Rachel B.

Meet Rachel

• Comfortable with pets
• Has a car

Rachel E. Bierman Mansfield, 508-789-2840 EDUCATION/ CERTIFICATION Dean College, Franklin, MA 2002-2004 Associate Degree in Liberal Studies Pharmacy Technician Certification Board (PTCB) Nationally Certified 2007-Present Commonwealth of Massachusetts Pharmacy Technician License 2003- Present EXPERIENCE PharMerica, Brockton, MA 2013-Present 3rd Party Claims Processor I - Verifies information to ensure accurate processing and resolves potential issues - Interacts with insurance companies, Medicaid, and nursing facilities with any issues relating to prescriptions -Worked independently on hospice claims project, MPACT system, PCB and daily projects assigned -Completes all necessary paperwork to process any denied claims -Works closely with other departments to follow up on any denials or status changes - Adjudicates previously denied claims -Helps train new employees, review work and present spreadsheets to management CVS/Caremark Cooperate Office, Woonsocket, RI 2010-2012 3rd Party Audit Processor -Compiled and submitted all third party desk audits in a uniform format. -Maintained audit database to track audit responses, Read more identified trends, and recommend processes to prevent future audits -Oversaw patterns of medication usage including assessing and sending corrections notification to the pharmacies -Responsible for gathering all requested documentation for claim reviews, desk reviews and onsite audits -Developed documentation for each insurance agency audit requirements to better accomplish departmental goals -Ensured all required documentation requested by the agency was gathered and submitted Walgreen’s Pharmacy Fitchburg, MA 2006-2010 Senior Certified Pharmacy Technician -Worked closely with Pharmacist: filling prescriptions and inputting data -Ordered medications from warehouse -Provided weekly SIMS count to continuously update the system -Trained new pharmacy technicians to use proprietary software

Trust & safety

Experience