Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Pharmacy Software Experience
Languages
Timeline
Generic

KARLISSA GODDARD

BELTSVILLE,MD

Summary

A dedicated and detail-focused pharmacy technician with over 15 years of experience in the pharmaceutical industry, holding national certification and registration in Maryland. Possesses a solid understanding of pharmacy processes and extensive knowledge of medication indications and uses. Outstanding in customer service with excellent communication skills. Proficient in computer and call center operations, including prescription data entry, claims adjudication, prior authorizations, and the drafting of denial appeal letters.

Overview

16
16
years of professional experience
1
1
Certification

Work History

Certified Pharmacy Technician

Lifeline Specialty Pharmacy
01.2021 - Current
  • Manage and coordinate all prescription requests received through various channels, including phone, fax, and electronic submissions.
  • Enter demographic and insurance details accurately.
  • Call center operations focused on medication shipping and patient delivery.
  • Utilize Asembia to document patient medical histories, including adverse reactions and compliance issues, in line with URAC guidelines.
  • Effective communication practices directly with doctors offices via telephone, fax and email.
  • Initiate and finalize Prior Authorization requests utilizing the CoverMyMeds platform to ensure timely approvals
  • Prepare and write appeal letters addressing insurance denials related to prior authorization requests to advocate for patient needs
  • Assist pharmacists in resolving prescription issues and responding to customer inquiries to enhance pharmacy efficiency.


Certified Pharmacy Technician

Friends Pharmacy
03.2021 - 05.2023
  • Long-Term Care Pharmacy situated within Friends Nursing Home for dedicated service to residents.
  • Patient-focused pharmacy technician skilled in data entry, prescription management, and delivery logistics.
  • Supported pharmacist in daily pharmacy operations within a Continuing Care Retirement Community (CCRC) to ensure efficient workflow and compliance.
  • Worked alongside healthcare providers and nursing staff to enhance medication therapy for residents across various care levels.
  • Contributed to the safety and integrity of medication dispensing and delivery systems.
  • Provided outstanding customer service, fostering organic growth of pharmacy services through referrals.
  • Handled incoming calls, addressing inquiries from customers and healthcare professionals.
  • Coordinated with prescribers to confirm medication dosages, refill requests, and patient details.
  • Managed medication inventory by stocking, labeling, and maintaining accurate records.
  • Executed a variety of pharmacy operations with a strong focus on accuracy, efficiency, and quality service.

Certified Pharmacy Technician

Foer's Long-Term Care Pharmacy
06.2019 - 12.2020
  • Manage and process all phone, fax, and E- script orders
  • Input all demographic and insurance information
  • Initiate and follow-up on Prior Authorizations via CoverMyMeds
  • Adhering to appropriate compliance packaging based on patient and facility needs (ex: Bingo cards, Vials, and Pacmed)
  • Triage all incoming faxes and E- script orders to the appropriate personnel
  • Using professional judgement coordinating deliveries with facilities and drivers
  • Properly billing DME and KDP prescriptions
  • Customizing services where possible in accordance with office preferences
  • The ability to multi-task and maintain a steady workflow balance
  • 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.

Technician Tech II, Customer Support

Cardinal Health Specialty Pharmacy
08.2018 - 02.2019
  • Computer inputting of the customer and Rx data
  • Insurance confirmation and verification
  • Manage inbound calls and make outbound calls related to setting up medication orders, working with medical providers, patients, and other pharmacy staff to ensure patients receive their medication in a timely manner
  • Answering basic medical questions and referring them to a pharmacist when needed
  • Entering detailed progress notes into patients’ medical records thoroughly and accurately
  • Receive and resolve issues over the phone and route appropriately, including troubleshooting of claims issues
  • Versatile professional with strong problem-solving skills and history of adapting to diverse challenges. Applies innovative solutions and technical expertise to deliver exceptional results. Committed to streamlining processes and advancing organizational objectives.
  • Demonstrated creativity and resourcefulness through the development of innovative solutions.

Certified Pharmacy Technician

Harris Teeter Pharmacy
03.2011 - 09.2019
  • Perform overall preparation, review, and dispensing of medications in a retail setting
  • Receive, read, and interpret prescriptions for proper strength and dosage form
  • Maintain pharmacy records by filing physicians' orders and prescriptions
  • Complete pharmacy operations and maintenance responsibilities related to inventory maintenance, equipment operations and safety compliance
  • Communicate effectively with insurance companies and physicians’ offices to ensure proper prescription processing
  • 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.

Pharmacy Cashier

Rite Aid Pharmacy
09.2009 - 08.2011
  • Assist Customers with questions, problems, and complaints in person and via telephone
  • Stock shelves, supplies, and organize displays
  • Reconstitute oral medications
  • Develop positive customer service relationships through friendly greetings and excellent service



Education

Health Services Management -

University of Maryland Global Campus
Adelphi, MD
03-2028

High School Diploma -

Sherwood High School
Sandy Spring, MD
05-2010

Skills

  • Analytical Thinker
  • Quality Assurance Management
  • Collaborative Teamwork
  • Point Of Sale Management
  • Clear Oral and Written Skills
  • Insurance Claims Processing
  • Experienced with Microsoft Office Applications
  • Effective Time Management
  • Multitasking and organization
  • Medication Utilization Assessment
  • Pharmacist support
  • Insurance Eligibility Verification

Accomplishments

  • Reduced prescribing errors by reaching out to prescribers to verify medication orders.
  • Trained new pharmacy technicians on pharmacy policies, procedures and best practices.
  • Assisting patients with commercial insurance enroll in copay saving cards programs to decrease final drug costs.
  • Patient application assistance for high-copay patients with Medicare and Government funded insurances through eligible manufacturer programs.

Certification

  • Certified Pharmacy Technician (CPhT) - Pharmacy Technician Certification Board (PTCB).
  • Licensed Pharmacy Technician - Maryland State Board of Pharmacy.
  • HIPAA Compliance Certification – Various Accredited Providers.

Pharmacy Software Experience

PrimeRX, CoverMyMeds, Asembia, RX30, Etreby, Mckesson Enterprise, Eprn, CPR+, HBS, Proscripts, Frameworks

Languages

English
Native or Bilingual

Timeline

Certified Pharmacy Technician

Friends Pharmacy
03.2021 - 05.2023

Certified Pharmacy Technician

Lifeline Specialty Pharmacy
01.2021 - Current

Certified Pharmacy Technician

Foer's Long-Term Care Pharmacy
06.2019 - 12.2020

Technician Tech II, Customer Support

Cardinal Health Specialty Pharmacy
08.2018 - 02.2019

Certified Pharmacy Technician

Harris Teeter Pharmacy
03.2011 - 09.2019

Pharmacy Cashier

Rite Aid Pharmacy
09.2009 - 08.2011
  • Certified Pharmacy Technician (CPhT) - Pharmacy Technician Certification Board (PTCB).
  • Licensed Pharmacy Technician - Maryland State Board of Pharmacy.
  • HIPAA Compliance Certification – Various Accredited Providers.

Health Services Management -

University of Maryland Global Campus

High School Diploma -

Sherwood High School
KARLISSA GODDARD