Caprice Winston
Fairhope,USA
Summary
Driven pharmacy professional with 3 years of experience and success in working in the fast-paced retail pharmacy setting and the ever changing world of PBMs. Seeking to return to healthcare to leverage my skills to bring a culture of professionalism and care into a new career at your organization.
Overview
1
1
Certification
7
7
years of professional experience
Work History
Bakery Buyer
Mary's Southern Cooking
04.2025 - Current
- Analyzed vendor proposals to ensure competitive pricing and quality standards.
- Collaborated with culinary team to forecast product needs based on seasonal menu changes.
- Maintained accurate inventory records using procurement software to streamline ordering processes.
- Conducted market research to identify emerging food trends and adjust purchasing strategies accordingly.
- Implemented cost-saving initiatives through strategic sourcing, enhancing overall budget compliance.
PHARMACY CUSTOMER SERVICE REPRESENTATIVE
CVS Pharmacy
01.2024 - 04.2025
- Communicated with patients to collect information about prescriptions and medical conditions or arrange consultations with pharmacists.
- Answered over 50 calls per day with professionalism and swiftness. Clarified customer issues and determined root cause of problems to resolve product or service complaints.
- Provided primary customer support to internal and external customers.
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns. Assisted patients in managing medical expenses by recommending available coverage options.
- Processed prior authorization requests with healthcare providers and insurance companies to ensure timely access to medications.
PRIOR AUTHORIZATION PHARMACY TECHNICIAN, MEDICARE D
Prime Therapeutics
10.2023 - 09.2024
- Processed Medicare Part D prior authorization requests with healthcare providers and insurance companies to ensure timely access to medications.
- Monitored compliance with HIPAA regulations when handling sensitive patient information.
- Worked with pharmacies to inform companies of authorization requirements to support smooth and timely medication compliance.
- Utilized pharmacy management software to track authorization status and communicate updates to clinical staff and patients.
- Initiated outbound calls to members to inform of approval or denial of prior authorization
CERTIFIED PHARMACY TECHNICIAN
Win-Dixie Pharmacy
08.2020 - 05.2022
- Maintained compliance with HIPAA regulations and protected patient confidentiality while handling sensitive medical records and prescription information.
- Assisted patients with prescription inquiries, insurance billing, and medication therapy management.
- Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
- Processed prior authorization requests with healthcare providers and insurance companies to ensure timely access to medications.
- Managed inventory by receiving, stocking, labeling, and monitoring expiration dates to maintain accurate and safe medication supply.
- Prepared and labeled medications.
- Supervised a second pharmacist, ensuring compliance with federal, state, and company regulations.
- Managed inventory levels, ensuring timely restocking of medications and supplies.
CUSTOMER SERVICE REP/PHARMACY TECHNICIAN
CVS Pharmacy
06.2019 - 08.2020
- Accurately processed and dispensed prescription medications under the supervision of a licensed pharmacist, ensuring compliance with federal, state, and company regulations.
- Maintained strict adherence to HIPAA guidelines and protected patient confidentiality while handling sensitive medical records and prescription information.
- Assisted patients with prescription inquiries, insurance billing, and medication therapy management.
- Processed prior authorization requests with healthcare providers and insurance companies to ensure timely access to medications.
- Managed inventory by receiving, stocking, labeling, and monitoring expiration dates to maintain accurate and safe medication supply.
- Prepared and labeled medications via non-sterile compounding.
Education
HIGH SCHOOL DIPLOMA - undefined
Fairhope High School
05-2018
Skills
- Data entry
- Quotas
- Prior authorizations
- Problem solving
- Medicare D
- Claims processing
- Insurance billing and verification
- Pharmacy and customer records management
- Electronic Health Systems
Certification
- Alabama Registered Pharmacy Technician
- PTCB Certification
- BLS
- EKG Rhythms course
Timeline
Bakery Buyer
Mary's Southern Cooking
04.2025 - Current
PHARMACY CUSTOMER SERVICE REPRESENTATIVE
CVS Pharmacy
01.2024 - 04.2025
PRIOR AUTHORIZATION PHARMACY TECHNICIAN, MEDICARE D
Prime Therapeutics
10.2023 - 09.2024
CERTIFIED PHARMACY TECHNICIAN
Win-Dixie Pharmacy
08.2020 - 05.2022
CUSTOMER SERVICE REP/PHARMACY TECHNICIAN
CVS Pharmacy
06.2019 - 08.2020
HIGH SCHOOL DIPLOMA - undefined
Fairhope High School