AMELA STJEPIC
Pharmerica
Spring Hill,FL
1
Language
1
Certification
12
years of professional experience
Healthcare and Pharmacy Professional experienced in supporting insurance billing, claim resolution, and prior authorization coordination. Delivered clarity in coverage and billing issues through effective communication with patients, caregivers, and multidisciplinary teams. Managed high volumes of data entry while ensuring data integrity and consistency across systems.
Work History
Certified Pharmacy Data Entry Technician
5 Years 4 Months- Process prescriptions and admission-related paperwork received by phone and fax, ensuring documents are routed and entered appropriately.
- Support insurance billing for prescriptions and pharmacy services, review claim information, and help resolve billing discrepancies and rejected claims.
- Supported insurance billing for prescriptions and pharmacy services by reviewing claim information, resolving billing discrepancies, and addressing rejected claims to ensure accurate reimbursement.
- Coordinate prior authorization requests with insurance companies and prescriber offices; follow up on pending or denied requests and assist with appeals.
- Coordinated prior authorization requests with insurance companies and prescriber offices; followed up on pending or denied requests and assisted with appeals to expedite approval processes.
- Communicated with pharmacies, physician offices, facilities, and internal pharmacy staff to obtain missing information, clarify discrepancies, and ensure timely processing of prescriptions.
Medical History Technician
6 Months- Obtained and verified medication histories through patient and caregiver interviews, enhancing accuracy of patient information.
- Supported admission medication reconciliation by identifying discrepancies and relaying critical information to pharmacists and healthcare team members, promoting safe medication practices.
- Collaborated with pharmacists, physicians, nurses, and clinical staff to promote accurate medication lists and continuity of care.
- Documented medication details in electronic medical record, ensuring thorough and precise patient profiles.
- Followed hospital procedures for medication history collection, documentation, privacy, and patient safety in a pediatric hospital setting.
Senior Certified Pharmacy Technician
5 Months- Support patients with prescription and insurance-related questions while providing professional, courteous customer service in a busy retail pharmacy.
- Supported pharmacists with prescription preparation, data entry, inventory management, and daily operations, ensuring accurate patient records.
- Verified eligibility and coverage with insurance companies, clarified billing issues, and investigated rejected prescription claims, including Medicare and Medicaid.
- Coordinated prior authorization requests with insurance companies and prescriber offices, followed up on pending or denied requests, and facilitated appeals.
- Communicated prescription and coverage updates to patients and coordinated with pharmacists and prescriber offices when additional action was needed.
- Verified prescription accuracy, dosage, and patient information before dispensing medications.
- Managed medication inventory, reordered supplies, and resolved stock discrepancies.
- Trained junior technicians on workflow procedures, documentation, and customer service standards.
- Maintained compliant records for controlled substances, returns, and medication recalls.
Air Handler
1 Year 6 Months- Engaged in the UPS school-to-work co-op program while attending two college courses at Jefferson Community and Technical College.
Education
Skills
Claims resolution
Authorization coordination
Eligibility verification
Rejected Claim Follow-Up
Medicare & Medicaid Plans
Pharmacy Operations
Medication reconciliation
EMR documentation
Data Entry & Order Entry
AS400
DocuTrack
Microsoft Word
Patient-provider communication
Certification
- PTCB Certified Pharmacy Technician (CPhT) — Nationally Certified Since 2016
- Pharmacy Technician Licenses: Florida (FL), Kentucky (KY), Massachusetts (MA), Michigan (MI), Pennsylvania (PA), New Mexico (NM), Colorado (CO), Texas (TX)
Languages
Croatian
Native or Bilingual
Timeline
Medical History Technician
Johns Hopkins All Children's Hospital
05.2025 - 11.2025Read More
Certified Pharmacy Data Entry Technician
Pharmerica
07.2021 - CurrentRead More
Senior Certified Pharmacy Technician
Walgreens
01.2021 - 06.2021Read More
Air Handler
UPS
07.2014 - 01.2016Read More
University of Louisville
Read More
Personal Information
Title: Certified Registered Pharmacy Techician