ADRIENNE IVANOFF
Menifee,CA
Summary
Resourceful Pharmacy Technician with 18 years of experience. Strong background in pharmacy. Dedicated professional to healthcare services and pharmaceutical coordinating.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Utilization Management Rep II
BioPlus Specialty Pharmacy - CarelonRx
07.2022 - Current
- Enters re-authorizations into the portal and ensures accurate completion of re-authorization forms.
- Submits completed re-authorization forms to the appropriate insurance plans.
- Maintains log of all re-authorizations submitted.
- Follows up with the patient's insurance company or physician office by phone, email or spreadsheets on all submitted re-authorization for patient approval/denial status.
Clinical Coordinator
UnitedHealth Group Unit OptumRx
07.2017 - 06.2022
- Obtaining authorization and predetermination approvals for medical and/or pharmacy payors.
- Submission of appeals as needed.
- Monitoring and responding to a high volume of emails routinely.
- Troubleshooting insurance questions from sales team, pharmacy.
- Processing test claims.
Intake Coordinator
New Century Health
08.2016 - 07.2017
- Inputting new patients.
- Electronically managing faxes and sending them to appropriate departments.
- Obtaining authorizations and predeterminations for Cardiology procedures.
- Handled resolution/inquires from providers.
Pharmacy Technician
Care1st Health Plan
07.2009 - 08.2016
- Coordinated, assisted in and supported implementation of procedures and guidelines for the drug prior authorization program for the outpatient Pharmacy Benefit Manager.
- Evaluated prior authorization requests based on medication policy.
- Participated in, evaluated, and maintained efficient workflow procedures.
- Resolved outpatient pharmacy benefit coverage and prescription claim problems.
Education
Pharmacy Technician License -
United Education Institute
Van Nuys, CA08.2006
Skills
- SKILLS EXPERIENCE
- Clinical/Pharmacy Technician Experience
- Computer Skills
- Multi-Tasking Skills
- Detailed
- Self-Directed
- Effective Communication
- Skills with staff members and outside organizations
- CPR Software
- EnterpriseRx Software
- Specialty pharmacy experience
- Test Claim experience
- Experiencing reading scripts and medical chart notes
- Experience completing prior authorization, start to finish
Certification
- Licensed Pharmacy Technician - 8/25/2006 - Current
Timeline
Utilization Management Rep II
BioPlus Specialty Pharmacy - CarelonRx
07.2022 - Current
Clinical Coordinator
UnitedHealth Group Unit OptumRx
07.2017 - 06.2022
Intake Coordinator
New Century Health
08.2016 - 07.2017
Pharmacy Technician
Care1st Health Plan
07.2009 - 08.2016
Pharmacy Technician License -
United Education Institute
- Licensed Pharmacy Technician - 8/25/2006 - Current
Similar Profiles
Michelle FarrishMichelle Farrish
Member Services Representative at Elevance Health / BioPlus Specialty PharmacyMember Services Representative at Elevance Health / BioPlus Specialty Pharmacy
John AmayaJohn Amaya
Patient Care Coordinator at BioPlus Specialty PharmacyPatient Care Coordinator at BioPlus Specialty Pharmacy
Samaantha RynerSamaantha Ryner
Credentialing Analyst - Payor Contracting at BioPlus Specialty Pharmacy ServicesCredentialing Analyst - Payor Contracting at BioPlus Specialty Pharmacy Services