Crystal Ball
League City
Summary
Results-driven Senior Pharmacy Technician known for high productivity and efficient task completion. Specialized in prescription processing, inventory management, and regulatory compliance. Excels in teamwork, communication, and adaptability, ensuring smooth pharmacy operations and positive patient interactions.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Prior Authorization/ Appeals Clinical Senior Pharmacy Technician
UnitedHealth Group
Houston
06.2023 - 12.2023
- Collaborated with pharmacists to review prescriptions for accuracy and completeness, minimizing errors in medication orders
- Provided exceptional customer service by addressing inquiries regarding medications, insurance coverage, and prescription refills
- Resolved customer complaints or issues promptly and effectively to ensure customer satisfaction
- Utilized computer systems (e.g., Pharmacy Information Systems) to process prescriptions accurately and maintain patient records securely
- Performed pharmaceutical calculations with precision to ensure accurate preparation of medications
- Maintained confidentiality of patient information in compliance with HIPAA regulations at all times
- Collaborated with healthcare professionals to clarify prescription details or resolve any discrepancies
- Ensured compliance with state/federal laws/regulations related to controlled substances handling/storage/disposal
- Participated in continuous quality improvement initiatives within the pharmacy department
- Managed and resolved medication-related issues (e.g., drug interactions, allergies) by consulting with pharmacists and healthcare providers
- Collaborated with insurance companies to process claims, resolve billing issues, and obtain prior authorizations when necessary
- Participated in ongoing training programs/seminars/webinars to stay updated on new medications/treatments/regulations within the field of pharmacy
- Demonstrated strong problem-solving skills by resolving complex prescription discrepancies or insurance coverage issues
- Liaised between physicians' offices/hospitals/nursing homes and the pharmacy department to facilitate timely prescription processing/delivery
- Maintained accurate records/logs of all dispensed medications as required by regulatory agencies
- Maintained up-to-date knowledge of pharmaceutical industry trends, new drugs, dosage forms, and treatment guidelines
- Demonstrated proficiency in using pharmacy software systems to process prescriptions efficiently
- Provided support during inventory audits by reconciling discrepancies and implementing corrective actions
- Conducted comprehensive medication reviews
- Collaborated with healthcare professionals to optimize medication therapy and improve patient outcomes
- Managed drug information inquiries from healthcare professionals, providing accurate and timely responses
- Mentored junior pharmacy staff members through guidance on complex cases or challenging situations
- Served as a resource person for other healthcare professionals
- Implemented clinical decision support tools within the electronic health record system to enhance prescribing practices
- Audited medication orders for accuracy, appropriateness
- Demonstrated proficiency in utilizing computerized systems for order entry, documentation, and inventory management
- Served as a liaison between pharmacy department and other departments within the hospital
- Collaborated with insurance providers to obtain prior authorizations for medications not covered by formulary
OHSPBM Pharmacy Technician Call Center
GAINWELL TECHNOLOGIES
Dublin
03.2023 - 06.2023
- Answering incoming calls and making outgoing calls for medical providers or pharmacy providers and assisting members and providers with inquiries through other media platforms as needed (fax, web, e-mail)
- Remain compliant with all PHI protocols and requirements including the handling of company confidential data according to policy and guidelines
- Complete communication with providers regarding status of their claim submission or any other inquiries
- Explain POS claims adjudication, state Medicaid policies/guidelines and any other necessary information to providers
- Use learned knowledge and resources to resolve the call on initial contact
Contract Certified Pharmacy Technician
ADVOCATE RX SOLUTIONS
Kingwood
01.2004 - 04.2006
- Data Entry of patients personal, insurance and prescription info.
- Filing
- Filling
- Prescriptions
- Faxing Dr.'s offices and calling on refill verification
- Handling front counter transactions
Certified Pharmacy Technician
SAMS CLUB
San Antonio
07.2004 - 10.2004
- Receive written prescription or refill requests and verify that information is complete and accurate.
- Maintain proper storage and security conditions for drugs.
- Establish or maintain patient profiles, including lists of medications taken by individual patients.
- Answer telephones, responding to questions or requests.
- Prepack bulk medicines, fill bottles with prescribed medications, and type and affix labels.
- Clean and help maintain equipment or work areas.
- Price and file prescriptions that have been filled.
- Assist customers by answering simple questions, locating items, or referring them to the pharmacist for medication information.
- Receive and store incoming supplies, verify quantities against invoices, check for outdated medications in current inventory, and inform supervisors of stock needs and shortages.
- Operate cash registers to accept payment from customers.
- Order, label, and count stock of medications, chemicals, or supplies and enter inventory data into computer.
- Prepare and process medical insurance claim forms and records.
Certified Pharmacy Technician
WALGREENS
San Antonio
08.2002 - 01.2004
- Receive written prescription or refill requests and verify that information is complete and accurate.
- Maintain proper storage and security conditions for drugs.
- Prepack bulk medicines, fill bottles with prescribed medications, and type and affix labels.
- Clean and help maintain equipment or work areas and sterilize glassware, according to prescribed methods.
- Assist customers by answering simple questions, locating items, or referring them to the pharmacist for medication information.
- Receive and store incoming supplies, verify quantities against invoices, check for outdated medications in current inventory, and inform supervisors of stock needs and shortages.
- Order, label, and count stock of medications, chemicals, or supplies and enter inventory data into computer.
- Operate cash registers to accept payment from customers.
- Supply and monitor robotic machines that dispense medicine into containers and label the containers.
Education
Allied Health -
Houston Community College
Houston, TX05.2019
Allied Health -
Alamo Community College
San Antonio, TX05.2001
East Central High School -
San Antonio, TX05.1998
Skills
- MULTI-LINE PHONES
- DATA ENTRY
- INVENTORY
- MICROSOFT OFFICE
- Microsoft excel
- Pharmacy Technician Experience
- Typing Order Entry
- Cash Handling
- Insurance Verification
- Medical Terminology
- Computer Skills
- Computer Operation
- HIPAA
- Microsoft Word
- Phone Etiquette
- Microsoft Powerpoint
- Basic math
- R
- Tableau
- Data Visualization
- Google Analytics
- Microsoft Outlook
- Analysis skills
- Communication skills
- Prior authorization processing
- Pharmacy information systems
- Regulatory compliance
- Pharmaceutical calculations
- Customer service
- Problem solving
- Attention to detail
- Team collaboration
- Medication review
- Record maintenance
- Drug interaction management
- Workflow optimization
- Insurance verification
- Pharmacy ethics
- Pharmacy software proficiency
- Drug utilization review
- Proper labeling
- FDA and HIPAA compliance
- Prescription interpretation
- Professional networking
- Drug classification
- Dosage formulation
- HIPAA compliance
- Pharmacy law compliance
- Drug interaction monitoring
- Insurance billing
- Advanced math skills
- Updating medication histories
- Troubleshooting malfunctioning equipment
- Patient confidentiality
- Data entry
- Certified pharmacy technician (cpht)
Certification
- Certified Pharmacy Technician, 02/01/22, 30189905, 06/01/03
- Texas State Board of Pharmacy Technician License, 120123
- Google Data Analytics, 06/01/22
Additional Information
Microsoft Office, Multi-Line Phones, Data Entry, Inventory, Power Point Access, Outlook, Excel, Vue360
Timeline
Prior Authorization/ Appeals Clinical Senior Pharmacy Technician
UnitedHealth Group
06.2023 - 12.2023
OHSPBM Pharmacy Technician Call Center
GAINWELL TECHNOLOGIES
03.2023 - 06.2023
Certified Pharmacy Technician
SAMS CLUB
07.2004 - 10.2004
Contract Certified Pharmacy Technician
ADVOCATE RX SOLUTIONS
01.2004 - 04.2006
Certified Pharmacy Technician
WALGREENS
08.2002 - 01.2004
Allied Health -
Houston Community College
Allied Health -
Alamo Community College