Edgar Gallegos
Santa Ana
Summary
Dynamic professional with extensive experience in prior authorization processing at Medi-Cal Rx. Proven problem solver with exceptional attention to detail and effective communication skills. Bilingual in English and Spanish, adept at utilizing Microsoft Excel to enhance workflow efficiency. Committed to delivering outstanding customer service and ensuring optimal patient care.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Clinical Prior Authorization II
Medi-Cal Rx
San Diego
11.2021 - Current
- Process prior authorization via fax or over the phone.
- Input clinical guideline inquiry to Prior Authorization System for possible coverage for members.
- Primary duties answering incoming calls from Provider's office to initiate PA or check status on a PA.
Pharmacy LEAD Technician
CVS/Pharmacy
Mira Mesa
06.2017 - 11.2021
- Filing medication by counting and pouring.
- Type up scripts, checking in outside orders, giving people their medication, and removing expired medication off the shelve.
- Calling patient's insurance companies to resolve issue with their prescriptions.
Cashier
Sunshine Market
La Jolla
09.2016 - 05.2017
- Managed cash registers, stocked the store when the items were low.
- Carried beverages from the basement and stocked them in the freezer.
Education
High school diploma - General Studies
Valley High School
Santa Ana, CA06-2013
Skills
- Problem solving
- Attention to detail
- Effective communication
- MICROSOFT EXCEL
- MICROSOFT WORD
- Customer Service
- Familiar with Microsoft Word
- Familiar with Microsoft Excel
- Bilingual in English and Spanish
- Prior authorization processing
Certification
- Licensed Pharmacy Technician, 03/01/17, 02/01/27
- California Technician License, 03/01/17, 03/01/27
- Certified Pharmacy Technician (CPhT), 03/01/17, 03/01/27
Timeline
Clinical Prior Authorization II
Medi-Cal Rx
11.2021 - Current
Pharmacy LEAD Technician
CVS/Pharmacy
06.2017 - 11.2021
Cashier
Sunshine Market
09.2016 - 05.2017
High school diploma - General Studies
Valley High School
Similar Profiles
Laurie MeyerLaurie Meyer
Business Office Manager and Billing Specialist at Medi-Rx PharmacyBusiness Office Manager and Billing Specialist at Medi-Rx Pharmacy
Darlene KellerDarlene Keller
Telephone Service Center Representative at Medi-CalTelephone Service Center Representative at Medi-Cal
Aiesha MackeyAiesha Mackey
Remote Customer Service Representative/Call Center at Medi-Cal DentalRemote Customer Service Representative/Call Center at Medi-Cal Dental
Rene Fernando Ortega ChacónRene Fernando Ortega Chacón
Sales Support Team Leader at Telus InternationalSales Support Team Leader at Telus International
Wilfredo AparicioWilfredo Aparicio
Biomedical Enginner Service Techcnician at EQUITEC S.A. De C.V.Biomedical Enginner Service Techcnician at EQUITEC S.A. De C.V.