KEANA SULLIVAN
Vicksburg
Summary
Certified Pharmacy Technician experienced in retail and hospital pharmacy environments. Achieved improved operational efficiency and enhanced patient care through effective communication and teamwork. Focused on accurate medication distribution, inventory management, and regulatory compliance.
Overview
1
1
Certification
8
8
years of professional experience
Work History
Pharmacy Technician - Managed Care / Prior Authorization
Centene Corporation
11.2024 - 05.2025
- Processed pharmacy prior authorizations and medication exception requests by reviewing prescription information, clinical documentation, coverage requirements, and plan guidelines, ensuring compliance for Medicare, Medicaid, and commercial members.
- Resolved claim, eligibility, coverage, and medication-access issues through critical thinking, research, accurate documentation, and collaboration with internal and external healthcare stakeholders.
- Investigated incomplete, inconsistent, or mismatched information by researching records and coordinating with providers, pharmacies, members, and insurance representatives to obtain clarification and support case resolution.
- Documented case activity, authorization decisions, member interactions, and resolution steps using pharmacy management systems and electronic health records, ensuring HIPAA compliance and accurate record-keeping.
- Managed high-volume workload with focus on maintaining productivity, quality, accuracy, and timeliness, demonstrating strong attention to detail.
- Contract - Spectraforce Technologies
- Processed prescription orders accurately and efficiently for diverse patient needs.
- Utilized pharmacy management software for tracking prescriptions and patient profiles.
- Handled insurance claims, verifying coverage and resolving billing issues promptly.
- Collaborated with healthcare professionals to optimize patient care plans effectively.
- Teamed with peers, technicians and pharmacists to prioritize and complete orders.
- Worked greater than or equal to 40 hours per week , depending on workflow.
Prior Authorization Specialist
CVS Caremark
01.2024 - 09.2024
- Verified authorization information in patient medical records and resolved discrepancies in orders, scheduling, registration, and insurance systems to enhance accuracy.
- Identified mismatched information and determined sources of discrepancies, facilitating accurate correction and efficient case processing.
- Maintained accurate documentation and coordinated information across healthcare systems to ensure timely authorization outcomes and seamless pharmacy operations.
- Facilitated contract agreements to ensure compliance
- Ensured compliance with insurance guidelines and company policies during authorization processes.
- Collaborated with healthcare providers to gather necessary information for approvals.
- Utilized electronic health record systems to track authorization statuses and updates.
- Verified patient insurance coverage, including eligibility, benefits and authorizations for medical services.
- 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.
- Worked greater than or equal to 40 hours per week , depending on workflow.
Pharmacy Technician - Remote Contract
Pharmacy Consulting Data Entry Group
03.2022 - 11.2023
- Executed high-volume prescription data entry, verifying completeness, accuracy, and consistency of information to maintain quality standards.
- Triaged and prioritized prescriptions for large senior-housing pharmacy contracts based on prescription information and operational needs, ensuring timely processing.
- Managed independent workflow in contract environment, demonstrating strong organizational skills, attention to detail, and adherence to deadlines and documentation requirements.
- Executed contract tasks remotely
- Worked greater than or equal to 40 hours weekly , depending on contract quantity.
- Processed prescription orders using pharmacy management software.
Narcotics Technician
CVS - Omnicare
Jackson
06.2019 - 03.2022
- Managed CII-CV controlled medications and narcotic prescription fulfillment in a high-volume pharmacy environment.
- Executed controlled-substance inventory and accountability activities, ensuring compliance with state, federal, DEA, and pharmacy regulations.
- Oversaw controlled-medication workflow for accuracy and compliance, resolving discrepancies through detailed review of medication and inventory data.
- Handled controlled and non-controlled medication processes and supported compounding activities, enhancing operational effectiveness.
- Operated and maintained pharmacy equipment for medication preparation.
- Assisted pharmacists in managing inventory levels and stock organization.
- Prepared medications following strict safety and compliance protocols.
- Trained new technicians on procedures and safety guidelines.
- Monitored medication expiration dates and managed proper disposal processes.
- Performed troubleshooting and repair of equipment in accordance with manufacturer specifications.
Certified Pharmacy Technician
Merit Health River Region ( PRN)
Vicksburg
03.2021 - 08.2021
- Prepared IV medications for ICU, Emergency Room, Pediatrics, Surgery, and Labor & Delivery using aseptic technique and clean-room procedures.
- Coordinated medication distribution across multiple patient-care areas, ensuring accuracy and timely delivery while maintaining organized workflow.
- Filled medication orders under pharmacist direction, organized and distributed medications to Omnicell automated dispensing systems across hospital units for efficient medication management.
- Adhered to pharmacist direction and pharmacy procedures, meeting medication-handling requirements and safety standards in a hospital environment.
- Maintained accurate inventory of pharmaceutical supplies and medications.
- Processed prescription orders using pharmacy management software systems.
- Ensured compliance with safety and health regulations in pharmacy operations.
- Trained new staff on pharmacy procedures and best practices for efficiency.
- Maintained strict patient confidentiality to adhere to HIPAA regulations and avoid data compromises.
- Worked a fluctuating 24-40 hour week per demand.
Lead Certified Pharmacy Technician
Kroger
Jackson
05.2017 - 06.2019
- Supported daily pharmacy workflow as Lead Pharmacy Technician by assisting with operational tasks, maintaining workflow continuity, and facilitating collaboration among pharmacists and pharmacy team members.
- Identified operational issues using knowledge of pharmacy workflow and automated dispensing processes, assisting with troubleshooting and resolution to ensure uninterrupted prescription processing.
- Provided guidance to coworkers on pharmacy information and day-to-day processes while prioritizing prescription accuracy, patient safety, and compliance.
- Filled prescriptions, entered prescription data, and operated the Parata BOT automated medication dispensing system to support accurate and efficient prescription fulfillment.
- Adapted to changing workflow demands in a high-volume retail pharmacy by taking on extra responsibilities from the head pharmacist and assistant pharmacist.
- Oversaw inventory management processes such as ordering, stocking, tracking expiration dates.
- Attended and achieved training on troubleshooting Parata.
- Managed inventories, rotated stock, removed expired, or damaged drug products and resolved discrepancies in drug counts.
- Assisted in the training of new pharmacy technicians and provided feedback on their performance.
- Worked 40 hours per week.
Education
Associate's Degree - General Studies
Hinds Community College
Utica, MississippiBiology/Pre-Med Studies
Jackson State University
Jackson, MississippiHigh School Diploma -
Warren Central Senior High School
Vicksburg, MississippiSkills
- Prior Authorization Processing
- Prescription processing
- Insurance Verification
- Claims Processing
- Medication Management
- Medication Distribution
- Medication Validation
- Medication Safety
- EHR
- Pharmacy Automation
- Pharmacy technology
- Controlled substances management
- Narcotic inventory management
- Narcotic accountability
- Substance inventory
- IV preparation
- Aseptic technique
- Cleanroom protocols
- Workflow troubleshooting
- Workflow management
- Workflow coordination
- Exception Requests
- Discrepancy analysis
- Resolution
- Data Management
- Patient Records
- Data entry
- Health Plan Coordination
- Medicare
- Medicaid
- Commercial Plans
- Regulatory Compliance
- HIPAA documentation
- HIPAA adherence
- Collaborative Communication
- Advanced Word skills
- EHR
- Aseptic technique
- Cleanroom protocols
- Aseptic technique
- Medication safety
- Workflow coordination
- HIPAA adherence
- Advanced Word skills
Certification
- Nationally Certified Pharmacy Technician - National Healthcareer Association (NHA) ( E3M2C7P6)
- Licensed Pharmacy Technician - Mississippi ( 219942)
- Licensed Pharmacy Technician - Texas ( 351557)
- CPR Certified
Technical Skills
CF-Rx, AS400, Parata BOT, Omnicell medication distribution workflows, pharmacy management systems, electronic health records, prescription processing, prior authorization systems, data entry, benefit verification, case tracking, Controlled-substance inventory, narcotic accountability, sterile IV preparation, aseptic technique, clean-room procedures, discrepancy research, troubleshooting, documentation, medication safety, workflow coordination, HIPAA compliance, Microsoft Word (Advanced), Medical Terminology, English (Fluent), Spanish (Conversational)
Timeline
Pharmacy Technician - Managed Care / Prior Authorization
Centene Corporation
11.2024 - 05.2025
Prior Authorization Specialist
CVS Caremark
01.2024 - 09.2024
Pharmacy Technician - Remote Contract
Pharmacy Consulting Data Entry Group
03.2022 - 11.2023
Certified Pharmacy Technician
Merit Health River Region ( PRN)
03.2021 - 08.2021
Narcotics Technician
CVS - Omnicare
06.2019 - 03.2022
Lead Certified Pharmacy Technician
Kroger
05.2017 - 06.2019
Associate's Degree - General Studies
Hinds Community College
Biology/Pre-Med Studies
Jackson State University
High School Diploma -
Warren Central Senior High School