Processed electronic prescriptions to ensure timely, accurate medication fulfillment
Resolved insurance rejections and refill issues, ensuring uninterrupted access to medications
Verified patient and prescription information to uphold safety and accuracy
Managed prior authorizations and documented follow-up within pharmacy systems
Maintained patient records and workflow queues in HIPAA-compliant systems
Collaborated with pharmacists and providers to resolve prescription issues promptly
HR Administrator
Quality Pet Grooming
Durham
06.2016 - 06.2019
Managed HR documentation, including offer letters, employee contracts, and policies, to ensure compliance and support organizational needs
Updated HR databases to maintain accurate employee and benefits records
Coordinated onboarding and new hire paperwork, facilitating smooth integration of new employees through effective file management
Resolved employee concerns, ensuring adherence to company procedures and fostering a positive workplace environment
Supported benefits enrollment by answering questions and assisting employees
Conducted candidate sourcing, screening, and interview coordination
Other Positions Held: HR Coordinator, Full Cycle Recruiter
Claims Auditor
Blue Cross Blue Shield of NC
Durham
10.2011 - 04.2016
Led claims audit activities to identify payment errors and billing issues
Reviewed claims, medical records, and provider documentation to ensure accuracy and compliance with regulations
Interpreted regulations and audit findings to support compliant claims processing
Validated audit benchmarks and strategies to improve effectiveness of team review methods
Developed audit standards, guidelines, and procedures that enhanced compliance and accuracy in claims processing
Other Positions Held: Claims Processor, Claims Processor Supervisor