Pharmacy Technician who has also attained progressive experience dealing with Coordination of Benefits. Dependable and organized team player. With the ability to communicate effectively and efficiently. Skilled at building relationships with employees across all levels of an organization. Skilled at Building rapport’s with patients and doctors offices.
Overview
10
10
years of professional experience
Work History
Pharmacy Technician
George Washington University Hospital
02.2022 - Current
Answered incoming phone calls and addressed questions from customers and healthcare providers.
Calculated dosage, filled prescriptions and prepared prescription labels with absolute accuracy.
Counted and labeled prescriptions with correct item and quantity.
Stocked, labeled and inventoried medication to keep accurate records.
Performed various pharmacy operational activities with strong commitment to accuracy, efficiency and service quality.
Maintained proper drug storage procedures, registries, and records for controlled drugs.
Counted, measured, and compounded medications following standard procedures.
Refill and Load Pyxis Machines on various Units to ensure proper patient care
Inventory Pyxis Machines
Troubleshoot pyxis machines
Pharmacy Technician Outpatient
GW MFA
01.2021 - 05.2021
Filing Prescriptions under the direct supervision of a Pharmacist
Answering Phones , sending and receiving faxes
Contacting insurance companies for medication overrides and approvals
Sending Prior Authorizations
Data Entry
Customer Service
Accounts payable
Inventory Management Ordering and submitting Mckesson Orders
Prior Authorization Specialist
05.2020 - 09.2020
Molina healthcare
Receiving Prior Auths from doctor’s offices through CVS health’s CAS system
Reading the PA form and diagnosis from doctor’s office to determine if the PA would be Approved or Denied Based on Molina Healthcare’s Criteria and Patient Diagnosis
Completing 30 PA’s or more a day
Proficient with ICD-10 codes
Sending E-Faxes back to doctor’s office if PA form had insufficient info for PA determination.
Pharmacy Technician
New hampshire Pharmacy & Medical Equipment
05.2018 - 03.2020
Filling patient prescriptions under the direct supervision of a pharmacist
Submitting prior authorizations to get approvals and overrides from insurance companies
Inventory management ordering out of stock medications through Mckesson, Parmed and Anda making sure that the order at the end of each night stayed under $20,000
Customer service, Data entry, multitasking answering phones, checking the faxes, maintaining a neat and organized work area
Helping the Pharmacist make compounds
Packaging, Labeling and Shipping pill pack medications out to Nursing homes contracted with NHP
Shipping Specialty Medications out to patients
Benefit Verification Specialist
The Lash Group
12.2017 - 04.2018
Data Entry and entering ICD-9, ICD-10 codes and Analyzing Research
Identifying alternate coverage options and conducting research on less common or more complex payers or specialized programs serving particular populations such as private commercial insurers and Medicaid;Medicare
Obtaining Prior Authorization information for the patients Provider for Orencia a rheumatoid arthritis medication that can be given in two different forms infused into the blood stream at a doctors office or given by injectable pens the Prior Authorization would determine which therapy the patients insurance would pay for
Outbound calls, updating patient insurance information in the patient plus database
Working with Microsoft office, Word, and excel
Problem Solving
Accounts
PHARMACY TECHNICIAN
Target Pharmacy
11.2015 - 12.2017
Filling Prescriptions under the direct supervision of a pharmacist
Data Entry, Answering Phones, Sending Faxes, Customer Service
Submitting Prior Authorizations
Problem Solving
Collections Specialist
ADT security Services
02.2014 - 09.2015
Making outbound and inbound calls, Contacting customers for payment
Responsible for managing all collection and outstanding accounts
Updating customer accounts once payments made and notating accounts
Assisting customers with making payment arrangements
Removing accounts from collections once all past due balances are paid
Coordination of Benefits Representative
08.2013 - 12.2013
United Healthcare
COB investigations, outbound and inbound calls
Getting records updated so that claims were processed correctly
Looking over old claims to make sure there were no discrepancies or errors
Sending updated COB records to Medicare with members secondary insurances
Contacting members, employers and secondary insurances to obtain any missing information to notate and update member files
Pharmacy Technician
CVS/Pharmacy
10.2011 - 08.2013
Filling Prescriptions under the direct supervision of a pharmacist
Greeting customers, Assisting customers with finding OTC medications
Answering phones, putting In refills, Checking the faxes
Sending refill renew request to Physicians office
Data entry, typing new prescriptions into database
Organizing and putting patient prescription bags away
3
Registered Nurse, Labor and Delivery at George Washington University HospitalRegistered Nurse, Labor and Delivery at George Washington University Hospital