Hi, I’m
CALEB J. LOOMIS
Midvale,Utah
Summary
Driven and well-organized with solid experience coordinating with insurance providers, prescribers and individuals to address issues. Capable team member proficient in assisting with preparing prescriptions, reviewing prior authorizations or supervising a team towards success. Outstanding relationship-building and multitasking skills.
Overview
11
years of professional experience
1
Certification
Work History
MAGELLAN HEALTHRemote, UT
Account Management Specialist
02.2021 - 10.2021
Job overview
- Served as a liaison between Magellan and the health plan client and provided fast, real-world solutions to their healthcare, pharmacy and business needs.
- Evaluated client needs and developed tailored solutions to increase positive customer ratings; provided account oversight, validating practices and verifying contract compliance.
Magellan HealthRemote, Utah
Certified Pharmacy Technician Supervisor
02.2020 - 01.2021
Job overview
- Supervised 10+ pharmacy technicians and coordinated day-to-day assignments while effective communication with staff, physicians and community organizations.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
Magellan HealthSalt Lake City, Utah
Pharmacy Tech II
02.2018 - 01.2020
Job overview
- Entered prescriptions, completed reports, operated and maintained automated dispensing devices, input computer data, and provided all aspects of customer service that was required to provide.
- Answered incoming phone calls and addressed questions from customers and healthcare providers and processed patients' prescriptions into internal systems.
Senior Care Pharmacy Of The WestSalt Lake City, Utah
Long-Term Care Pharmacy Technician
04.2016 - 12.2017
Job overview
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Completed paperwork, entering prescription and insurance or billing information into patient profiles.
Alliance HealthSandy, UT
Targeted-Meds Data Entry Pharmacy Technician
01.2016 - 12.2017
Job overview
- Entered and processed patients' diabetic prescriptions and pharmacy claims.
- Set up and modified patient profiles to include current medications and insurance details.
MRIOAWest Valley, Utah
Clinical Prior Authorization Coordinator
01.2014 - 01.2015
Job overview
- Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
- Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
- Created and maintained spreadsheets detailing medical procedures and insurance denials and approvals.
Molina HealthcareMidvale, UT
Clinical Pharmacy Technician
01.2011 - 01.2014
Job overview
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Resolved third-party billing, computer system and customer service issues.
Education
Salt Lake Community CollegeSalt Lake City, UT
Associate of Science
10.2022
State Certified Pharmacy TechnicianSalt Lake City, UT
11.2016
General Education DegreeSandy, UT
GED
11.2013
Skills
- Technical Proficiencies
- Access ∙ Adobe Word ∙ PowerPoint ∙ Publisher ∙ Excel ∙ Windows Applications ∙ Outlook
- Resolving Complaints
- Organization and Prioritization
- Profile Updating
- Problem-Solving Skills
- Patient Profile Establishment
- Health Information Systems (HIS)
- Critical Thinking
- Health Insurance Plan Knowledge
- Pharmacy Operations
- Pharmacy Policies and Procedures
- Supervising Technicians
- Diabetic Care
- Insurance Claim Processing Software
- Insurance Billing
- Insurance Verification
- FDA and HIPAA Compliance
- Team Collaboration
Certification
- [Utah State Certified Pharmacy Technician] License - [November - 2016]
Certified Pharmacy Technician
Certified via Utah department of professional licensing [DOPL].
Availability
See my work availability
Not Available
Available
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Account Management Specialist
MAGELLAN HEALTH
02.2021 - 10.2021
Certified Pharmacy Technician Supervisor
Magellan Health
02.2020 - 01.2021
Pharmacy Tech II
Magellan Health
02.2018 - 01.2020
Long-Term Care Pharmacy Technician
Senior Care Pharmacy Of The West
04.2016 - 12.2017
Targeted-Meds Data Entry Pharmacy Technician
Alliance Health
01.2016 - 12.2017
Clinical Prior Authorization Coordinator
MRIOA
01.2014 - 01.2015
Clinical Pharmacy Technician
Molina Healthcare
01.2011 - 01.2014
Salt Lake Community College
Associate of Science
State Certified Pharmacy Technician
General Education Degree
GED
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