Elizabeth Millan-McDaniels
Garden Grove,CA
Summary
Detail-oriented Pharmacy Technician with strong skills in effective communication and patient education. Experienced in navigating health insurance processes and managing customer inquiries to enhance patient care.
Overview
13
13
years of professional experience
1
1
Certification
Work History
PHARMACY TECHNICIAN
Alignment Health
Orange, California
11.2022 - Current
- Work on inbound and outbound calls to plan members, providers and pharmacies
- Educate members about the 90/100-days benefit for their qualifying medications
- Call pharmacies for medication adherence purposes, work with pharmacy staff to refill patient medications
- Contact prescribers to request medication refills and to verify if certain medications have been discontinued
- Answer member questions regarding medication copays and direct them to the appropriate departments for non-pharmacy related questions
- Follow-up and resolve pending cases
PHARMACY TECHNICIAN CLINICAL SERVICES
Centene Corporation
Cypress, California
08.2022 - 11.2022
- Handle inbound and outbound calls in a remote call center environment
- Inform health plan members about the healthy living program
- Transfer patient calls to pharmacists for on-the-spot medication reviews
- Schedule medication reviews for patients
- Fax documents to long term care facilities as needed
- Call provider offices and pharmacies to obtain alternate contact information for members
PHARMACY QUALITY COORDINATOR
Prospect Medical Group
Orange, California
01.2018 - 07.2022
- Send collaborative physician agreement contracts to providers and explain the purpose of those to provider offices, also handle completed contracts for storage in the appropriate folders
- Call members of the different health plans we work with for the purpose of medication adherence
- Contact pharmacies and provider offices for medication-related questions and to request refills and check status on refill requests
- Refer members who have clinical questions regarding their medications to our prospect pharmacists
- Call providers and fax documents regarding the SUPD and SPC programs for patients who may be at risk of high cholesterol due to chronic conditions
- Contact rheumatologists for patients in the DMARD program who may need anti-rheumatic medications
PHARMACY COORDINATOR
Medical Professionals
Orange, California
09.2017 - 12.2017
- Worked with client Prospect Medical Group
- Called members regarding their medications for diabetes, high blood pressure and high cholesterol
- Contacted pharmacies to verify medication refills and pick-ups as well as confirming status on medication refill requests from providers
- Called doctors’ offices to ensure they receive the refill requests and made sure they received the documents we would fax for the different measures we worked on
PHARMACY TECHNICIAN
CareNational Healthcare Services
Cerritos, California
04.2017 - 09.2017
- Worked with client CareMore/Anthem
- Part of a medication adherence program focusing on patients’ maintenance medications
- Assisted members with questions regarding medication prices, 90-day prescriptions, auto-refill at their pharmacies and mail order pharmacy services
- Coordinated with patients’ personal doctors and fax 90-day prescription requests
- Ensured 90-day prescription approvals were faxed to their respective pharmacies for processing assisted pharmacies with possible medication rejections over the phone
- Offered in-person or over the phone medication reviews with a clinical pharmacist for patients who have questions about their medications
- Provided information regarding assistance programs for patients who were unable to pay for their medications.
PHARMACY TECHNICIAN
Medical Professionals
Orange, California
09.2015 - 12.2016
- Worked for client Alignment Healthcare in Orange, CA
- Worked with clients on the phone answering pharmacy related questions and ensure patients were taking their medications
- Assisted pharmacies with processing medication claims through insurance
- Called doctors offices to have refill requests and prior authorizations approved
PHARMACY TECHNICIAN
Rx Relief
Downey, California
12.2014 - 09.2015
- Worked with client Rancho Los Amigos National Rehabilitation Center in Downey, assisted patients at the window, typed and filled prescriptions, answered phones and provided medication status to patients and nurses
- Also worked with client Kedren Community Health Center Pharmacy (Prime Pharmacy) in Los Angeles, I filled medications and served as an interpreter for Spanish speaking patients, I also stocked new medication inventory
- The third client I worked with while working for this agency was Omnicare Pharmacy,k I worked in the triage department, handled paper work, copying faxing and scanning documents in the queue, I also called doctors offices and facilities to ensure patients would receive their medication in a timely manner
PHARMACY TECHNICIAN
CVS Pharmacy
Woodland Hills, California
04.2014 - 12.2014
- Assisted patients in person and on the phone
- Worked at the pick-up and drop-off windows ringing-up medications and taking-in prescriptions
- Also filled prescriptions and worked at the drive-thru
PHARMACY TECHNICIAN
Asereth Medical Services
Los Angeles, California
02.2013 - 01.2014
- Worked for client Eisner Pediatric and Family Medical Center, worked as both pharmacy clerk and technician, I took prescriptions, entered information in the system, rang-up prescriptions and filled them
- Also worked with client Los Angeles General Medical Center (Formerly known as LAC+USC Medical Center), worked at the in and out windows taking-in prescriptions and ringing-up prescriptions, also handled filling, typing and interpreted for Spanish speaking patients
PHARMACY TECHNICIAN EXTERN
CVS Pharmacy
North Hollywood, California
07.2012 - 09.2012
- Completed 200 hours of externship work
Education
Certificate - Pharmacy Technician
UEI College
Van Nuys, CA09.2012
Bachelor of Science - Business Administration
Devry University
Sherman Oaks, CA10.2010
Skills
- Prescription processing
- Health insurance navigation
- Patient education
- Customer relationship management
- Call center operations
- Compliance adherence
- Data entry accuracy
- Problem solving
- Effective communication
- Detail orientation
- Time management
- Team collaboration
- Problem-solving skills
- Supporting pharmacy operations
- Labeling prescriptions
- Medicare and medicaid process
- Interpreting orders
- Processing payments
- Pharmacy software proficiency
- Drug interaction awareness
- Confidentiality and HIPAA
- HIPAA
- Answering customer questions
- Insurance billing
- Updating medication histories
- Proper labeling
- Verifying orders
- Pharmacy law compliance
- Medication dispensing
- Prescription filling
- Patient confidentiality
- Interpreting and processing medication orders
- Insurance verification
- Workflow optimization
- Resolving customer issues
- Prescription interpretation
- Stocking shelves
Certification
Certified Pharmacy Technician
California Pharmacy Technician License
Websites
Languages
Spanish
Professional
References
References available upon request.
Timeline
PHARMACY TECHNICIAN
Alignment Health
11.2022 - Current
PHARMACY TECHNICIAN CLINICAL SERVICES
Centene Corporation
08.2022 - 11.2022
PHARMACY QUALITY COORDINATOR
Prospect Medical Group
01.2018 - 07.2022
PHARMACY COORDINATOR
Medical Professionals
09.2017 - 12.2017
PHARMACY TECHNICIAN
CareNational Healthcare Services
04.2017 - 09.2017
PHARMACY TECHNICIAN
Medical Professionals
09.2015 - 12.2016
PHARMACY TECHNICIAN
Rx Relief
12.2014 - 09.2015
PHARMACY TECHNICIAN
CVS Pharmacy
04.2014 - 12.2014
PHARMACY TECHNICIAN
Asereth Medical Services
02.2013 - 01.2014
PHARMACY TECHNICIAN EXTERN
CVS Pharmacy
07.2012 - 09.2012
Certificate - Pharmacy Technician
UEI College
Bachelor of Science - Business Administration
Devry University
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