Rachelle Zahner
St. Joseph
Summary
Certified Pharmacy Technician with extensive experience in billing systems, claim submission, and customer service, skilled in ensuring accurate patient profiles and resolving insurance conflicts. Expertise in data entry and month-end closing procedures, complemented by strong organizational abilities. Eager to leverage skills to enhance patient care and streamline operations in a pharmacy setting.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Billing Specialist
ProCare LTC Pharmacy
10.2022 - Current
- Completing daily reviews of payer changes and census revisions for any assigned nursing facilities to ensure account changes are made timely and accurately.
- Maintaining patient profiles to contain proper insurance and accounts receivable addresses.
- Monitoring e-mail inbox for billing concerns from nursing facilities.
- Cleaning up billing rejections, insurance changes, admissions, and returned mail queues as needed.
- Answering incoming calls from patients, patient's family members, or nursing facilities regarding billing questions or concerns.
- Processing end of month billing processes and sending invoices to nursing facilities.
Lead Pharmacy Technician
CVS Pharmacy
Saint Joseph, MO
09.2021 - 10.2022
- Assisted patients through the drive-thru and in store when picking up, dropping off, or refilling prescriptions, and with any questions that I could answer.
- Customer service by phone when patients called with questions and refills.
- Contacted patients regarding questions on medications, syncing their medications, and refilling prescriptions that are due to be filled.
- Sent requests to doctors for new prescriptions when patients were out of refills or when needing changes on current prescriptions due to cost, insurance, and other various reasons.
- Processed medications properly through insurance, worked through rejected claims, and called insurance when necessary to resolve conflicts with claims.
- Signed in Covid testers and walked patients through tests from start to finish via drive-thru.
- Filled medications quickly and accurately.
Lead Pharmacy Technician
RelyCare Pharmacy Long Term Care
Bellevue, NE
02.2017 - 07.2021
- Entered in new prescriptions and processing refills.
- Filled pre-packaged medications, new orders, and refills.
- Answered incoming calls and made outgoing calls to insurances, clients/patients, and doctors' offices.
- Processed prescriptions through insurance and aided with billing and statements.
- Administered and processed vaccinations.
- Hired new technicians.
- Trained employees on data entry.
Residential Coach
Crossroads of Western Iowa
Council Bluffs, IA
06.2016 - 12.2017
- Helped those with intellectual disabilities learn to complete daily living tasks on their own, such as cleaning, cooking, and completing their laundry.
- Assisted clients to maintain proper health and hygiene.
- Administered medications.
- Ensured that the clients are maintaining personal goals, such as weight loss or being involved in social activities.
- Took the clients to the store, appointments, and on other outings.
Operations Manager
Culver's
Lincoln, Nebraska
07.2008 - 06.2016
- Trained any new and existing team members to learn new positions and tasks.
- Worked between the three locations to maintain quality and proper procedures.
- Helped Managers to learn/complete paperwork, hiring, and use of back-office tools.
- Traveled to the Council Bluffs, IA and the St. Joseph, MO locations when my help was needed.
- Performed all front of house and back of house positions and duties as needed.
Education
Some general education courses -
Metropolitan Community College
05-2017
Skills
- Customer service
- Pharmacy software proficiency
- Confidentiality and HIPAA
- Multitasking
- Certified pharmacy technician (CPhT)
- Problem-solving
- Billing systems and software
- Month-end closing procedures
- Claim submission
- Data entry proficiency
- Multitasking and organization
- Attention to detail
- Insurance billing
Certification
- Certified Pharmacy Technician (CPhT)
- Hillyard Technical Center Medical Billing, Coding, and Transcription
Timeline
Billing Specialist
ProCare LTC Pharmacy
10.2022 - Current
Lead Pharmacy Technician
CVS Pharmacy
09.2021 - 10.2022
Lead Pharmacy Technician
RelyCare Pharmacy Long Term Care
02.2017 - 07.2021
Residential Coach
Crossroads of Western Iowa
06.2016 - 12.2017
Operations Manager
Culver's
07.2008 - 06.2016
Some general education courses -
Metropolitan Community College