Chaka Z. Sadiq
Jacksonville,FL
Summary
Outgoing, self-motivated, and result oriented professional driven to make a difference in the lives encountered. Looking to receive the training and support to compassionately deliver an exceptional customer experience while exceeding expectations.
Overview
17
17
years of professional experience
Work History
Certified Pharmacy Technician
State of Florida
05.2010 - 12.2026
Credentials Pharmacy Technician
PTCB
05.2010 - 12.2026
Clinical Prior Authorization Specialist
Capital Rx
01.2022 - Current
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Monitored pending cases closely, proactively following up on outstanding documentation needed for successful approval outcomes.
- Supported team members by providing guidance on complex cases requiring detailed understanding of medical necessity criteria.
Prior Authorization Technician III
Capital Rx
11.2020 - 01.2022
- Assisted Clinical team 4 days per week with sorting and resolving prior authorizations received via fax
- Reached out to providers to obtain additional clinical information to prepare PA for review by clinical pharmacist.
- Verified eligibility and compliance with authorization requirements for service providers.
- Input all patient data regarding claims and prior authorizations into system accurately.
- Triaged unscheduled and emergency authorizations, directing submissions to appropriate personnel for rapid response.
- Fielded telephone inquiries on authorization details from plan members and medical staff.
- Educated providers and members on denials and appeal process
- Assisted with training technicians on SLUHN process
Pharmacy Technician II
Amerihealth Caritas PBM
09.2019 - 11.2020
- Manage inbound inquiries from members, providers, and pharmacies.
- Initiate and coordinate Prior Auth Requests.
- Educate Prescribers/members on formulary and PA process.
- Identify claims processing errors.
- Act as a liaison between clinical and inbound callers in response to PA inquiries.
- Provide real-time support to pharmacies with POS inquiries.
- Effectively communicate issues and resolutions to customers and internal staff.
Pharmacy Technician II
Homemaker, Carolina Care Pharmacy
08.2017 - 09.2019
Inbound/Outbound
08.2016 - 08.2017
- Calls re medication refills, questions, allergies, and insurance clarification.
- Process charges and credits for medication orders.
- Complete and prepare bank ledgers for daily transactions.
- Data enter Rx and insurance info.
- Resolve all insurance rejections by working with providers, insurance company and patient.
- Monitor medication inventory and order as necessary.
- Fill drug orders from neonates to geriatrics.
- Process and follow up on all PA’s expeditiously.
- Train new teammates on all departmental duties, policies, and procedures.
Pharmacy Technician/Sales Manager
Edgedwood Pharmacy
01.2016 - 01.2016
- Set up new independent pharmacy.
- Order medication for beginning inventory.
- Design workflow for future employees.
- Create log book for individual and corporate accounts.
- Apply for government grants for Pharmacy.
- Schedule luncheons to attain new clients for Pharmacy.
- Visit Dr.
- Offices and clinics for patient recruitment.
- Cash out register daily.
- Deliver medications to patients.
- Assist patients with insurance and case management.
Pharmacy Technician
AHF Pharmacy
01.2010 - 01.2016
- Maintain privacy and confidentiality as required by HIPAA, AHF, and departmental policies and procedures.
- Prepare and process prior authorization forms for a variety of insurance plans as appropriate.
- Enroll patients in various Pharmacy Assistance Programs (PAP).
- Conduct patient intake interviews, including financial screenings.
- Verify eligibility as required for Medicare, private insurance, and other public assistance programs.
- Assist patients in completion of benefit application to ensure timely enrollment.
- Access clinical charts to verify accuracy in patients’ pharmacy drug therapy.
- Locate non-compliant patients to link them back into care.
Education
Pharmacy Technician
Sanford Brown Institute
Skills
- Safety and compliance
- Time management
- Organized
- Team Training
- Excellent Communication
- Detail oriented
Timeline
Clinical Prior Authorization Specialist
Capital Rx
01.2022 - Current
Prior Authorization Technician III
Capital Rx
11.2020 - 01.2022
Pharmacy Technician II
Amerihealth Caritas PBM
09.2019 - 11.2020
Pharmacy Technician II
Homemaker, Carolina Care Pharmacy
08.2017 - 09.2019
Inbound/Outbound
08.2016 - 08.2017
Pharmacy Technician/Sales Manager
Edgedwood Pharmacy
01.2016 - 01.2016
Certified Pharmacy Technician
State of Florida
05.2010 - 12.2026
Credentials Pharmacy Technician
PTCB
05.2010 - 12.2026
Pharmacy Technician
AHF Pharmacy
01.2010 - 01.2016
Pharmacy Technician
Sanford Brown Institute
Similar Profiles
Yogesh ReddyYogesh Reddy
Senior IT Business Consultant at State of FloridaSenior IT Business Consultant at State of Florida
Sara Catherine ChinnersSara Catherine Chinners
Child Protective Investigator at State Of FloridaChild Protective Investigator at State Of Florida
Jabreel AliJabreel Ali
Custodian at State of FloridaCustodian at State of Florida
Lee ChavisLee Chavis
Customer Service Representative Team Lead at State of FloridaCustomer Service Representative Team Lead at State of Florida
Sharonda PerrySharonda Perry
Contact Representative at Internal Revenue ServiceContact Representative at Internal Revenue Service