Highly-motivated individual with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
24
24
years of professional experience
1
1
Certification
Work History
SPP/Free Drug Specialist III
Altus Biologics
05/14/18 - Current
Verifies patient insurance coverage prior to patient appointments and ensures the necessary procedures are covered by a patients' insurance plan.
Obtains all necessary medical information, authorizations, and verifications from patients prior to their appointment to ensure patients get on treatment in a timely manner.
Submits prior authorizations to prescription and medical insurances in a timely manner through payer specific portals and vendors for assigned clients.
Obtains PCP referrals, coordination of benefits and updating of patient cost share prior to appointment.
Utilize portals, phone calls and fax to communicate with insurance companies, providers, pharmacies, and patients regarding insurance verification, patient appointments, benefit coverage and prior authorizations.
Follow up with pending insurance authorizations and ensure all interactions with patients, providers, pharmacies and insurance companies have been properly obtained and documented in the medical record.
Schedule and reschedule patient appointments, as needed.
Schedule specialty medication deliveries.
Train fellow associates and continue mentoring them to insure that they are successful in their profession.
Assist in the interviewing process.
Perform other job related duties as assigned.
Pharmacy Technician
Walmart Pharmacy
11.2009 - 11.2017
Entered prescription information into computer databases.
Liaised with a pharmacist to measure and prepare medication doses and packaging and label prescriptions.
Transmitted claims to insurance companies for payment and reconciled EOBs.
Answered telephones to respond to questions or requests.
Flagged potential side effects and allergies to prescribed medications for patients.
Inspected medication storage locations to monitor drug expiration dates and supply adequate inventory.
Received and verified daily incoming drug inventories, reported discrepancies, and logged items into an inventory system.
Created new customer profiles and updated demographics, allergies, and new medications in pharmacy computer systems.
Teamed with peers, technicians, and pharmacists to prioritize and complete orders.
Pharmacy Technician
Luker RX - Matagorda Regional Hospital
07.2006 - 06.2008
Used pharmacy software to verify prescription and insurance information.
Entered data and prescriptions into patient profiles using Software.
Delivered prepared medications to requesting floors for distribution by floor personnel.
Checked pharmacy area regularly to ensure it was kept neat, clean, and free of debris.
Maintained all Pyxis Machines and Crash Carts throughout the hospital.
Interpreted and processed medication orders under the supervision of a pharmacist.
Communicated with nursing and medical personnel regarding medication orders or drug therapy issues.
Maintained pharmacological practices by checking drug inventory, stocking medications, and monitoring supplies, including but not limited to surgery rooms, pharmacy, and throughout the hospital.
Inspected medication storage locations to monitor drug expiration dates and supply adequate inventory, including in surgery rooms.
Cleaned and maintained equipment or work areas according to prescribed methods, including a Flow Hood.
Unit dosing and batch preparations of sterile and non-sterile medications, and sterile intravenous and non-sterile medication formulations.
Transferred medication from vials to sterile, disposable syringes using aseptic techniques.
Pharmacy Technician
Eckerd Pharmacy (CVS)
07.2000 - 07.2006
Greeted customers and answered questions regarding personal medications or over-the-counter pharmacy products.
Received written prescription or refill requests, verifying information for completeness and accuracy.
Assisted customers by answering questions, locating items or referring to pharmacist for medication information.
Operated cash registers to accept payments from customers.
Entered prescription information into computer databases.
Flagged potential side effects and allergies to prescribed medications for patients.
Transmitted claims to insurance companies for payment and reconciled EOBs.
Prepared prescription transfers to other pharmacies.
Received and verified daily incoming drug inventories, reported discrepancies and logged items into inventory system.
Maintained pharmacological practices by checking drug inventory, stocking medications and monitoring supplies.
Verified prescriptions and drug labels, documents and packages.
Created new customer profiles and updated demographics, allergies and new medications in pharmacy computer systems.
Ordered, labeled and counted stock of medications and entered inventory data into computer.
Education
High School Diploma -
Bay City High School
Bay City, TX
05.1983
Skills
Problem-Solving Skills
Interpreting Orders
Processing Payments
Order Verification
Ordering and Stocking Medications
Medication Dispensing
HIPAA
Billing Support
Patient Scheduling
Records Maintenance
Precertification Requirements
Recordkeeping and Data Input
Inventory Management
Certification
Certified by the Pharmacy Technician Certification Board since 11/2000