Kristy Castillo
Hemet
Summary
Expert in specialty pharmacy operations with extensive experience in pharmaceutical care and medication management. Proven track record in interpreting physician orders, managing drug inventory, and coordinating with insurance providers. Strong interpersonal skills and teamwork focus ensure compliance with regulatory standards and enhance patient outcomes. Demonstrated ability to drive pharmacy efficiency and contribute to team success.
Overview
19
19
years of professional experience
Work History
Specialty Pharmacy Technician
Cencora
Remote
09.2024 - Current
- Executed onsite triage for identified patients and specialty prescriptions.
- Facilitated medication authorization, reimbursement, and dispensing processes efficiently.
- Ensured consistent compliance with division, corporate, and regulatory requirements.
- Monitored adherence to pharmacy policies and procedures diligently.
- Collaborated with healthcare providers to enhance patient care and medication management.
- Assisted patients in navigating complex insurance processes for specialty prescriptions.
- Maintained accurate documentation for compliance audits and reviews.
- Coordinated prescription delivery while adhering to packing and tracking protocols.
SR Pharmacy Technician PA/Appeal
Optum RX
01.2023 - Current
- My essential functions as a Pharmacy Technician in Prior Authorization is providing expertise and customer service support to members, customers, and/or providers.
- In my current position I take incoming requests for prior authorizations, for formulary and nonformulary medications, while ensuring a high level of customer service and maximizing productivity.
- These requests can be received via fax or telephone, from providers' offices and pharmacists.
- I provide clinical review for authorizations in keeping with legal and contractual requirements, including but not limited to turn around times (TATs) and service level agreements (SLAs).
- While documenting all calls in a professional manner
Clinical Pharmacy Technician II
Option Care/ Crescent Health
01.2017 - 01.2023
- Schedule orders/deliveries of IVIG therapy.
- Fluent in CPR+ system, entering orders, processing through insurance.
- Also production and inventory.
- Resolve delivery issues.
- Back-up coverage for numerous technicians during difficult times.
- Training new employee.
- Always willing to help.
Patient Pharmacy Services Representative
CVS Caremark Specialty Pharmacy
01.2007 - 01.2017
- Started at CVS Caremark as a pharmacy technician contingent employee, and was later hired on as a permanent employee- PSR I.
- I have processed phone orders, entered prescriptions, updated insurance, completed benefits verification and have handled many difficult issues.
- I started in the MS department and was soon transitioned to RA department.
- I assisted in audits and accreditation certifications for URAC and JCAHO.
- I was the main point of contact for the Mirena therapy, and still currently responsible for training new employees on this therapy.
- After three years, I was promoted to the REMS/Oncology team.
- I was promoted to PSR II and have been appointed interim Team lead for the REMS/Oncology team.
- I am currently responsible for training all new employees on the REMS/Oncology therapy.
- Monitor multiple teams incoming phone queues and monitor the automated outbound call system.
- Phone coverage is priority.
- Customer service is a must.
Education
Pharmacy Technician Certificate -
California Paramedical and Technical College
Riverside, CA01.1988
High School Diploma -
Moreno Valley High School
Moreno Valley, CA01.1986
Skills
- Medication management
- Prior authorization processing
- Compliance assurance
- Patient counseling
- Inventory control
- Pharmacy operations
- Attention to detail
- Effective communication
- Insurance communication
- Insurance verification
- Coverage explanation
- Pharmacy and customer records management
Timeline
Specialty Pharmacy Technician
Cencora
09.2024 - Current
SR Pharmacy Technician PA/Appeal
Optum RX
01.2023 - Current
Clinical Pharmacy Technician II
Option Care/ Crescent Health
01.2017 - 01.2023
Patient Pharmacy Services Representative
CVS Caremark Specialty Pharmacy
01.2007 - 01.2017
Pharmacy Technician Certificate -
California Paramedical and Technical College
High School Diploma -
Moreno Valley High School