Sarah Crawley

• Managed outbound calls to enhance member engagement.
• Assisted members in understanding their benefits and coverage options.
• Assisted members with doctor calls, appointment scheduling, and billing inquiries
• Maintained detailed knowledge of company products and services to provide accurate information to clients
• Review and resolve any questions members may have regarding claims
• Demonstrated empathy and active listening with frustrated members to resolve concerns effectively
• Analyzed member's issues and complaints and initiated corrective actions
• Monitored customer feedback trends to identify improvement areas for department and company-wide initiatives
• Documented calls accurately in STARS and GPS systems, maintaining organized records for future reference.
• Exceeded performance metrics consistently by prioritizing tasks effectively and efficiently
• Support team members, fostering a collaborative and productive work environment

National and State Certified

Served as lead pharmacy manager overseeing daily operations.

• Trained new pharmacy technicians on proper procedures and practices, ensuring consistent quality of service
• Counted, measured and compounded medications following standard procedures
• Assisted pharmacist with clearing high volume of prescriptions accurately and efficiently
• Ensured compliance with all federal, state, local laws and company policies related to pharmacy operations.
• Transmitted claims to insurance companies for payment and reconciled EOBs.
• Provided exceptional customer service, addressing patient questions and concerns with empathy.
• Supported pharmacy operations by answering phone calls and directing queries appropriately.

• Supported pharmacist in preparing accurate medication orders, ensuring timely delivery to patients.
• Provided exceptional customer service, addressing patient questions and concerns with empathy.
• Entered patient profiles, billing information, and prescription orders into pharmacy software, maintaining data integrity and accessibility.
• Collaborated with healthcare professionals to ensure optimal patient care.
• Submitted insurance claims electronically to expedite processing.
• Kept accurate records of controlled substances received and dispensed in accordance with DEA regulations.
• Participated in process improvement initiatives to streamline claims handling and reduce processing time.