Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Languages
Timeline
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Katerina Lagoda

Lincoln,CA

Summary

Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.

Overview

20
20
years of professional experience
1
1
Certification

Work History

Lead Pharmacy Operations Coordinator

Centene
Sacramento, CA
10.2017 - Current
  • Deliver rapid quality and process improvement information to the technicians on the team
  • Review benefit/formulary setup and testing (new and year over year), focused on the plan implementation of quality process improvement efforts and with documenting requirements(Formulary, Drug Utilization Review, Medication Therapy Management, Quality Improvement).
  • Facilitated communication between different departments in order to resolve issues quickly.
  • Maintained calendars of upcoming events, meetings and deadlines.
  • Responsible for conducting Peer Review on daily claims review files for assosiates
  • Developed policies and procedures, desktops, related to departmental operations ensuring compliance with applicable laws and regulations.
  • Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company software programs or processes. Trained employees on best practices and protocols while managing teams to maintain optimal productivity. Conducted regular training sessions for staff members on excel, claims review
  • Reviewed, maintained and updated pharmacy plan databases and tools to ensure accuracy of information.
  • Reviewed and processed incoming claims for accuracy, completeness, and compliance with established policies and procedures.
  • Coordinated with other departments to resolve customer service inquiries related to claims processing.
  • Audited monthly claim files for accuracy, quality assurance, and compliance with company policies.

Certified Pharmacy Technician

Capital Pharmacy
West Sacramento, CA
01.2016 - 10.2017
  • Assisted pharmacists in preparing prescriptions for filling, including counting tablets and labeling bottles.
  • Prepared medications for dispensing by counting, pouring, labeling, and verifying doses.
  • Worked with insurance companies to process claims, resolve problems and obtain payments.
  • Established and updated patient profiles, medications and insurance details.
  • Submitted Prior Authorization forms and TAR
  • Managed inventories, rotated stock, removed expired or damaged drug products and resolved discrepancies in drug counts.
  • Answered telephones to respond to questions or requests.
  • Prepared patient-specific prescriptions for compounding according to physician orders.
  • Ordered drugs from wholesalers as needed and maintained records of incoming shipments.

Senior Certified Pharmacy Technician

Save Mart Pharmacy
Sacramento, CA
02.2006 - 05.2009
  • Greeted customers and answered questions regarding personal medications or over-the-counter pharmacy products.
  • Managed workflow within the pharmacy department while adhering to all state regulations.
  • Filled prescriptions accurately under the direction of a pharmacist. Prepared medications for dispensing by counting, pouring, labeling, and verifying doses.
  • Performed data entry for patient profiles, billing information and prescription orders into the pharmacy software system.
  • Received and verified daily incoming drug inventories, reported discrepancies and logged items into inventory system.
  • Efficiently processed cash register transactions for new and refilled prescription orders.
  • Compounded and dispensed medications according to physician orders.
  • Worked with insurance companies to process claims, resolve problems and obtain payments.

Certified Pharmacy Technician

Walgreen's Pharmacy
Sacramento, CA
01.2004 - 08.2005
  • Assisted pharmacists in preparing prescriptions for filling, including counting tablets and labeling bottles.
  • Prepared patient-specific prescriptions for compounding according to physician orders.
  • Performed data entry for patient profiles, billing information and prescription orders into the pharmacy software system.
  • Worked with insurance companies to process claims, resolve problems and obtain payments.
  • Entered patient profile information into computer systems accurately and completely.
  • Received and verified daily incoming drug inventories, reported discrepancies and logged items into inventory system.
  • Efficiently processed cash register transactions for new and refilled prescription orders.
  • Answered telephones to respond to questions or requests.

Education

Pharmacy Technician Diploma - Pharmacy Technology

Bryman College
San Jose, CA
10-2003

High School Diploma -

Milpitas High School
Milpitas, CA
06-2001

Skills

  • Medicaid, HIM , Commercial, Medicare Health Insurance knowleagde and experience
  • Benefit configurations
  • Quality assurance
  • Healthcare regulations, State and Federal policies and pharmacy law
  • RXA, RxADS, RxClaim, and ESI platforms
  • Self Motivation
  • Organizational Skills
  • Microsoft Office, Excel, Word, Outlook
  • Zoom and Teams
  • Team building
  • Analytical Skills
  • Plan implementations

Accomplishments

  • Medicaid Management Championship Award6/2018
  • Exceeding expectations on yearly performance review's

Certification

  • California Pharmacy Technician License # TCH 53721 exp: 02/28/2025

Languages

English
Professional
Russian
Professional
Ukrainian
Professional

Timeline

Lead Pharmacy Operations Coordinator

Centene
10.2017 - Current

Certified Pharmacy Technician

Capital Pharmacy
01.2016 - 10.2017

Senior Certified Pharmacy Technician

Save Mart Pharmacy
02.2006 - 05.2009

Certified Pharmacy Technician

Walgreen's Pharmacy
01.2004 - 08.2005

Pharmacy Technician Diploma - Pharmacy Technology

Bryman College

High School Diploma -

Milpitas High School

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Katerina Lagoda