Jaquira Church
Apopka,FL
Summary
Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Pharmacy Technician II
Elevance Health
12.2023 - Current
- Verifies member information and inputs data for the pharmacists
- Educates members on pharmacy based rules related to prescriptions and medication resources or assistance programs
- Processes prior authorization requests from physicians offices and ensures compliance with Medicare requirements; informs relevant parties of all prior authorization determinations
- Provides resolution to grievances and appeals issues
- Responds to inquiries from physicians, sales team, and members related to formulary and prescription benefits
- Generates reports relating to rebates, physician utilization, Beers Criteria, Reliance members, and other ad hoc reports
- Maintains record keeping of prior authorizations, rebates, and monthly reports
Referral Coordinator I - Seasonal
Orlando Health
12.2022 - 02.2023
- The Referral Coordinator supports Clinical teams, Patients and Family Members by managing referrals and/or authorizations for the Medical Group
- The Referral Coordinator is responsible for processing Internal and External referrals and authorizations from orders prescribed, by the provider, in the Electronic Health Record (EHR) system within the Outpatient Ambulatory setting
Pharmacy Technician REMOTE, Subject Matter Expert (Trainer), Benefits/Insurance Verification Specialist
CVS Specialty
10.2017 - 09.2022
- Company Overview: Mail Order
- As a Pharmacy Technician in the Specialty Mail Order Pharmacy, I provide telephone support to patients receiving life sustaining specialty drug therapy
- I am responsible for the overall coordination and processing of new patient medication orders and reorders, which includes verifying benefits
- I also help our patients with translating and entering in new or refill prescriptions into the pharmacy information system, communicating and collecting copay amounts, obtaining authorizations, and working with insurance companies, healthcare providers and/or internal teams to screen, identify, resolve and defer orders that have accounts receivable or clinical issues
- Experience using the following scheduling software such as: Verint, and IEX
- I also completed projects that had to do with insurance reimbursement such as: Prudent RX
Customer Care Advisor-Pharmacy Tech
Walgreens Boots Alliance Inc.
09.2016 - 10.2017
- Resolves routine, general questions and problems submitted by customers via phone with limited variety following established guidelines and standard scripts and procedures
- Utilizes all available information to choose the best solution and resolve customer concerns
- Directs complex questions and problems to more senior staff level
- Uses a computer application to log and track inquiries, as well as, to check the status of items that require follow-up or involvement of other parties
- Documents customer interactions, records details, complaints, comments and actions taken
- Coordinates with other functional areas as necessary
- Refers unresolved customer grievances as designated by the departments for further investigation
- Handles inquiries on one or more product lines
Pharmacy Technician Externship
Westminister Rx
03.2014 - 05.2014
- Filled prescriptions, compounded antibiotics, and filled cells answered multi-line phones
- Monitored and stocked inventory, completed partial filling, and accepted incoming prescriptions to be filled
- Interacted with customers and assisted them with locating over-the-counter medications
- Maintained sterile and organized work space, input patient information in database, and verified insurance
Education
Bachelor of Arts - Criminal Justice
University of Central Florida
Orlando, FL01.2025
Associate - Criminal Justice
Seminole State College of Florida
Orlando, FL04.2024
Diploma - Pharmacy Technician
Anthem College Orlando
Orlando, FL06.2014
Skills
- Resolving customer issues
- Verifying orders
- Confidentiality and HIPAA
- Problem-solving skills
- Order verification
- Workflow optimization
- Pharmaceutical calculations
- Updating medication histories
- Insurance verification
Certification
- OSHA, Present
- HIPAA, Present
- Notary Public, 06/30/27
- Registered Pharmacy Technician, 12/31/26
Timeline
Pharmacy Technician II
Elevance Health
12.2023 - Current
Referral Coordinator I - Seasonal
Orlando Health
12.2022 - 02.2023
Pharmacy Technician REMOTE, Subject Matter Expert (Trainer), Benefits/Insurance Verification Specialist
CVS Specialty
10.2017 - 09.2022
Customer Care Advisor-Pharmacy Tech
Walgreens Boots Alliance Inc.
09.2016 - 10.2017
Pharmacy Technician Externship
Westminister Rx
03.2014 - 05.2014
- OSHA, Present
- HIPAA, Present
- Notary Public, 06/30/27
- Registered Pharmacy Technician, 12/31/26
Bachelor of Arts - Criminal Justice
University of Central Florida
Associate - Criminal Justice
Seminole State College of Florida
Diploma - Pharmacy Technician
Anthem College Orlando
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