Hi, I’m
Alondra Solis
Grand Prairie
Summary
Dynamic Med Access Specialist with extensive experience at Children's Medical Center of Dallas, skilled in managing high-cost medication requests and conducting thorough insurance verifications. Bilingual in Spanish and English, excels in professional communication and problem-solving to enhance patient care and streamline authorization processes. Demonstrated success in optimizing pharmacy operations and improving patient outcomes.
Overview
11
years of professional experience
1
Certification
Work History
Children's Medical Center of Dallas
Med Access Specialist
04.2022 - 05.2024
Job overview
- Managed specialty pharmacy prior authorizations for outpatient clinics, including Rheumatology, Endocrinology, and Pulmonology
- Acted as the primary point of contact for prior authorization approvals, denials, appeals, and follow-ups
- Processed patient insurance updates, therapy changes, and managed high-cost medication requests
- Gathered and reviewed clinical data (e.g., chemical profiles, imaging, office visit notes) to support authorization processes
- Maintained a queue of over 200 specialty pharmacy patients and facilitated efficient processing of requests
Randstad – McKesson
Pharmacy Technician Telecommuter
06.2020 - 03.2022
Job overview
- Collaborated with pharmacists and nurses to manage medication schedules and shipping distributions
- Verified medication inventory and maintained accurate patient records in a timely manner
- Assisted in medication ordering, preparation, and customer service to ensure timely delivery
- Supported both patients and drug manufacturers to maintain an uninterrupted medication supply
IV Bars
IV Compounder
02.2019 - 05.2020
Job overview
- Supported the Lead Compounder in maintaining stock levels of equipment and supplies for multiple IV Bar locations
- Mixed vitamin infusions and other compounds following strict protocols to ensure quality and safety
- Ensured a sterile environment for handling temperature-sensitive ingredients
- Managed inventory records, including taxable receipts, invoices, and payables
Maverick Group
Claim Specialist Adjudicator
02.2018 - 02.2019
Job overview
- Processed pharmacy claims, using multiple systems and platforms to ensure accurate payment processing
- Researched complex healthcare claims to determine proper benefits and action steps
- Ensured adherence to company performance goals for quality, production, and attendance
AmerisourceBergen, Benlysta Lash Group | Kelly Services
Benefit Verification Specialist
11.2017 - 02.2018
Job overview
- Performed outbound insurance verifications with commercial, Medicare, Medicaid, and Tricare plans
- Reviewed and processed billing operations for hospital outpatient services, specialist visits, and pharmacy benefits
- Determined cost-sharing values including deductibles, out-of-pocket (OOP) costs, copays, and coinsurance
PharMerica
Prior Authorization Processor
01.2017 - 11.2017
Job overview
- Processed prior authorization requests using the Millennium RX clinical portal and insurance payer websites
- Coordinated with long-term care facilities and nursing staff to ensure timely authorization processing
- Followed up on pending or delinquent authorizations with both payers and healthcare staff
Davita Rx Pharmacy
Insurance Coordinator Specialist
02.2013 - 10.2016
Job overview
- Reviewed daily Excel spreadsheets to resolve claim adjudication errors in Rx-Express pharmacy billing software
- Processed insurance claims and adjusted patient billing in accordance with HIPAA regulations
- Worked closely with nurses, social workers, and other healthcare professionals to ensure optimal patient care
Education
Dallas College1601 Botham Jean Blvd, Dallas, TX 75215
Associates Degree from Applied Science
03-2024
Anthem CollegeIrving, TX
Certified Pharmacy Technician (CPHT)
11.2011
University Overview
- TSBP Registration #195878
- PTCB Registration #580107010269733
Skills
- Bilingual: Fluent in Spanish and English
- Public speaking
- Professional communication
- Teamwork and Leadership
- Problem Solving
- Proficient in the Microsoft Office Suite
- Experienced with pharmacy software systems
- Familiar with point-of-sale systems
- Familiar with Five9 software
- Skilled in pharmacy operations
- Skilled in insurance verification
- Skilled in claim adjudication
- Skilled in patient care coordination
- Knowledgeable in retail pharmacy
- Knowledgeable in hospital settings
- Knowledgeable in IV compounding
- Knowledgeable in customer service
- FLUENT IN Spanish
Certification
- Pharmacy Technician Certification (PTCB)
- TSBP Pharmacy Technician Registration
Languages
Spanish
Professional
References
References available upon request.
Timeline
Med Access Specialist
Children's Medical Center of Dallas
04.2022 - 05.2024
Pharmacy Technician Telecommuter
Randstad – McKesson
06.2020 - 03.2022
IV Compounder
IV Bars
02.2019 - 05.2020
Claim Specialist Adjudicator
Maverick Group
02.2018 - 02.2019
Benefit Verification Specialist
AmerisourceBergen, Benlysta Lash Group | Kelly Services
11.2017 - 02.2018
Prior Authorization Processor
PharMerica
01.2017 - 11.2017
Insurance Coordinator Specialist
Davita Rx Pharmacy
02.2013 - 10.2016
Dallas College
Associates Degree from Applied Science
Anthem College
Certified Pharmacy Technician (CPHT)
Similar Profiles
Lexis NwaefuluLexis Nwaefulu
Care Coordinator/Case Manager at Children's Medical Center Of DallasCare Coordinator/Case Manager at Children's Medical Center Of Dallas
JOHNATHAN FLIPPOJOHNATHAN FLIPPO
Registered Nurse at Cook Children's Medical CenterRegistered Nurse at Cook Children's Medical Center
Jennifer Gregg, BSN RNJennifer Gregg, BSN RN
Early Childhood Special Education Nurse at Austin ISD/Dell Children's Medical CenterEarly Childhood Special Education Nurse at Austin ISD/Dell Children's Medical Center
ADAM MATAADAM MATA
Boys Athletic Coordinator at International Leadership of TexasBoys Athletic Coordinator at International Leadership of Texas
Alexis PerezAlexis Perez
Downline Operator at SunOptaDownline Operator at SunOpta