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Professional Resume

LaRonda Carey

Laronda.carey@yahoo.com
5348 Turner St, Philadelphia PA 19115
215-908-1166

QUALIFICATION SUMMARY

Trained in:

v  Medical Terminology

v  Pharmacy Database Systems

v  Knowledge of calculations and dosages

v  DME 9,000-10,000 Keystrokes

Education

2005(currently)           The Cittone Institute

Certificate (currently studying to be certified this year)

1998                            Pennsbury High School

Diploma

PROFESSIONAL BACKGROUND

2012-Current               Claims Processor

Bettinger /Heffler Claims; Philadelphia, PA (2012-current)

Achievements

v  Processed claim forms and provider settlement

v  Entered claims data into system,

v  Navigated claims via online for customers,

v  Responsible for accurate and timely adjudication of group health medical, dental and hospital and individual claims manually and online.

2005-2011                   Pharmacy Technician/Document Processor (Cross-trained)
Cigna Home Delivery; Horsham, PA.

Achievements

v  Establish and maintain patient profiles with heavy data entry,

v  Responsible for processing prior authorizations pertaining to pharmaceutical prescriptions,

v  Prepare prescribed medication for patients such as counting tablets and labeling,

v  Accurately and efficiently packing and shipping completed orders.

2003-2005                   Data Entry Processor/Claims Processor, Express Scripts; Horsham, PA

Achievements

v  Reviewed patients profiles to ensure accuracy and update information,

v  Tracked mail orders and refill prescriptions as needed,

v  Assist the Pharmacist with all third party transactions including the completion of any paperwork.

2003-2005                   Pharmacy Technician/Externship Walgreens; Levittown, PA

Achievements

v  Maintain inventory levels, pull outdated/recalled merchandise,

v  Collect and fill prescriptions on a computer and production line,

v  Refer all doctor’s calls and customer’s medical questions to Pharmacist.