KAWANA TARVER
Pearland
Summary
Dynamic and detail-oriented SR Pharmacy Technician at Aetna, a CVS Health, with expertise in medication management and compliance assurance. Proven track record in resolving complex prior authorization issues while delivering exceptional customer service. Adept at collaborating with healthcare professionals to enhance patient safety and streamline pharmacy operations.
Overview
8
8
years of professional experience
Work History
SR PHARMACY TECHNCIAN
Aetna, a CVS Health
Hartford
05.2022 - 05.2024
- Provided customer service by addressing inquiries and concerns.
- Maintained and updated patient profiles, including allergies, medications and lab results.
- Provided information to pharmacists for medication orders and prescription refills.
- Processed third-party insurance claims for reimbursement of medications.
- Ensured compliance with state and federal regulations related to pharmacy operations.
- Performed quality assurance activities to ensure accuracy of prescriptions filled.
- Assisted pharmacist with clearing high volume of prescriptions and responded to customer questions.
- Created new customer profiles and updated demographics, allergies, and new medications in pharmacy computer systems.
- Reviewed patient records for prior authorization requests.
- Communicated with healthcare providers for missing information.
- Coordinated with insurance companies to verify coverage details.
- Maintained documentation of all prior authorization activities.
- Assisted team in resolving complex authorization issues.
- Verified patient insurance coverage, including eligibility, benefits and authorizations for medical services.
- Reviewed prior authorization requests to ensure accuracy and completeness of required information.
- Scheduled peer to peer reviews for physicians to discuss medical necessity with insurance providers.
- Maintained accurate records of all authorization activities in the database system.
- Performed detailed medical reviews of prior authorization request, following established criteria and protocols.
- Educated healthcare professionals on how to properly submit a request for pre-authorization.
Pharmacy Technician
OptumRx
SUGARLAND
10.2016 - 12.2021
- Assisted customers with prescription inquiries and medication information.
- Collaborated with healthcare professionals to ensure medication safety.
- Educated patients on proper medication usage and side effects.
- Teamed with peers, technicians and pharmacists to prioritize and complete orders.
- Performed data entry for patient profiles, billing information and prescription orders into the pharmacy software system.
- Created new customer profiles and updated demographics, allergies, and new medications in pharmacy computer systems.
- Managed filing of prescriptions, both electronically and manually.
- Assisted pharmacist with clearing high volume of prescriptions and responded to customer questions.
- Resolved customer complaints with empathy and effective communication skills.
- Documented interactions in the customer relationship management system.
- Collaborated with team members to streamline call handling processes.
- Answered incoming calls and provided highest level of professionalism and knowledgeable service to every customer.
- Answered incoming calls from customers and provided assistance with product inquiries, billing questions, and other customer service related issues.
- Maintained high levels of professionalism while interacting with customers via phone or email.
Education
High School Diploma -
LAMARQUE HIGH SCHOOL
La Marque, TX12-1999
Some College (No Degree) -
College of The Mainland
Texas City, TXSkills
- Medication management
- Prescription processing
- Patient record management
- Compliance assurance
- Prior authorization review
- Customer service
- Effective communication
- Quality assurance
- Detail orientation
- Team collaboration
- Documentation accuracy
- HIPAA compliance
- Problem solving
- Pharmacy ethics
- Compounding techniques
- Drug interaction monitoring
Languages
English
Professional
Timeline
SR PHARMACY TECHNCIAN
Aetna, a CVS Health
05.2022 - 05.2024
Pharmacy Technician
OptumRx
10.2016 - 12.2021
High School Diploma -
LAMARQUE HIGH SCHOOL
Some College (No Degree) -
College of The Mainland
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