Kelly Tuyet Pham
San Francisco,CA
Summary
16 years of experience in both retail pharmacy setting as well as primary care clinic setting. Safety-oriented and well-organized with solid experience coordinating with insurance providers, prescribers, and pharmacy staffs to resolve third party billing issues so patient can start on medication treatment promptly. Organized and dependable candidate successful at managing multiple priorities with a positive attitude and willingness to take on added responsibilities to meet team goals and optimize patient's care.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Primary Care Medication Access Advisor
City And County Of San Francisco
06.2023 - Current
- Effectively managing Family Health Center Medication Access with an average of 850 prescriptions issues monthly.
- Promptly addressing refill requests and prescriptions clarifications.
- Submitting prior authorizations and appeals on behalf of providers.
- Providing formulary alternatives to providers for Medi-calRx, Healthy San Francisco, Healthy Workers, and various Medicare part D insurance.
- Bridging communications with interdisciplinary healthcare teams to resolve third-party billing issues using formulary expertise.
- Proactively identifying potential issues or discrepancies in medication orders and coordinated with providers and pharmacy staffs for speedy resolution of prescription discrepancies.
- Optimized workflow efficiency through participation in regular team meetings discussing areas for improvement within department.
Pharmacy Technician
Walgreens
02.2008 - 05.2023
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Communicated with prescribers to verify medication dosages, refill authorizations and patient information.
- Calculated dosage, filled prescriptions and prepared prescription labels with absolute accuracy.
- Prepared simple compounded prescriptions.
- Consulted with insurance company representatives to complete claims processing, obtaining lost/vacation overrides.
- Resolved charged back and claims auditing from third parties.
- Monitored ordering and returning of pharmacy medications.
- Trained new pharmacy technicians.
- Administer Pfizer Corona virus and annual influenza vaccines.
Education
Bachelor of Arts - Molecular & Cellular Biology, Immunology
University of California
Berkeley, CA05.2007
Skills
- Fluent in Vietnamese and English
- Multitasking
- Problems solving
- Analytical Thinking
- Time management abilities
- Transcribing, claim processing, filling, and labeling prescriptions
Certification
- CPhT - Certified Pharmacy Technician
- Certified Immunizer for Coronavirus 19 and Annual Influenza vaccines
- Certified CPR
Timeline
Primary Care Medication Access Advisor
City And County Of San Francisco
06.2023 - Current
Pharmacy Technician
Walgreens
02.2008 - 05.2023
Bachelor of Arts - Molecular & Cellular Biology, Immunology
University of California