Healthcare professional with expertise in pharmacy operations and compliance. Strong ability to audit patient documentation, resolve escalations, and maintain service excellence through meticulous attention to detail and effective communication.
• Patient Consent - Managed and audited patient consent documentation, ensuring 100% compliance with HIPAA regulations regarding authorized family and third-party representation
• Ensured accuracy of confirmation requests through systematic audits and prompt follow-up actions.
• Conducted thorough investigations to determine root causes of problems, ensuring accurate documentation and tracking in Master Control.
Answered phones to address customer inquiries and concerns. and Assists Customers with their pharmacy needs.
• Processed customer orders received via phone to ensure timely fulfillment.
• Monitored and addressed assigned call queues to maintain prompt customer service.
• Received calls through designated call queues.
• Aids customers with returns process initiation.
• Answer shipping and delivery questions.
• Executed test claims to secure valid responses for enrolling eligible patients in copay card assistance programs