Crystal Welcome
Houston,TX
Summary
Adept Prior Authorization Pharmacy Technician with a proven track record at Partners Pharmacy, showcasing expertise in insurance verification and a strong leadership quality. Reduced authorization request turnaround significantly, while continuously enhancing knowledge in medical terminology. Excels in resolving claims and delivering exceptional customer service, demonstrating a commitment to professionalism and ethical standards.
Overview
11
11
years of professional experience
Work History
Prior Authorization Pharmacy Technician
Partners Pharmacy
04.2018 - 06.2024
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Reduced turnaround time for prior authorization requests by utilizing electronic submission methods.
- Reviewed appeals for prior authorization requests and communicated with payers to resolve issues.
- Researched denied claims and contacted insurance companies to resolve these issues.
- Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
- Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
- Analyzed medical records and other documents to determine approval of requests for authorization.
Lead Pharmacy Technician
Walgreens
01.2013 - 01.2016
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Stocked, labeled, and inventoried medication to keep accurate records.
- Helped pharmacist clear problematic prescriptions and address customer questions to keep pharmacy efficient.
- Communicated with prescribers to verify medication dosages, refill authorizations, and patient information.
- Provided excellent customer service at the point-of-sale counter, efficiently managing transactions while addressing patient inquiries.
Education
No Degree - Pharmacy Technician
Sanford Brown
Houston, TX05.2012
Skills
Prior Authorization Knowledge
Leadership Qualities
Insurance Verification Expertise
Professionalism and Ethics
Timeline
Prior Authorization Pharmacy Technician
Partners Pharmacy
04.2018 - 06.2024
Lead Pharmacy Technician
Walgreens
01.2013 - 01.2016
No Degree - Pharmacy Technician
Sanford Brown
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