Jessie Payne
Reading,PA
Summary
Dynamic and experienced Pharmacy Technician with over 9 years of experience in retail and hospital pharmacy settings, with a strong background in prior authorization processes. Skilled in evaluating prescription requests, communicating benefit coverage, and supporting healthcare providers with formulary guidance. Adept in pharmacy software systems, knowledgeable in clinical criteria, and committed to delivering accurate, patient-centered care. Proven mentor and team player with excellent communication skills and a keen eye for detail.
Overview
12
12
years of professional experience
Work History
Medical Assistant
Keystone Spine & Pain Management
09.2021 - Current
- Obtained client medical history, medication information, symptoms, and allergies.
- Performed medical assistant duties for multiple providers at a time with 1 provider seeing up to 31 patients per day
- Kept injection and wound care supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Performed medical records management, including filing, organizing and scanning documents.
- Prepared lab specimens for diagnostic evaluation.
- Triaged provider's clinical inbox
- Wrote all orders and prescriptions for provider
- Consulted with pharmacies regarding opioid prescriptions and filling issues
- Consulted with insurance company representatives to complete claims processing, resolve formulary issues, and complete prior authorizations.
Concierge Pharmacy Technician
Amerisource Bergen
12.2017 - 09.2021
- Originally spearheaded concierge medication program with one other tech for the entire Reading Hospital
- Explain Meds to Beds program to all patients of rehabilitation hospital to gain interest and participation in program
- Communicate with physicians and nurse case managers to provide patients with correct medications before being discharged from rehabilitation hospital
- Answer inquiries from patients, healthcare professionals and physicians regarding medications received.
- Set up and modify patient profiles in EPIC and RX30 to include current information such as medications and insurance details.
- Consult with insurance company representatives to complete claims processing, resolve concerns and reconcile payments.
- Communicate with prescribers to verify medication dosages, refill authorizations and patient information.
- Communicate medication instructions to patients or caregivers.
- Coordinate with insurance representatives to process claims, troubleshoot prior authorizations, and calculate correct co-pay information for patients.
- Developed increase of patients utilizing medication delivery service.
Medication Reconciliation Technician
Tower Health/Reading Hospital
03.2017 - 12.2017
- Liaised with primary physicians, drug rehabilitation facilities, nursing or personal care facilities, family members, and other pharmacies to verify patients' current medications.
- Managed medication reconciliation for Emergency Department with over 115 beds
- Modified patient prior-to-admission medication list in EPIC to most current information.
- Coordinated with physicians for speedy resolution of medication discrepancies.
- Helped pharmacist clear problematic issues with medication lists.
- Communicated with patients to collect information about current medications and drug allergies prior to admission to hospital.
- Monitored, tracked and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
Pharmacy Technician
Giant Pharmacy
04.2013 - 07.2016
- Set up and modified patient profiles in Zadall and EnterpriseRX to include current information such as medications and insurance details.
- Processed over 125 prescriptions per day in pharmacy staffed with only 1 technician and pharmacist achieving decreased customer wait times and maintaining excellent customer satisfaction.
- Calculated dosage, filled prescriptions and prepared prescription labels with absolute accuracy.
- Consulted with insurance company representatives to complete claims processing, resolve concerns and reconcile payments.
- Helped pharmacist clear problematic prescriptions and address customer questions to keep pharmacy efficient.
- Ordered medicines daily to replenish stock and increase inventory in anticipation of need.
- Communicated with patients to collect information about prescriptions and medical conditions or arrange consultations with pharmacists.
- Communicated with prescribers to verify medication dosages, refill authorizations and patient information.
Education
Bachelor of Science - Art Education
Kutztown University
Kutztown, Pa05.2008
Associate of Arts - Communication Design
Northampton Community College
Bethlehem, PA05.2004
Specialized Diploma - Website Design
Northampton Community College
Bethlehem, PA05.2004
Skills
- Prior Authorization Processing
- Clinical Criteria Evaluation
- Specialty & Retail Pharmacy Operations
- Insurance & Reimbursement Processes
- ICD-10 Knowledge
- EMR/Pharmacy Systems (eg, Zadall, EnterpriseRX, RX30, EPIC, Athena Health)
- MS Office Suite (Excel, Word, Outlook)
- Staff Training & Mentoring
- HIPAA & Regulatory Compliance
- Medical Terminology & Drug Classification
- Pharmaceutical calculations
- Interpreting and processing medication orders
Accomplishments
Tower Card 2018
Tower Card 2020
Timeline
Medical Assistant
Keystone Spine & Pain Management
09.2021 - Current
Concierge Pharmacy Technician
Amerisource Bergen
12.2017 - 09.2021
Medication Reconciliation Technician
Tower Health/Reading Hospital
03.2017 - 12.2017
Pharmacy Technician
Giant Pharmacy
04.2013 - 07.2016
Bachelor of Science - Art Education
Kutztown University
Associate of Arts - Communication Design
Northampton Community College
Specialized Diploma - Website Design
Northampton Community College
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