ALEXANDRA RUIZ
ELMWOOD PARK,US
Summary
Seasoned Pharmacy Technician with 14 years of experience in high-volume retail and healthcare settings, specializing in prior authorizations. Expert in navigating complex claim issues, and ensuring timely patient access to medications. Known for exceptional attention to detail, regulatory compliance, and strong collaboration with pharmacists and providers. Committed to delivering efficient, patient-centered service while optimizing workflow and reducing delays.
Overview
18
18
years of professional experience
Work History
Prior Authorization Technician
Optum
08.2023 - Current
- Processed prior authorization requests from providers and members for medications not covered on prescription drug plan, ensuring timely approval for necessary treatments.
- Performed detailed medical reviews of prior authorization request, following established criteria and protocols.
- Collaborated with pharmacy teams to resolve authorization issues, facilitating smoother medication access for members.
Patient Care Coordinator
ASPN Pharmacy
07.2022 - 07.2023
- Coordinated communication between providers, health insurance companies, and patients to ensure clarity and continuity of care.
- Facilitated prior authorization and appeals process for providers, streamlining patient access to necessary medications.
- Delivered timely updates to providers and patients on prescription status, enhancing transparency and patient satisfaction..
Medication Adherence Technician
AdhereHealth
03.2022 - 07.2022
- Conducted outbound calls to patients and healthcare professionals to support medication adherence.
- Collaborated with healthcare professionals on patient medication needs, including refills, synchronization, and 90-day supply requests.
- Practiced discretion when working with sensitive/confidential data pertaining to patient, department, or company.
Certified Pharmacy Technician
CVS Pharmacy
03.2012 - 02.2022
- Administered COVID-19 and Influenza vaccinations.
- Managed inventory, rotated stock, removed expired or damaged products, and resolved discrepancies in drug counts to maintain compliance and ensure patient safety.
- Assisted pharmacist in processing high volume of prescriptions and addressed customer inquiries to enhance service efficiency.
Culinary Specialist
United States Navy
10.2008 - 10.2010
- Ensured safe operation of food preparation equipment, minimizing complications and upholding safety protocols.
- Complied with uniform regulations and standards of conduct established company.
- Stood watch in bows or bridge wings of ships to identify obstructions and navigational aids.
Education
Associate of Arts - Business
Wilbur Wright College
05.2020
Pharmacy Diploma -
Everest College
05.2012
Skills
- Claims processing
- Benefit verification
- HIPAA compliance
- Medical terminology
- Data entry
- Inventory control
- Time management
- Customer service
Timeline
Prior Authorization Technician
Optum
08.2023 - Current
Patient Care Coordinator
ASPN Pharmacy
07.2022 - 07.2023
Medication Adherence Technician
AdhereHealth
03.2022 - 07.2022
Certified Pharmacy Technician
CVS Pharmacy
03.2012 - 02.2022
Culinary Specialist
United States Navy
10.2008 - 10.2010
Associate of Arts - Business
Wilbur Wright College
Pharmacy Diploma -
Everest College