Alisa Carter
Senior Certified Pharmacy Technican
Shawnee,OK
Summary
Certified Pharmacy Technician with 23+ year of experience filling prescriptions, processing insurance claims, and maintaining excellent customer service in business pharmacies. Seeking to use long track record of excellent customer services, as well as advanced pharmaceutical knowledge and apply my knowledge and experience with your company.
Experienced with technical diagnostics and system maintenance. Utilizes problem-solving skills to ensure optimal equipment functionality. Strong understanding of collaborative teamwork and efficiency improvements.
Professional technician with extensive hands-on experience in troubleshooting, maintenance, and repair of complex systems. Strong focus on team collaboration and achieving results. Reliable with adaptable skill set in diagnostics, electrical systems, and mechanical repairs. Known for effective problem-solving and delivering high-quality outcomes.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Senior Pharmacy PA/Appeal Technician
UnitedHealth Group
09.2021 - Current
- Provide additional telephone engagement with providers and pharmacies
- Working in collaboration with clinical pharmacist and providers
- Entering prior authorizations while on the phone with providers and guiding them in the process
- Processing incoming Prior Authorizations request in timely matter
- Problem solving issues for providers to help their patient get the medication they need.
- Current doing appeal verifications for the appeal team.
Customer Servepresentative
Humana Insurance
06.2021 - 08.2021
- Assisting providers with benefit information.
- Giving excellent customer service to patients calling about Medicare part d coverage
- Explain denial and appeals to Medicare part d to providers and customers.
Claims Examiner
Kemper Insurance
10.2020 - 02.2021
- Paid claims per policy and company guidelines
- Examine claims from several different policies and states and process per guidelines.
Data Entry, Customer Service Rep
PharMerica
04.2018 - 10.2020
- Data entry
- Answering Multi-line Phone System
- Did Prior Authorizations for patients in nursing homes
- Scheduling nurse to go to nursing homes to put in iv and picc lines.
- Scheduling stat orders to pick up and delivered to nursing homes in a timely matter
- Adjudication of third-party plans
Certified Pharmacy Technician
St Anthony Midtown Pharmacy
10.2015 - 02.2018
- Data entry
- Filling and restocking prescriptions
- Running cash register
- Providing excellent customer service
- Delivered prescriptions to beside patients being discharged from hospital
- Maintaining inventory and supplies
- Maintain an organized and clean pharmacy
- Made deposit for the pharmacy weekly
Pharmacy Technician
Omnicare
06.2015 - 09.2015
- Answering multi-line phone systems
- Did prior authorizations for patients in nursing home
- Third party insurance resolutions
- Adjudication for several pharmacy in 17 states
Customer Service Representative
Health Smart Benefit Solutions
02.2015 - 05.2015
- Answering question for customer on benefits and if claims had been paid.
- Researched claims for providers and track checks, stop payments on checks and reissue payment
- Answering multi line phone system
Certified Pharmacy Technician
Pharmerica
02.2014 - 01.2015
- Data entry
- Answering multi line phone system
- Did prior authorizations for patients in nursing homes
- Adjudication of third part plans
Customer Service Representative
OptumRx
04.2013 - 01.2014
- Worked Commercial Help Desk
- Help pharmacies with claims giving them processing information
- Provided excellent customer service to our customers and providers
Certified Technician
Omnicare
11.2011 - 01.2013
- Answering multi-line phone system
- Adjudication for prescriptions for pharmacies in 17 states
- Entered prior authorizations for nursing home patients
- Provided excellent customer service
- Entered therapeutic interchanges for medications
Customer Services Respentaive
US Cellular
08.2010 - 08.2011
- Provided excellent customer service going over customer accounts and explaining their bill.
- Taking financial payments.
- Processing new orders for equipment.
Certified Pharmacy Technician
Prescription Solutions
08.2009 - 08.2010
- Entering Prior Authorizations while on the phone with providers and guiding them in the process
- Processing incoming Prior Authorizations in timely manner
- Providing additional telephone engagement with providers and pharmacies
- Work in collaboration with clinical pharmacist and pharmacy technicians.
- Problem solving issues for providers so their patient can get their medication
Senior Certified Pharmacy Technician
Walgreens
08.2002 - 10.2009
- Supervise daily duties of 4 pharmacy technicians
- Filling and restocking 1000 plus prescriptions
- Running the cash register
- Keeping customers happy with excellent customer skills
- Ensuring efficient day to day business of store
- Problem solving insurance and customer issues as they arise
- Explaining insurance issue to customers to help them understand the issues with their medication
- Maintain and ordering warehouse inventory and supplies
- Handling daily inventory order from outside vendor
- Train new technicians and instruct them on the best company guidelines and procedures in the pharmacy
- Speak to doctors and nursing staff and prescriptions
Education
Bethel High School
Shawnee, OKundefined
Gordon Cooper Vo-tech
Shawnee, OKGeneral Studies/Business
01-1986
undefined
Marketing and Distributive Educations Clubs of America
01-1986
Skills
- Third Party Insurance Resolution
- Multi-Line Phone System
- Data Entry
- Ten Key Skills
- Cash/Payment Skills
- Third Party Charge Backs
- Medicare Part A/B And D
- Adjudication Of Third Party Plans
- Software Programs Including: AS400, MS Word, MS Excel, Internet
- Long Term Care Experience for Pharmacies
- Prior Authorizations Experience
- Certified Pharmacy Technician
- Excellent Customer Service Skills
Certification
CPhT CERTIFICATION: Certification #: 30068099, Expiration Date April 30, 2024
Timeline
Senior Pharmacy PA/Appeal Technician
UnitedHealth Group
09.2021 - Current
Customer Servepresentative
Humana Insurance
06.2021 - 08.2021
Claims Examiner
Kemper Insurance
10.2020 - 02.2021
Data Entry, Customer Service Rep
PharMerica
04.2018 - 10.2020
Certified Pharmacy Technician
St Anthony Midtown Pharmacy
10.2015 - 02.2018
Pharmacy Technician
Omnicare
06.2015 - 09.2015
Customer Service Representative
Health Smart Benefit Solutions
02.2015 - 05.2015
Certified Pharmacy Technician
Pharmerica
02.2014 - 01.2015
Customer Service Representative
OptumRx
04.2013 - 01.2014
Certified Technician
Omnicare
11.2011 - 01.2013
Customer Services Respentaive
US Cellular
08.2010 - 08.2011
Certified Pharmacy Technician
Prescription Solutions
08.2009 - 08.2010
Senior Certified Pharmacy Technician
Walgreens
08.2002 - 10.2009
undefined
Gordon Cooper Vo-tech
General Studies/Business
undefined
Marketing and Distributive Educations Clubs of America
Bethel High School
Several awards for excellent customer service.
Won several customer service awards for my exceptional customer service.