Jocyline Luna
Los Angeles,CA
Summary
Accomplished and certified Pharmacy Technician with over 4 years of experience in retail pharmacy environments for major national chains. Practiced at offering medications to patients, offering information to patients and communicating with healthcare professionals. Knowledgeable about FDA drug safety guidelines, prescription interactions and pharmacy law. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Prior Authorization Pharmacy Technician
The Oncology Institute Of Hope And Innovation
08.2019 - 08.2023
- Input all patient data regarding claims and prior authorizations into system accurately.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
- Verified eligibility and compliance with authorization requirements for service providers.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
- Reviewed appeals for prior authorization requests and communicated with payers to resolve issues.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Researched denied claims and contacted insurance companies to resolve these issues.
- Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
- Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
Pharmacy Technician
Walmart
12.2017 - 05.2020
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
- Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
- Stocked, labeled, and inventoried medication to keep accurate records.
- Entered and processed patients' prescriptions into internal system.
- Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
Human Resources Specialist
Target
02.2016 - 12.2017
- Maintained personnel records and statistical data to establish accuracy and compliance with applicable regulations.
- Fielded employee inquiries related to insurance, pension plan, vacation, sick leave and employee assistance.
- Managed payroll processing and benefits to compensate employees for service rendered.
- Monitored employee attendance and performance, addressing issues in accordance with company policies and procedures.
Education
Pharmacy Technician - Pharmacy
United Education Institute
Huntington Park, CA10.2017
High School Diploma -
Sacred Heart High School
Lincoln, CA01.2014
Skills
- Organization and Time Management
- Excellent Communication
- Attention to Detail
- Active Listening
- Critical Thinking
- Decision-Making
Certification
- CPhT - Certified Pharmacy Technician
Languages
English
Spanish
Limited Working
Timeline
Prior Authorization Pharmacy Technician
The Oncology Institute Of Hope And Innovation
08.2019 - 08.2023
Pharmacy Technician
Walmart
12.2017 - 05.2020
Human Resources Specialist
Target
02.2016 - 12.2017
Pharmacy Technician - Pharmacy
United Education Institute
High School Diploma -
Sacred Heart High School
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