Compiled reports summarizing daily activities related to processing of prior authorizations.
Researched drug formularies as well as therapeutic alternatives when needed during the authorization process.
Collaborated with other departments such as billing, clinical staff, and providers in order to ensure successful completion of the prior authorization process.
Evaluated non-formulary drugs based on cost effectiveness compared with formulary drugs when necessary, during the authorization process.
Maintained current knowledge of changes within the healthcare industry related to the prior authorization process.
Interpreted health plan benefits and coverage requirements related to prior authorization process.
Provided customer service support by responding promptly and professionally to inquiries from patients, physicians' offices, insurance companies. via phone or email.
Certified Pharmacy Technician
CPS Wellness Center
Chesapeake, VA
08.2014 - 10.2021
Served as a liaison between patients and healthcare providers for communication purposes.
Performed follow up calls to confirm scheduled appointments.
Assisted in scheduling, rescheduling, and canceling appointments for patients.
Conducted outbound calls to remind patients of upcoming appointments.
Generated daily reports on the number of booked, canceled, rescheduled appointments.
Assisted pharmacists in preparing prescriptions for filling, including counting tablets and labeling bottles.
Monitored stock levels of medications in the pharmacy's inventory system.
Maintained a clean work environment by wiping down counters, cleaning spills promptly and properly disposing of waste products.
Checked expiration dates on drug products prior to dispensing them to customers.
Maintained records of controlled substances dispensed according to state regulations.
Answered questions from customers regarding insurance coverage eligibility requirements.
Followed safety protocols when handling hazardous drugs or materials in accordance with OSHA standards.
Ensured accurate billing information was included on prescription orders prior to processing them.
Provided medication and other healthcare products to customers accurately and efficiently.
Adhered to all federal, state and local laws governing the practice of pharmacy technicians.
Maintained pharmacy inventory by restocking shelves with medications and supplies.
Processed third-party insurance claims for reimbursement of pharmaceuticals.
Entered patient profile information into computer systems accurately and completely.
Assisted patients in understanding their medication instructions and usage directions.
Verified accuracy of patient information on prescription orders.
Managed inventories, rotated stock, removed expired, or damaged drug products and resolved discrepancies in drug counts.
Senior Certified Pharmacy Technician
Walgreen's Pharmacy
Portsmouth, VA
06.2006 - 08.2014
Conducted regular audits of medication inventories in order to identify discrepancies.
Participated in continuing education programs designed to enhance job knowledge.
Compounded and dispensed medications according to physician orders.
Adhered to infection control guidelines when handling hazardous materials.
Provided support for pharmacists during drug distribution activities.
Provided customer service to patients regarding their prescription medications.
Ensured compliance with federal and state laws pertaining to controlled substances.
Ordered prescription refills as requested by physicians or authorized personnel.
Maintained accurate records and inventory of pharmaceuticals, supplies, and equipment.
Organized and maintained pharmacy area in accordance with established standards.
Filled prescriptions accurately under the direction of a pharmacist.
Managed workflow within the pharmacy department while adhering to all state regulations.
Monitored expiration dates on medications in order to maintain product integrity.
Trained new employees on pharmacy operations, policies, procedures, and safety protocols.
Assisted with the development of policy changes related to pharmacy services.
Resolved billing issues with insurance companies or other third-party payers.
Verified patient information, including allergies, drug interactions, and contraindications.
Efficiently processed cash register transactions for new and refilled prescription orders.
Adhered to regulatory guidelines for workplace safety and customer confidentiality.
Received and verified daily incoming drug inventories, reported discrepancies, and logged items into inventory system.
Organized medications for dispensing.
Created new customer profiles and updated demographics, allergies, and new medications in pharmacy computer systems.
Maintained clean and organized pharmacy shelving and work areas.
Managed inventories, rotated stock, removed expired, or damaged drug products and resolved discrepancies in drug counts.
Compiled customer demographic, allergy, and medical history background.
Assisted pharmacist with clearing high volume of prescriptions and responded to customer questions.
Worked with insurance companies to process claims, resolve problems and obtain payments.
Established and updated patient profiles, medications and insurance details.
Provided exceptional customer service, ensuring patient satisfaction and loyalty.
Led a team of pharmacy technicians, providing training and supervision.
Coordinated workflow to ensure timely and accurate medication dispensing.
Maintained a clean and organized pharmacy workspace to ensure efficiency.
Education
High School Diploma -
Oscar Smith High
Chesapeake, VA
06-2004
Skills
Prior authorization
Drug formulary research
Health plan interpretation
Cost evaluation
Customer service
Collaboration with departments
Insurance claims processing
Medication dispensing
Problem solving
Patient communication
Inventory management
Attention to detail
Time management
Medication storage procedures
Medication dispensing accuracy
Medical terminology
Professionalism and ethics
Leadership qualities
Certification
Virginia Department of Health Professions Pharmacy Technician
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