● Familiarity with third party plans including but not limited to Indiana & Illinois Public Aid, Medicare Part 
D Plans, commercial prescription plans, supplemental plans, hospice plans, and more.  
● A thorough understanding of Medicare Part A and billing procedures associated with Medicare Part A 
● Meeting deadlines for both skilled and nursing facilities in regards to billing statements.   
● Understanding of hospice medications and billing procedures. 
 
Catamaran, Lisle, IL October 2012 – May 2013 
One of the largest Pharmacy Benefit Management companies in the country providing billing services for 
hundreds of third party clients.  
Prior Authorization Specialist 
● Proficiency in RxClaims Software with regards to claims submissions, criteria verification,  and 
documentation and escalation of compound medication claims.   
● Familiarity with drug formulary lists, brand/generic medications, drug classes and uses, and ICD­9 
 
PAGE 2 
 
 
codes.  
● Coordination with third party clients. i.e. Tennessee Medicaid, BlueCross Blueshield, and BriovaRx.  
● Proficiency in Medicare Part D procedures that include billing, documentation, and patient follow up. 
● Problem­solve by identifying crises, devising multiple contingency plans, and synthesizing information 
to report to management.  
● PTCB Certified and licensed pharmacy technician.  
● Adhering to federal guidelines in regards to Medicare Part D procedures.  
*Short term employment via recruiter.  
 
83rd Professional Group, Willowbrook, IL May 2009 – October 2012 
Private clinic providing therapy and psychiatric medication to more than 500 clients and patients.  
Office Manager 
● Trained and supervised office interns to complete daily operations and project completion. 
● Track and document clinic financials in quick­books software. 
● Inputting CPT codes for therapists/psychiatrists in accordance with third party regulations.  
● Retrieve and reconcile banking information and daily excel spreadsheets.  
● Proficiency with helper software for patient account management.  
● Managing clients, patients, software, office equipment, and other necessities for clinic maintenance.  
 
 
CVS Pharmacy, Lombard, IL  September 2010­October 2012 
One of the largest retail pharmacy chains in the country. 
Senior Pharmacy Technician 
● Supervised and trained new technicians in third party billing procedures, prescription entry, and drug 
inventory management.   
● Demonstrated legal compliance with control substance medications.   
● Delegated and supervised work flow procedures to ensure quality customer service.  
● Effectively communicated with all necessary third party plans to obtain appropriate co­pays and approvals.  
 
Walgreens Pharmacy, Downers Grove, IL              May 2007­October 2010 
 
The largest mid west retail pharmacy chain in the country.  
Pharmacy Technician 
● Selling promotional plans like the Prescription Savings Club. 
● Performed a wide variety Pharmacy duties including prescription entry, billing, and dispensing. 
● Resolved customer complaints in regards to insurance co­pays, incorrect medication, and other errors.  
 
 
 
  
 

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resume

  • 1.   PAGE 1             ZAID A. SHAMSI  6918 Eleanor Pl Darien, IL 60561  (630)664­5674 (C), Email: zaidashamsi@gmail.com      An articulate and innovative professional experienced in communications, strategy/analysis, project and  employee management with extensive work in medical billing and coding, HIPAA compliance procedures  and protocols, and managing third party clients.    Summary of Expertise     ● Intervention/crisis counselor at Suicide Prevention Services Hot line. Crisis cases that included extreme                          depression, suicide ideation, alcoholism, and domestic abuse.  ● Creative and artistic with strong presentation and oral capabilities; outstanding verbal/written communication                        skills.   ● Knowledge of DSM 5, HCPC, and CPT coding.    ● Emergency Medical Training that encompassed the usage of respiratory devices and resuscitation techniques.  ● Billing, managing, and documenting third party claims that encompass both private and commercial                          prescription plans.  ● Trained/supervised pharmacy technicians. Efficient user of MS Office Suite                  (Word/Excel/PowerPoint/Access)  ● Proficiency in EHR­electronic health records­software. Specifically Helper Software, Rx Claims Software,                      Frameworks, and Casamba.   Education  ● 2009 BA (Bachelor of Arts) in Psychology  Benedictine University, Lisle, Illinois   ● Emergency Medical Certification and general             College of Dupage, Glen Ellyn, Illinois  education requirements.   Professional Experience  Symbria Rx Services, Warrenville, IL            ​September 2013­current  A long term care pharmacy providing pharmaceutical needs to skilled and assisted living facilities.    Pharmacy & Rehab Biller  ● Proficiency with Frameworks Software in regards to patient management, client management, and third  party claims submissions.   ● Familiarity with third party plans including but not limited to Indiana & Illinois Public Aid, Medicare Part  D Plans, commercial prescription plans, supplemental plans, hospice plans, and more.   ● A thorough understanding of Medicare Part A and billing procedures associated with Medicare Part A  ● Meeting deadlines for both skilled and nursing facilities in regards to billing statements.    ● Understanding of hospice medications and billing procedures.    Catamaran, Lisle, IL October 2012 – May 2013  One of the largest Pharmacy Benefit Management companies in the country providing billing services for  hundreds of third party clients.   Prior Authorization Specialist  ● Proficiency in RxClaims Software with regards to claims submissions, criteria verification,  and  documentation and escalation of compound medication claims.    ● Familiarity with drug formulary lists, brand/generic medications, drug classes and uses, and ICD­9 
  • 2.   PAGE 2      codes.   ● Coordination with third party clients. i.e. Tennessee Medicaid, BlueCross Blueshield, and BriovaRx.   ● Proficiency in Medicare Part D procedures that include billing, documentation, and patient follow up.  ● Problem­solve by identifying crises, devising multiple contingency plans, and synthesizing information  to report to management.   ● PTCB Certified and licensed pharmacy technician.   ● Adhering to federal guidelines in regards to Medicare Part D procedures.   *Short term employment via recruiter.     83rd Professional Group, Willowbrook, IL May 2009 – October 2012  Private clinic providing therapy and psychiatric medication to more than 500 clients and patients.   Office Manager  ● Trained and supervised office interns to complete daily operations and project completion.  ● Track and document clinic financials in quick­books software.  ● Inputting CPT codes for therapists/psychiatrists in accordance with third party regulations.   ● Retrieve and reconcile banking information and daily excel spreadsheets.   ● Proficiency with helper software for patient account management.   ● Managing clients, patients, software, office equipment, and other necessities for clinic maintenance.       CVS Pharmacy, Lombard, IL  September 2010­October 2012  One of the largest retail pharmacy chains in the country.  Senior Pharmacy Technician  ● Supervised and trained new technicians in third party billing procedures, prescription entry, and drug  inventory management.    ● Demonstrated legal compliance with control substance medications.    ● Delegated and supervised work flow procedures to ensure quality customer service.   ● Effectively communicated with all necessary third party plans to obtain appropriate co­pays and approvals.     Walgreens Pharmacy, Downers Grove, IL              May 2007­October 2010    The largest mid west retail pharmacy chain in the country.   Pharmacy Technician  ● Selling promotional plans like the Prescription Savings Club.  ● Performed a wide variety Pharmacy duties including prescription entry, billing, and dispensing.  ● Resolved customer complaints in regards to insurance co­pays, incorrect medication, and other errors.