Megan Seech
Aliquippa
Summary
Pharmacy claims analyst with more than 9 years combined experience in the pharmacy, medical field and customer service industry. Familiar with computer software, medical terminology, and problem solving with a positive attitude. Eager and willing to learn new things.
Overview
12
12
years of professional experience
Work History
Pharmacy Claims Analyst
Pantherx Rare Pharmacy
Pittsburgh
01.2021 - Current
- Pharmacy claims analyst with over three years of experience.
- Run claims received for new patient orders, determine what the next step will be for the patient's claim based on rejection, to guarantee a fast turnaround for the patient's medication.
- Submit prior authorizations for new incoming orders and refill orders.
- Reach out to physician offices to advise them of the current states of prior authorizations, and what needs to be done to receive a quick resolution for the patient.
- Also worked as a reimbursement specials for team, for our Buy and Bill patients.
- Enrolled patient's in reimbursement program, and submitted all needed documents for patients.
- Maintained communications with the patient's parents to obtain appropriate documents and discuss the current status of reimbursements.
- Training new hires on the pharmacy side of billing
Diagnostic Imaging Scheduler
Heritage Valley Health System
Sewickley
01.2017 - 01.2021
- Company Overview: Fast paced call center that provides patients with excellent customer service in the radiology imaging department.
- Scheduling patients for many different imaging tests ordered by physicians.
- Verifying ordering information is correct and verifying patient health insurance and or insurance authorizations.
- Using multitasking skills and problem solving to provide the customer with excellent care.
- Fast paced call center that provides patients with excellent customer service in the radiology imaging department.
Unit Secretary
Heritage Valley Health System
Beaver
08.2013 - 01.2017
- Providing assistance to doctors and nurses in various departments of the hospital, which includes; cardiopulmonary, observation and emergency department.
- Inputting orders, registering patients and providing excellent customer service to patients, and visitors.
Assistant
Dr. Beverly Carl
Bridgewater
05.2013 - 07.2013
- Providing assistance to the physician in patient care and in-office procedures.
- Front desk and back office experience in a medical office.
- Back office including rooming patients, preparing patients for surgery and providing aftercare instructions.
- Front office included customer service, scheduling patients and checking out patients.
Education
DCI Career Institute -
DCI Career Institute
Monaca, PA06.2013
Diploma -
Hopewell Highschool
Aliquippa, PA06.2012
Skills
- Software
- Service
- Multitasking
- Telecommunication Skills
- Computer
- Medical Terminology
Timeline
Pharmacy Claims Analyst
Pantherx Rare Pharmacy
01.2021 - Current
Diagnostic Imaging Scheduler
Heritage Valley Health System
01.2017 - 01.2021
Unit Secretary
Heritage Valley Health System
08.2013 - 01.2017
Assistant
Dr. Beverly Carl
05.2013 - 07.2013
DCI Career Institute -
DCI Career Institute
Diploma -
Hopewell Highschool
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