Ismary Castro
Sanford,FL
Summary
Accomplished bilingual certified Pharmacy Technician with over 7 years of experience in retail, specialty, long term pharmacy and prior authorizations. Dependable and effective in managing operations. Successful in encouraging team members to work efficiently and meet production targets. Well-organized and self-motivated. Extensive knowledge in insurance company processes to verify coverage, initiate authorizations, provide clinical documentation and follow up on previously submitted prior authorizations for all commercial, government and other payors.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Oncology Prior Authorization Coordinator
BioPlus Specialty Pharmacy
Orlando, FL
04.2020 - Current
- Verified eligibility and compliance with authorization requirements for service providers.
- Submitted routine and emergency prior authorizations in timely manner using verbal, written and electronic submission methods in accordance to plans preferences.
- Reviewed prior authorization clinical criteria before request submission to increase approval odds.
- Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
- Perform individual case review for appeals and grievances for various health plan and insurance products.
- Fielded telephone inquiries on authorization details from plan members and medical staff.
- Organized patient files and streamlined operations to improve efficiency.
- Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures
- Researched denied claims and contacted insurance companies to resolve these issues
Pharmacy Technician
Maxor National Pharmacy Services LLC
Jacksonville , Florida
06.2019 - 02.2020
- Counted and labeled prescriptions with correct item and quantity
- Calculated dosage, filled prescriptions and prepared prescription labels with absolute accuracy
- Monitored ordering of pharmacy medication stock to maintain streamlined inventory and low overhead
- Helped pharmacist clear problematic prescriptions and address customer questions to keep pharmacy efficient
- Provided consultations and answered inquiries from patients, healthcare professionals and physicians regarding HIV drugs, potential side effects and specified use
- Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality
- Educated patients on HIV and Hepatitis C medications
- Committed to medications adherence programs for HIV and Hepatitis C patients
Client Service And Account Manager
Guardian Pharmacy LLC.
Jacksonville, FL
12.2017 - 12.2018
- Call and visit current customers to enhance and facilitate positive working relationships between customers and the pharmacy team with goal of 100% customer retention
- Visited customer locations to determine needs, set up contracts and provide training
- Provided facilities with compliance-related consulting services
- Performed quarterly med carts, med room, med pass audits for designated customers that focus on regulatory compliance and pharmacy operations quality analysis
- E-MOR/MAR software as it relates to pharmacy interface, order processing, training, and troubleshooting to ensure optimal use by facility
- Act as liaison with pharmacy operations to investigate issues reported by customers to identify causative events and ensure follow-up resolution with customer
- Assist in data collection (resident list/census, nursing stations/ facility account info/orders/medical records) for new facility start-ups to ensure smooth and error free start up
- Serve as communication liaison between pharmacy and facility to clarify service-related questions
Data Entry Pharmacy Technician
Guardian Pharmacy LLC
Jacksonville, Florida
01.2016 - 12.2017
- Correctly completed pharmacy paperwork, including daily and weekly reports
- Displayed patient-oriented and comprehensive clinical pharmacy services and pharmaceutical care
- Translated pharmacy communications for Spanish speaking customers
- Recipient of multiple positive reviews acknowledging dedication to excellent customer service
- Continually maintained and improved company's reputation and positive image in markets served
- Encouraged creative thinking, problem solving, and empowerment as part of pharmacy culture to improve morale and teamwork
- Routinely collaborated with department supervisors to correct problems and improve services
- Investigated and provided information about special incidents, events and complaints
- Continually improved knowledge, skills and performance based on feedback and self-identified professional developmental needs
- Contact doctors' offices and/or facilities as needed for refill requests, clarification of orders etc. in order to process prescriptions
- Complete Medication Administration Records and Physician Orders (PO's) corrections and printing
- Lead by example in all areas of role and supporting non-negotiable attributes; integrity, dependability, commitment, productivity, efficiency and upholding policies and procedure
Senior Pharmacy Technician
Walgreens
Jacksonville, Florida
01.2014 - 01.2016
- Performed various pharmacy operational activities with strong commitment to accuracy, efficiency and service quality
- Helped pharmacist clear problematic prescriptions and address customer questions to keep pharmacy efficient
- Stocked, labeled and inventoried medication to keep accurate records
- Restocked pharmacy shelves with current merchandise to drive consistent peripheral sales
- Consulted with insurance company representatives to complete claims processing, resolve concerns and reconcile payments
- Communicated with prescribers to verify medication dosages, refill authorizations and patient information
- Answered incoming phone calls and addressed questions from customers and healthcare providers
- Ordered medicines daily to ensure compliance with demands and needs
- Evaluated employee skills and knowledge regularly, providing hands-on training and mentoring to individuals with lagging skills
Education
Bachelor of Science - Public Health
Florida State College At Jacksonville
Jacksonville, FL06.2025
Skills
- Retail, long term and specialty pharmacy procedure knowledge
- Medication handling experience in Oncology, HIV and HEP C
- Prior authorizations and appeals expertise
- Follow all HIPAA compliance and regulations in accordance to local, state, and national regulations
- FDA Drug Safety Guidelines
- Excellent work ethic
- Ability to work with considerable independence
- Bilingual (Spanish)
- People-oriented
- Positive and friendly
- Time management skills
- Prioritization and Organization
- Attention to Detail
- Creative Thinking
Certification
- Registered Pharmacy Technician Licence, FL
- Pharmacy Technician Certification Board (PTCB)
- CPR Certification
Accomplishments
http://justaddrhythmnow.com/services/corporate-team-building/building-effective-teams-guardian-pharmacy-fire/
Timeline
Oncology Prior Authorization Coordinator
BioPlus Specialty Pharmacy
04.2020 - Current
Pharmacy Technician
Maxor National Pharmacy Services LLC
06.2019 - 02.2020
Client Service And Account Manager
Guardian Pharmacy LLC.
12.2017 - 12.2018
Data Entry Pharmacy Technician
Guardian Pharmacy LLC
01.2016 - 12.2017
Senior Pharmacy Technician
Walgreens
01.2014 - 01.2016
Bachelor of Science - Public Health
Florida State College At Jacksonville
- Registered Pharmacy Technician Licence, FL
- Pharmacy Technician Certification Board (PTCB)
- CPR Certification
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