Stephanie Sanford

• Fielded telephone inquiries on authorization details from plan members and medical staff.
• Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
• Verified eligibility and compliance with authorization requirements for service providers.
• Input all patient data regarding claims and prior authorizations into system accurately.
• Researched denied claims and contacted insurance companies to resolve these issues.
• Tracked referral submission during facilitation of prior authorization issuance.
• Reached out to insurance carriers to obtain prior authorization for testing and procedures.
• Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
• Analyzed medical records and other documents to determine approval of requests for authorization.
• Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
• Maintained patient confidentiality and safeguarded medical records to avoid information breaches.

• Counted, measured, and compounded medications following standard procedures.
• Answered incoming phone calls and addressed questions from customers and healthcare providers.
• Communicated with patients to collect information about prescriptions and medical conditions or arrange consultations with pharmacists.
• Collected co-payments or full payments from customers.
• Reviewed and verified customer information and insurance provider information.
• Communicated with prescribers to verify medication dosages, refill authorizations, and patient information.
• Resolved non-routine issues like third-party billing, computer system, and customer service issues.
• Assisted with filling of over 250 prescriptions daily.
• Completed insurance forms and billed insurance companies.
• Welcomed customers to pharmacy and answered questions relating to prescriptions and over-the-counter products.
• Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
• Restocked pharmacy shelves with current merchandise to drive consistent peripheral sales.
• Helped pharmacist clear problematic prescriptions and address customer questions to keep pharmacy efficient.
• Stocked, labeled, and inventoried medication to keep accurate records.
• Set up and modified patient profiles to include current medications and insurance details.
• Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
• Prepared packaging and labels for prescriptions, verifying accuracy of dosage, side effects, interactions, and refill instructions.
• Managed opening and closing duties for pharmacy.

I moved to Jamaica during COVID-19 to isolate and learn to garden and farm.

• Kept restaurant compliant with all federal, state, and local hygiene and food safety regulations.
• Immediately resolved issues with patrons by employing careful listening and communication skills.
• Delivered in-depth training to workers in food preparation and customer-facing roles to promote strong team performance.
• Pitched in to help host, waitstaff, and bussers during exceptionally busy times such as dinner hour.
• Supervised all areas of restaurant to keep it clean and well-maintained.
• Monitored restaurant operations and adjusted schedules to meet peak customer demand.
• Motivated staff to perform at peak efficiency and quality.
• Reduced inaccuracies by carefully counting cash and keeping meticulous records of transactions.
• Reduced health risks and safety hazards by preparing beverage products consistently while creating cleaning schedules, restocking items and sanitizing equipment to adhere to health department standards.
• Maximized quality assurance by completing frequent line checks.
• Oversaw food preparation and monitored safety protocols.
• Handled escalated customer concerns with speed and knowledgeable support to achieve optimal satisfaction and maintain long-term loyalty.
• Verified prepared food met standards for quality and quantity before serving to customers.
• Developed unique events and special promotions to drive sales, such as online promotions and social gathering events for the holidays with unique catering menus.
• Purchased food and cultivated strong vendor relationships with local suppliers.
• Implemented effective inventory control systems to reduce food spoilage and waste.
• Analyzed sales data to identify trends and adjust purchasing decisions accordingly.
• Maintained kitchen cleanliness and sanitation through correct procedures and scheduled cleaning of surfaces and equipment.
• Coordinated with catering staff to deliver food services for special events and functions.
• Inspected equipment and machinery for proper working condition and directed staff to clean and repair as needed.
• Kept facility compliant with health codes, sanitation requirements and license regulations, alleviating potentially heavy fines.
• Began as a dishwasher and worked my way up to Prep cook, Breakfast cook, Line cook, Dinner Chef, Bartender, and finally Assistant Manager.
• The restaurant SOLD in December 2019 and closed for renovations. Covid made it possible that they never reopened.