Latonya Nelson
CPHT
New Orleans,LA
Summary
Experienced Pharmacy Technician knowledgeable in all facets of pharmacy operations and healthcare. Eager to bring talent and expertise to any company. Successful in quickly and accurately filling prescription orders and building relationships with customers for sustained business growth and customer retention. Team-oriented and dedicated to collaboratively delivering exceptional customer service. With over 14 years of experience I have grown in all aspects of pharmacy relations including pharmacy management duties such as controlling and managing inventory, training new hire pharmacist and pharmacy techs in the company, and controlling budget to improve pharmacy growth. Operation leader of shipping and handling of COVID vaccines/supplies throughout the company. Currently certified to give immunizations. While working in retail store fulltime I also have remote access to other stores to assist in Data Entry to assure our pharmacy teams are able to effectively fill patients prescriptions. Proven track record in healthcare and pharmacy management, exemplified at Recept Specialty Pharmacy with expertise in prior authorizations and denial claims. Excelled in high-volume call environments, enhancing patient care through meticulous medical billing and coding. Detail oriented with strong organization skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Pharmacy Technician/ Authorization Specialist
Gulf South Pharmacy
09.2023 - Current
- Proficient in authorization sites such as CoverMyMeds and Rx Benefits
- Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
- Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
- Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
- Contributed to team goals by consistently meeting or exceeding individual productivity targets for processing authorization requests.
- Reduced processing times by effectively managing a high volume of authorizations, referrals, and appeals.
- Maintained compliance with HIPAA regulations, safeguarding sensitive patient information during the authorization process.
- Increased accuracy by diligently reviewing and verifying patient eligibility, coverage, and benefits information.
- Prevented delays in care delivery by proactively identifying potential issues during the pre-authorization process and seeking clarification from providers when needed.
- Ensured prompt resolution of denied claims through comprehensive analysis of denial reasons and timely submission of necessary documentation for reconsideration or appeal.
- Demonstrated adaptability with changing insurance requirements, maintaining up-to-date knowledge through continuous education efforts.
- Developed strong relationships with insurance representatives to expedite approvals and resolve issues promptly.
- Expedited claim processing by submitting complete and accurate information in accordance with payer requirements.
- Improved patient satisfaction by streamlining authorization processes and ensuring timely responses to inquiries.
- Promoted positive customer experiences by addressing concerns or questions related to authorizations in a professional manner.
Certified Pharmacy Technician
Winn-Dixie Pharmacy
07.2015 - Current
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Completed paperwork, entering prescription and insurance or billing information into patient profiles.
- Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
- Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
- Stocked, labeled, and inventoried medication to keep accurate records.
- Reviewed and verified customer information and insurance provider information.
- Helped pharmacist clear problematic prescriptions and address customer questions to keep pharmacy efficient.
- Maintained proper drug storage procedures, registries, and records for controlled drugs.
- Communicated directly with doctors offices via telephone, fax and email.
- Maintained drug inventory levels by ordering necessary medications and supplies.
- Assisted in preparation, distribution and storage of pharmaceuticals.
- Communicated with prescribers to verify medication dosages, refill authorizations, and patient information.
- Resolved non-routine issues like third-party billing, computer system, and customer service issues.
- Collected co-payments or full payments from customers.
- Worked with computerized and automated systems for dispensing medications and editing new patient profiles.
- Counted, measured and compounded medications following standard procedures.
- Restocked pharmacy shelves with current merchandise to drive consistent peripheral sales.
- Entered and processed patients' prescriptions into internal system.
- Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
- Performed various pharmacy operational activities with strong commitment to accuracy, efficiency, and service quality.
- Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
- Counted and labeled prescriptions with correct item and quantity.
- Assisted pharmacist by filling prescriptions for customers and responding to patient questions regarding prescription and medication-specific issues.
- Ordered medicines daily to replenish stock and increase inventory in anticipation of need.
- Communicated with patients to collect information about prescriptions and medical conditions or arrange consultations with pharmacists.
- Counted, measured, and compounded medications following standard procedures.
- Counseled customers on medications, appropriate dosage and potential side effects.
- Coordinated verification and filling of more than 200 daily prescriptions in high-volume retail pharmacy environment.
- Vaccinated patients to provide immunity against influenza, pneumonia, and other diseases.
- Ordered all pharmacy supplies and kept check on inventory levels.
- Created customized care plans, working with hospital staff and families to assess and meet individual needs.
- Spearheaded and implemented new projects to expand scope of engagement.
- Upheld correct protocols for infection prevention and control
- Maintained safe and sterile environment for optimum patient treatment.
- Trained pharmacy interns and newly hired pharmacy technicians.
- Resolved third-party billing, computer system and customer service issues.
- Set up and modified patient profiles to include current medications and insurance details.
- Welcomed customers to pharmacy and answered questions relating to prescriptions and over-the-counter products.
- Prepared packaging and labels for prescriptions, verifying accuracy of dosage, side effects, interactions, and refill instructions.
- Monitored ordering of pharmacy medication stock to maintain streamlined inventory and low overhead.
- Developed and implemented improvements to pharmacy organization system.
- Completed physical inventory counts each month.
- Audited and corrected discrepancies in inventory numbers.
- Completed daily cycle counts to maintain accuracy of records.
- Recorded information, shortages, and discrepancies to keep records current and accurate.
- Verified incoming products and checked delivery totals to keep system records current and accurate.
- Managed inventory control for high-volume warehouses with accurate, timely stock replenishment.
- Completed inventory accounts to keep records current and promote accurate ordering.
- Stocked shelves to match planogram images and instructions.
- Maintained appropriate drug records and completed reports as necessary.
- Educated patients on medication, tools and equipment to promote patient-centered care and increase adherence to treatment.
- Communicated issues and reactions to specific medications to intercept potential errors.
- Reviewed and evaluated orders for non-formulary to identify generic alternatives.
- Evaluated drug therapy to drive appropriate medicine use.
Claims Adjuster
BNM Adjusting
05.2021 - 07.2023
- Create new claim records
- Locate and verify information
- Review incoming outgoing documents
- Document authorizations or escalations
- Transcribe recorded statements
- Answer Client’s billing or claims questions
- Explained premiums owed to policyholders, agents and underwriters
- Identified and obtained evidence to ascertain claim value
- Completed required investigations on referred files within established timeframes
- Gathered information from various third parties to determine claim acceptability
- Obtained necessary information to complete proper evaluation of claims
- Assist with other administrative tasks needed
Certified Pharmacy Technician
Ochsner Hospital
01.2011 - 05.2014
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Completed paperwork, entering prescription and insurance or billing information into patient profiles.
- Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
- Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
- Precisely measured and combined ingredients to deliver scrupulous formulation on customer compound prescription orders.
- Set up and modified patient profiles to include current medications and insurance details.
- Provided consultations and answered inquiries from patients, healthcare professionals and physicians regarding drugs, potential side effects, and specified use.
- Located and measured medications according to prescription information, making modifications as instructed by pharmacists and providers.
- Resolved third-party billing, computer system and customer service issues.
- Prepared packaging and labels for prescriptions, verifying accuracy of dosage, side effects, interactions, and refill instructions.
- Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
- Stocked, labeled, and inventoried medication to keep accurate records.
- Dispensed and procured medicinal products and supplies used in hospital.
- Verified safe and secure storage of medicines and hospital supplies to minimize loss and accidents.
- Stayed up-to-date on pharmacy regulations, treatments and developments in industry research.
- Used EPIC system to review records and laboratory results for patients.
Education
High School Diploma -
Grace King High School
Metairie, LA05.2010
Skills
- Equipment Cleaning and Maintenance
- Staff Development
- Aseptic Techniques
- HIPAA Regulations
- Pharmaceutical Preparation
- Direct Supervision
- Pharmacy Records Management
- Workflow Optimization
- Team Collaboration
- Insurance Claim Processing Software
- Resolving Complaints
- Label Products
- High-Volume Environments
- Profile Updating
- Patient Data Management Systems
- Assisting Pharmacists
- Prescription Filing
- Drug Compounding
- Medication Side Effect Knowledge
- Product Markdowns
- Manual and Automated Medication Dispensing
- Payment Verification
- Fill Orders
- Drug Inventory Control
- Staff Leadership
- Updating Medication Histories
- Proper Labeling
- Technician Assistance
- Pyxis MedStation
- Serve Customers
- IV Preparations
- Inventory and Supply Management
- Advanced Math Skills
- Drug Compatibility Software
- FDA and HIPAA Compliance
- Mathematical Aptitude
- Organization and Prioritization
- Pharmacy Automation
- Drug Delivery Mechanisms
- Prescription Filling and Labeling
- Cash Register Operations
- Intravenous Admixture Preparation
- Prescription Order Verification
- Pharmaceuticals Mixing
- Stocking Medications
- HIPAA
- Restock Shelves
- Managing Prescription Refills
- Safety Protocols and Risk Management
- Information Documentation
- Allergic Reaction Treatment
- Drug Storage Procedures
- Inventory Purchasing
- Demographic Profiling
- Problem-Solving Skills
- Wholesale Ordering
- Pyxis System
- Refill Requests
- Insurance Billing
- Administrative Support
- Prescriptions Management
- Regulatory Compliance
- Patient Paperwork
- Troubleshooting Malfunctioning Equipment
- Prescription Pricing
- High Blood Pressure Management
- Insurance Verification
- Patient Confidentiality
- Pharmacy Operations
- Self Starter
- Analytical Thinking
- Immunizations and Vaccinations
- Organizational Goal Development
- Manage Records
- Quality Assurance
- Problem Identification
- Inventory and Restocking
- Focus Group Management
- Industry Best Practices
- Constructive Feedback
- Curriculum Design
- Workplace Safety
- Training Manuals and Materials
- Work Coordination
- Coaching and Development
- Pharmacy Management Support
Certification
- CPhT - Certified Pharmacy Technician
- CMT - Certified Medication Technician
- Licensed insurance adjuster
- CPR certification
- Immunization certification
- MTM certification
Timeline
Pharmacy Technician/ Authorization Specialist
Gulf South Pharmacy
09.2023 - Current
Claims Adjuster
BNM Adjusting
05.2021 - 07.2023
Certified Pharmacy Technician
Winn-Dixie Pharmacy
07.2015 - Current
Certified Pharmacy Technician
Ochsner Hospital
01.2011 - 05.2014
High School Diploma -
Grace King High School
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