Amany Zakary
Fort Worth
Summary
Detail-oriented Certified Pharmacy Technician III with extensive experience in regulatory pharmacy audits, data entry, insurance claim resolution, specialty medication coordination, and patient assistance programs. Proven ability to manage complex workflows in high-volume environments while effectively communicating with insurance representatives and healthcare providers to ensure financial compliance through rigorous checks and balances. Strong understanding of commercial, Medicare/Medicaid regulations, copay assistance programs, and third-party rejections, contributing to the successful delivery of patient-centered care through state-administered programs like ADAP. Recognized for adaptability, creativity, and a results-oriented mindset, committed to advancing organizational goals.
Overview
18
18
years of professional experience
Work History
Certified Pharmacy Technician III / Regulatory Auditor
Encore Pharmacy and Omnicell Specialty Pharmacy Services
08.2022 - Current
- Managing intake and data entry of enrollment forms.
- Conduct audits within specialty pharmacy services to ensure compliance with state/federal regulations and payer contract requirements.
- Manage and reconcile claims, working closely with insurance representatives to resolve commercial insurance issues and ensure correct reimbursement.
- Oversee daily processing of underpaid claims and third-party rejections; communicate with providers and insurers to resolve discrepancies.
- Serve as primary liaison with doctors' offices for patient chart notes, prescription clarification, and therapy initiation requirements.
- Coordinate the Bimzelx Bridge Dispensing Program from prescription intake through qualification screening, scheduling delivery, and provider updates.
- Ensure patients receive the correct medication strength and dosage by validating with prescribers and checking patient history.
- Work closely with Tarrant County HIV Program clinics to verify insurance coverage or enroll patients in state-sponsored medication programs.
- Assist patients in accessing copay assistance cards to reduce out-of-pocket costs, improving medication adherence.
- Maintain and distribute weekly and monthly status reports to clinics and physician offices.
- Communicated with prescribers to verify medication dosages, refill authorizations, and patient information.
- Counted, measured, and compounded medications following standard procedures.
Lead Pharmacy Technician
Walmart/ Sam's Club Pharmacy
01.2015 - 08.2022
- Supervised pharmacy technicians and coordinated daily operations to maintain high accuracy in prescription fulfillment and patient service.
- Led the pharmacy inventory process, including stock monitoring, expiration tracking, controlled substance audits, and order placement.
- Trained new hires on pharmacy workflow, system operations, and compliance protocols.
- Handled insurance claim issues and prior authorizations, helping to reduce rejections and streamline processing.
- Assisted pharmacists with insurance claims, patient consultations, and prescription clarification.
- Delivered excellent customer service and resolved patient issues promptly and professionally.
- Solved customer problems in-person or over the telephone by providing assistance with placing orders, navigating systems, and locating items.
- Stocked, labeled, and inventoried medication to keep accurate records.
Pharmacy Technician
Mail Order Pharmacy Ins. Services
10.2007 - 01.2015
- Entered high volumes of prescription data into pharmacy systems with precision and HIPAA compliance.
- Processed insurance claims and assisted with troubleshooting billing issues across multiple payer platforms.
- Verified patient information, updated insurance coverage, and ensured prescriptions were filled and shipped accurately.
- Supported pharmacist review by flagging incomplete or conflicting information.
- Assisted in maintaining productivity targets and minimizing processing delays.
- Restocked pharmacy shelves with current merchandise to drive consistent peripheral sales.
- Entered and processed patients' prescriptions into internal system.
Education
Master of Healthcare Administration - Management & Data Analysis
Master of Counseling - Family Ministry
Bachelor of Science - Chemistry/Biology
Skills
- Data Management
- Enrollment Coordination
- Document Intake
- Reporting
- Specialty Pharmacy Services
- Pharmacy Regulatory Auditing
- Medicare Claims Processing
- Medicaid Claims Processing
- Insurance Appeals
- Reconciliation
- Third-Party Rejection Handling
- Patient Financial Assistance
- Communication with Providers
- Communication with Clinics
- HIV Program Coordination
- Pharmacy Management Software
- Electronic Health Record Systems
- Microsoft Office Suite
- Claims Processing Portals
- Payer Systems
Timeline
Certified Pharmacy Technician III / Regulatory Auditor
Encore Pharmacy and Omnicell Specialty Pharmacy Services
08.2022 - Current
Lead Pharmacy Technician
Walmart/ Sam's Club Pharmacy
01.2015 - 08.2022
Pharmacy Technician
Mail Order Pharmacy Ins. Services
10.2007 - 01.2015
Master of Counseling - Family Ministry
Bachelor of Science - Chemistry/Biology
Master of Healthcare Administration - Management & Data Analysis
Similar Profiles
VANESSA L. HATCHERVANESSA L. HATCHER
Certified Pharmacy Technician CPhT, Registered Pharmacy Technician RPhT, Tech Support Specialist, Coordinator/ Chemo Admin / Buyer at Specialty Pharmacy, NorthBay HealthCare Cancer Center Oncology/ Specialty PharmacyCertified Pharmacy Technician CPhT, Registered Pharmacy Technician RPhT, Tech Support Specialist, Coordinator/ Chemo Admin / Buyer at Specialty Pharmacy, NorthBay HealthCare Cancer Center Oncology/ Specialty Pharmacy
Samaantha RynerSamaantha Ryner
Credentialing Analyst - Payor Contracting at BioPlus Specialty Pharmacy ServicesCredentialing Analyst - Payor Contracting at BioPlus Specialty Pharmacy Services
Crystal Petruk McMurtryCrystal Petruk McMurtry
Senior Program Coordinator at UAMS Specialty Pharmacy ServicesSenior Program Coordinator at UAMS Specialty Pharmacy Services
Abdulla ShafieAbdulla Shafie
Front Desk Personal at Plant fitnessFront Desk Personal at Plant fitness
Makayla BassMakayla Bass
PFS Representative at Christus HealthPFS Representative at Christus Health