Highly efficient pharmacy technician well established in fast-paced and challenging environments. Eager to learn with aptitude for applying new knowledge with skill and efficiency.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Clinical Pharmacy Associate
Mass General Brigham
07.2024 - 12.2024
Entered patient and order information into pharmacy system and processed and submitted insurance claims for medicaid.
Completed new and updated patient profiles, including lists or patient medication using optum rx.
Used optum rx and healthcare ID to approve appeals sent by pharmacists.
Investigate sharepoint requests sent in by customer service team
Handle grievances by doing thorough research on member issues
Perform outreach to optum and fusion via email to troubleshoot pharmacy benefit and medical benefit issues
Clinical Pharmacy Technician
Centene Corporation
10.2023 - 05.2024
Provided medication therapy management (MTM) services via triage of inbound calls to the MTM hotline, monitors fax line for prescriber responses and completion of failed faxes, supports the pharmacist for completion of Comprehensive Medication Reviews (CMRs) through pre-work up and case preparation, communicates with network pharmacies, prescribers, and beneficiaries to provide MTM services.
Documented and records services/activities in appropriate databases/software to ensure compliance with CMS requirements for clinical service offerings assigned in designated area
Engaged in drug utilization review (DUR) by supporting the execution of DUR initiatives via meeting preparation, letter campaigns, and telephonic outreach to members/providers.
Supported basic data analytic activities and tracking of interventions, and assists with preparation and documentation of responses to regulatory audits associated with the over utilization program.
Pharmacy Technician II
Advent health
04.2021 - 02.2023
Performed sterile IV compounding including oncology IV compounding
Prepared and organized pharmacy medications by name and dosage as listed on patient orders using the Epic system, Cerner system, and BD logistics
Provided safe patient care by dispensing accurate prescriptions to patients, labeling bottles with tamper tape, and outdating medications
Ordered medications for patients from the respective vendors
Participated in inventory management
Controlled substance handling
Did clinical billing research by routing charges to the respective research accounts
Performed quality control procedures to ensure that a manufactured product or performed service adheres to the desire criteria or meets the requirements of the pharmacy board
Discussed medication list with patients in ER department.
Pharmacy Technician
Walgreens
10.2020 - 04.2021
Worked with medicaid and medicare to approve prior authorizations
Typed prescriptions given by patients
Process prescriptions sent by MD
Fill prescriptions to dispense to patients
Process insurance claims through Medicaid, Medicare, and third parties
Worked with MD to get prior authorizations approved or patients
Help patients find OTC medications
Used MedCompass to effectively work with other providers, pharmacies, and third-party companies
Did clinical billing research by routing charges to the respective research accounts.
Pharmacy Technician
CVS Health
05.2020 - 10.2020
Worked with medicaid and medicare to approve prior authorizations
Type prescriptions given by patients
Process prescriptions sent by MD
Fill prescriptions to dispense to patients
Process insurance claims through Medicaid, Medicare, and third parties
Worked with MD to get prior authorizations approved or patients
Help patients find OTC medications
Perform respective tasks at pick up, drive through, and production
Accepted customer calls via call center and answered questions about prescriptions, insurance, care pass requirements, etc
Used MedCompass to effectively work with other providers, pharmacies, and third-party companies
Helped pharmacist evaluate DUR therapy alerts for patients.
Senior Director, Performance Improvement & Outcomes - Perioperative and Procedural at Mass General Brigham, Brigham & Women's HospitalSenior Director, Performance Improvement & Outcomes - Perioperative and Procedural at Mass General Brigham, Brigham & Women's Hospital
Director, Operations & Process Improvement at Brigham & Women's Hospital | Mass General BrighamDirector, Operations & Process Improvement at Brigham & Women's Hospital | Mass General Brigham