Frances Acosta
Santa Barbara,CA
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
29
29
years of professional experience
1
1
Certification
Work History
CenCal Benefits Authorization
New Beginnings
Santa Barbara, CA
05.2024 - Current
- Check monthly eligibility for CenCal clients
- Work with case managers to help clients sign up for ECM ( Enhanced Care Management) and CS Services ( Community Supports)
- Submit Authorizations for clients to receive ECM and CS Services.
- Attend monthly CenCal meetings to get updated information on any changes.
- Submit monthly reports to CenCal
Prior Authorization Specialist
Sansum Clinic
Santa Barbara, CA
02.2020 - 04.2024
- Completed authorizations for the Rheumatology, Dermatology, Endocrinology, Cardiology, Gastroenterology, Nephrology, and Hospitalists department.
- I spoke with the providers and medical assistants to ensure that I have all the information I need in order to submit authorizations.
- I contact insurance carriers and pharmacies when there is a problem with patients medications and also to inform patients of approval.
- Answered questions and responded to inquiries to deliver high level of service to patients.
- Performed careful reviews of applicant data to ascertain compliance with eligibility criteria for economic assistance.
- Help patients get enrolled with copay assistance and Medicare Part D patients to get help with patient assistance to help with the cost of medication.
- I worked with Wave/Epic system at Sansum
Lead Pharmacy Technician
CVS Pharmacy
Montecito, CA
09.2013 - 01.2020
- Worked with insurance companies to process claims, resolve problems and obtain payments.
- Consulted with customers via telephone or in-person to assist with navigating pharmacy systems and completing requests.
- Assisted pharmacist with clearing high volume of prescriptions and responded to customer questions.
- Managed inventories, rotated stock, removed expired or damaged drug products and resolved discrepancies in drug counts.
- Compiled customer demographic, allergy and medical history background.
- Received written prescription or refill requests, verifying information for completeness and accuracy.
- Prepared and processed medical insurance claim forms and records.
- Operated cash registers to accept payments from customers.
- Wrote the pharmacy clerk and technician weekly schedule.
Pharmacy Technician
CVS Pharmacy
Escondido, CA
09.2012 - 09.2013
- Maintained pharmacological practices by checking drug inventory, stocking medications and monitoring supplies.
- Created new customer profiles and updated demographics, allergies and new medications in pharmacy computer systems.
- Teamed with peers, technicians and pharmacists to prioritize and complete orders.
- Inspected medication storage locations to monitor drug expiration dates and supply adequate inventory.
- Received written prescriptions and refill requests from patients, evaluating information for completeness and accuracy before filling.
- Cleaned and maintained equipment or work areas according to prescribed methods.
- Mixed pharmaceutical preparations according to written prescriptions.
- Answered telephones to respond to questions or requests.
- Prepacked bulk medicines, filled bottles with prescribed medications and typed and affixed labels.
- Entered prescription information into computer databases.
Pharmacy Technician
Longs Drugs
Mira Mesa, CA
06.2001 - 05.2004
- Ordered, labeled and counted stock of medications and entered inventory data into computer.
- Prepacked bulk medicines, filled bottles with prescribed medications and typed and affixed labels.
- Entered prescription information into computer databases.
- Communicated effectively with doctors and insurance agencies to resolve prescription cost discrepancies.
- Checked medications for content, accuracy and completeness of drug packaging and labeling.
- Operated cash registers to accept payments from customers.
- Prepared and processed medical insurance claim forms and records.
- Assisted customers by answering questions, locating items or referring to pharmacist for medication information.
Pharmacy Technician
Longs Drugs
Santa Barbara, CA
10.1995 - 05.2001
- Created new customer profiles and updated demographics, allergies and new medications in pharmacy computer systems.
- Prepared prescription transfers to other pharmacies.
- Verified prescriptions and drug labels, documents and packages.
- Interpreted and processed medication orders under supervision of pharmacist.
- Inspected medication storage locations to monitor drug expiration dates and supply adequate inventory.
- Received written prescriptions and refill requests from patients, evaluating information for completeness and accuracy before filling.
- Operated cash registers to accept payments from customers.
- Cleaned and maintained equipment or work areas according to prescribed methods.
Education
High School Diploma -
San Marcos Senior High School
Santa Barbara, CA06-1994
Some College (No Degree) - General Education
Santa Barbara City College
Santa Barbara, CASkills
- Attention to Detail
- Data Entry
- Networking
- Decision-Making
- Active Listening
- Customer Service
Certification
- HIPAA Certificate ( expires May 2025)
- Mental Health First Aid ( expires June 2027)
- PTCB Certificate ( expires July 2025)
- Pharmacy Technician license ( expires May 2026)
- CPR certified ( expires May 2026)
Timeline
CenCal Benefits Authorization
New Beginnings
05.2024 - Current
Prior Authorization Specialist
Sansum Clinic
02.2020 - 04.2024
Lead Pharmacy Technician
CVS Pharmacy
09.2013 - 01.2020
Pharmacy Technician
CVS Pharmacy
09.2012 - 09.2013
Pharmacy Technician
Longs Drugs
06.2001 - 05.2004
Pharmacy Technician
Longs Drugs
10.1995 - 05.2001
High School Diploma -
San Marcos Senior High School
Some College (No Degree) - General Education
Santa Barbara City College
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