Kang Her
Lexington,NC
Summary
Dedicated certified pharmacy technician/prior authorization reviewer with 10+ years of utilization management experience specializing in pharmacy and medical injections drugs. Expert in conducting pre-certification, concurrent, and retrospective reviews using evidence-based criteria.
Overview
1
1
Certification
18
18
years of professional experience
Work History
Pharmacy Custer Service Assistant II - Certified
HealthPartners
Bloomington, Minnesota
09.2013 - Current
- Evaluated prior authorization requests for pharmacy and medical injectable drugs (including oncology).
- Reviewed and adhered to internal guidelines for prior authorization processes, ensuring consistency and compliance.
- Conducted detailed reviews of prior authorization requests, applying established criteria and protocols to facilitate accurate decision-making.
- Coordinated follow-up on pending prior authorization requests to expedite processing timelines.
- Communicated authorization decisions, including approvals and denials, to healthcare providers, pharmacies and patients.
- Ensured compliance with state and federal regulations pertaining to prior authorizations.
Certified Pharmacy Technician
Merwin Long-Term Care Pharmacy
New Brighton, Minnesota
08.2008 - 09.2013
- Assisted pharmacists in preparing prescriptions for filling, including counting tablets and labeling bottles.
- Managed inventories, rotated stock, removed expired, or damaged drug products and resolved discrepancies in drug counts.
- Entered patient and prescription information into pharmacy software systems with high attention to detail.
- Prepared compound medications under the supervision of a licensed pharmacist.
- Adhered to all federal, state and local laws governing the practice of pharmacy technicians.
- Processed insurance claims and handled billing inquiries to ensure customer satisfaction.
- Created new customer profiles and updated demographics, allergies, and new medications in pharmacy computer systems.
Education
General Equivalency Diploma
Minneapolis, MNSkills
- Prior authorization review
- Attention to detail
- Problem solving
- Time management
- Team collaboration
Certification
- Certified Pharmacy Technician- PTCB
- LOMA certificate - Level One
Timeline
Pharmacy Custer Service Assistant II - Certified
HealthPartners
09.2013 - Current
Certified Pharmacy Technician
Merwin Long-Term Care Pharmacy
08.2008 - 09.2013
General Equivalency Diploma