Alexi Mendoza
Caldwell,ID
Summary
I am modeled with accuracy, attention to detail, customer oriented and able to handle emergency situations. Committed to high standards to maximize learning opportunities and gain valuable experience. Open-minded, quick learner, able to pick up on new processes, systems, and technologies. Team player and self starter who thrives while working collaboratively or independently. Excellent time management and multitasking skills. Works safely and efficiently to complete projects on time. Accomplished and Certified Pharmacy Technician with over 10 years of experience in many pharmacy environments. Knowledgeable about FDA drug safety guidelines, prescription interactions and pharmacy law.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Certified Pharmacy Technician IV
St. Luke's Pharmacy Benefit Manager
07.2022 - Current
- Handle/Execute maximizer program; $4.8 million revenue in rebates.
- Achieved cost savings for the PBM through manufacturers.
- Educated members about their prescription drug coverage options, empowering them to make informed decisions about their healthcare needs.
- Participated in continuous professional development opportunities to stay current on industry standards and advancements in pharmaceutical care.
- Evaluated medication utilization trends to identify opportunities for quality improvement and cost containment initiatives.
- Ensured seamless transitions during client onboarding processes by effectively communicating expectations and managing timelines for deliverables.
- Provided expert guidance on complex issues related to formulary management, drug pricing, rebate negotiations, and clinical program development.
- Delivered high-quality customer service through prompt resolution of inquiries from members, providers, or other parties involved in the delivery of pharmacy benefits services.
- Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
- Continually updated knowledge on industry developments, ensuring adherence to best practices and relevant regulatory changes impacting the prior authorization process.
- Reviewed appeals for prior authorization requests and communicated with payers to resolve issues.
- Enhanced communication between healthcare providers and insurance companies, ensuring prompt resolution of issues related to prior authorizations.
- Researched denied claims and contacted insurance companies to resolve these issues.
Sr. Certified Pharmacy Technician
PillPack by Amazon Pharmacy
03.2022 - 07.2022
- Examine and inspect prescriptions to resolve clinical issues
- Achieve customer shipments in timely manner
- Reduced errors in data entry with careful attention to detail and double-checking work for accuracy.
- Maintained and updated patient records, prescription information and patient data in accordance with HIPAA regulations.
- Collaborated with various departments to complete assigned tasks.
- Input data into spreadsheets and databases.
Certified Pharmacy Technician
IngenioRx Specialty Pharmacy
04.2021 - 03.2022
- Communicated with doctors offices to collect information about prescriptions for clerical corrections on specialty medications: Specialty IV Admixture (Chemotherapy, Sterile Syringes, IVIG)
- Fulfilled daily microsoft excel sheets per work tasks.
- Handled patient accounts directly to close prescription issues
- Collaborated with pharmacists to optimize patient care, offering support with prescription interpretation and dosage adjustments.
- Coordinated with physicians and insurance agency representatives for speedy resolution of prescription discrepancies.
Sr. Certified Pharmacy Technician
Genoa Healthcare|Telepsychiatry
01.2018 - 01.2021
- Maintain monthly/quarterly/yearly inventory log and report missing/expired medication
- Prepare/Fill bubble packed, DisPill and bottled Prescriptions to be able to deliver/mail out prescriptions with refill synchronization daily
- Opened the pharmacy from day 1: Ordered all medications, pharmacy supplies, created pharmacy workflow, handled Cover My Meds Prior Authorizations/sign up customers for Co-Pay Cards on insurance-related issues and assists patients with various forms of financial assistance
- Daily cash register counts and weekly bank deposits
- Advocated for patients' compliance with medication guidelines.
- Ordered medicines daily to replenish stock and increase inventory in anticipation of need.
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Served as an integral team member during accreditation processes, contributing significantly towards successful completion without any citations or recommendations for improvement.
- Resolved third-party billing, computer system and customer service issues.
- Collected co-payments or full payments from customers.
- Ensured compliance with federal and state regulations by maintaining meticulous documentation of controlled substances and adhering to strict safety protocols.
- Maintained relationships with physicians.
- Supported the development of junior pharmacy technicians through continuous training, mentorship, and performance evaluations.
Certified Pharmacy Technician
Rite Aid Pharmacy
10.2015 - 11.2018
- Working in rotation at total of 6 windows at local pharmacy for customers prescription drop offs/pickups
- Answer phones in a professional manner, providing answers when possible and transferring calls/assisting customers by billing insurances, calling on rejected claims to resolve insurance issues
- Assessed prescription refills for accuracy before dispensing them to patients.
- Liaised with other pharmacies to eliminate issues related to product expiration.
- Facilitated cross-functional collaboration to address recall-related issues promptly and efficiently.
Sr. Certified Pharmacy Technician
Walgreens Pharmacy
08.2013 - 10.2015
- Reading and interpreting physician's medication orders for proper data entry
- Ordering bulk medications/stocking medications from incoming orders
- Communicate directly with patients over the phone and person to assist them in the awareness of their medications/Insurance billings
- Welcomed customers to pharmacy and answered questions relating to prescriptions and over-the-counter products.
- Resolved non-routine issues like third-party billing, computer system, and customer service issues.
- Managed opening and closing duties for pharmacy.
- Restocked automated medication dispensing equipment.
Team Member
Taco Bell Restaurant
03.2012 - 07.2014
- Mastered point-of-service (POS) computer system for automated order taking
- Maintained high standards of customer service
- Led new hires on point-of-service (POS)
- Served food and beverages promptly with focused attention to customer needs.
- Explained menu items and suggested appropriate options for food allergy concerns.
- Kept register accurate through correct billing, payment processing, and cash management practices.
- Helped maintain high levels of cleanliness throughout the establishment, following established cleaning protocols for both front-of-house and back-of-house areas consistently.
Education
National Board of Pharmacy
Milan Institute
Nampa, ID09.2013
High School Diploma -
Payette High School
Payette, ID05.2012
Skills
- Create Successful Habits
- Practical/Mathematical Problem Solving
- Benefits Administration
- Maintain Detailed Inventory/Records
- Effective Verbal/ Written/Typing Communication Skills
- Compendious
- PTCB Certified
- Medicare and Medicaid process
- Utilization Management
- Employee benefits administration
- Pharmacy Benefit Design
- Open enrollment coordination
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
Certification
- CPhT - Certified Pharmacy Technician
PTCB Certified: [Certification #: 10078419]
Timeline
Certified Pharmacy Technician IV
St. Luke's Pharmacy Benefit Manager
07.2022 - Current
Sr. Certified Pharmacy Technician
PillPack by Amazon Pharmacy
03.2022 - 07.2022
Certified Pharmacy Technician
IngenioRx Specialty Pharmacy
04.2021 - 03.2022
Sr. Certified Pharmacy Technician
Genoa Healthcare|Telepsychiatry
01.2018 - 01.2021
Certified Pharmacy Technician
Rite Aid Pharmacy
10.2015 - 11.2018
Sr. Certified Pharmacy Technician
Walgreens Pharmacy
08.2013 - 10.2015
Team Member
Taco Bell Restaurant
03.2012 - 07.2014
National Board of Pharmacy
Milan Institute
High School Diploma -
Payette High School
- CPhT - Certified Pharmacy Technician
PTCB Certified: [Certification #: 10078419]
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