Kristine Henry
Prior Authorization / Appeals Pharmacy Technician
Modesto,CA
Summary
Driven Pharmacy Technician with 20 years of experience and success in working within fast-paced retail pharmacy settings as well as pharmacy benefit management setting . Highly proficient in accurately assessing patient information and in taking prescription prior authorization , maintaining patient satisfaction and updating pharmacy records. Excited to bring talent and record of excellence in customer service to growing pharmacy , medical office or insurance company.
Overview
20
20
years of professional experience
1
1
year of post-secondary education
Work History
Senior Prior Authorization/Appeals Pharmacy Techni
Optum Rx
Mission Viejo, CA
08.2022 - Current
- Answered incoming phone calls and addressed questions from members and healthcare providers
- Performed various pharmacy operational activities with strong commitment to accuracy, efficiency, and service quality.
- Consulted with providers , members and representatives to complete claims processing, resolve concerns, and reconcile payments.
- Coordinated with physicians and members for speedy resolution of prescription discrepancies.
Senior Certified Pharmacy Technician
Walgreens
Modesto , CA
01.2004 - 03.2023
- Communicated with prescribers to verify medication dosages, refill authorizations, and patient information
- Maintained proper drug storage procedures, registries, and records for controlled drugs.
- Stocked, labeled, and inventoried medication to keep accurate records.
- Supervised 12 pharmacy technicians and coordinated day-to-day assignments. Scheduling for staff .
- Counted, measured and compounded medications following standard procedures.
- Resolved non-routine issues like third-party billing, computer system, and customer service issues.
- Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
- Collected co-payments or full payments from customers.
- Reviewed medication orders.
- Maintained and updated patient records, prescription information and patient data in accordance with HIPAA regulations.
Education
Pharmacy Technician Certificate -
National Institute of Technology
Houston, TX 02.2003 - 09.2003
Skills
Confidentiality and HIPAA
Drug storage procedures
Intravenous admixture preparation
Processing payments
Drug inventory management
Manual and automated medication dispensing
Medicare and Medicaid process
Pharmacy and customer records management
HIPAA
New Hire Onboarding
Staff Development
Insurance resolution and reimbursement
Timeline
Senior Prior Authorization/Appeals Pharmacy Techni
Optum Rx
08.2022 - Current
Senior Certified Pharmacy Technician
Walgreens
01.2004 - 03.2023
Pharmacy Technician Certificate -
National Institute of Technology
02.2003 - 09.2003