Laura Barnes
National City
Summary
Driven Pharmacy Technician with years of experience and success in working within fast-paced retail pharmacy settings. Highly proficient in accurately filling and labeling prescriptions, maintaining drug inventories and updating pharmacy records. Excited to bring talent and record of excellence in customer service to growing pharmacy.
Experienced with managing billing cycles and maintaining financial accuracy. Utilizes billing software to streamline processes and resolve discrepancies. Knowledge of financial regulations and compliance ensures accurate and timely billing operations.
Billing professional with proven track record in financial management and billing accuracy. Known for improving billing procedures and resolving discrepancies efficiently. Reliable team collaborator focused on achieving results and adapting to changing needs, with keen eye for detail and problem-solving skills.
Overview
2026
2026
years of professional experience
1
1
Certification
Work History
Lead Pharmacy Technician
Ventegra Health
04.2025 - Current
- Processed prior authorization requests efficiently to ensure timely medication access for patients.
- Reviewed patient medication histories and insurance coverage to determine eligibility for prescribed therapies.
- Communicated with healthcare providers and insurance companies to resolve authorization discrepancies promptly.
- Maintained accurate documentation of authorization approvals and denials in pharmacy management systems.
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Assisted in training new technicians on prior authorization protocols and system navigation techniques.
- Developed and implemented best practices for managing high-volume prior authorization requests effectively.
Pharmacy Technician/Prior Authorization (40hrs/Week)
CVS Caremark
03.2024 - 04.2025
- Processed prescription orders accurately and efficiently.
- Assisted pharmacists in preparing medication for patient pickup.
- Utilized pharmacy management software to track prescriptions and patient records.
- Collaborated with healthcare professionals to facilitate patient care initiatives.
- Performed various pharmacy operational activities with strong commitment to accuracy, efficiency, and service quality.
- Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
- Collaborated with healthcare professionals to clarify prescription details, ensuring accuracy.
- Contributed to team meetings, offering insights for optimizing workflow and patient service.
Pharmacy Technician/Prior Authorization/Configuration Specialist (40hrs/Week)
Magellan Health
10.2021 - 09.2023
- Determines the necessity of medications and communicates decisions to physicians, office staff, medical management staff, and pharmacists; documents prior authorization (PA) outcomes in the pharmacy system.
- Explains PA criteria, pharmacy benefit coverage, and formulary alternatives to physicians, office staff, medical management staff, and pharmacists.
- Escalates requests to pharmacists when an extensive clinical review or request for denial is required. Provide excellent service by responding to inquiries, assisting with a broad range of support, and documenting accounts with concise, but detailed notes.
- Support clinical criteria writing and translation into operations for efficient and accurate electronic prior authorization submissions. Testing and quality assurance review of formulary configurations.
- San Diego, California (WFH).
Records/Billing Specialist (40hrs/Week)
Paradise Valley Hospital
- Verify eligibility.
- Obtain insurance benefits, and ensure pre-certification, authorization, and referral requirements are met prior to procedures and services.
- Contact patients to discuss authorization status. Initiate appeals for denied authorizations.
- Processed and verified billing claims for accuracy and compliance with hospital policies.
- Assisted in resolving discrepancies between patient accounts and insurance claims.
Pharmacy Technician (Parole and Transfers) (40hrs/Week)
Richard J. Donovan Correctional Facility (RJD)
- Prepare daily patient medications utilizing the automated packaging machine.
- Processed prescription orders efficiently while adhering to safety protocols and regulations.
- Maintained accurate records of controlled substances in compliance with legal requirements.
- Accurately fill prescriptions, Maintain pharmacy inventory.
- Coordinate the delivery and pick-up of medications with an outside courier transporting between facilities.
- Maintain and update monthly pharmacy records and statistics.
- Navigate general jail systems, policies, and procedures.
- Dispensed medications accurately across various pharmaceutical forms and dosages.
- Assisted in managing inventory, ensuring proper stock levels and organization of pharmaceuticals.
Education
Certificate of Technical Studies - Pharmacy
Academy of Health Professions
San Diego, CASkills
- Demonstrated ability to effectively communicate complex messages to diverse audience at all organization levels and present diverse ideas logically and concisely both verbally and in writing
- Self-motivated with demonstrated work experience in delivering results, and ability to work with a diverse team of varying technical skills Proven ability to work alongside a team of Pharmacist and/or the Technician Supervisor background and has exceptional data manipulation skills
- Policies & Protocols
- Formulary Information
- HIPAA
- Excellent verbal and written communications skills
- Excellent time management and organizational skills
- Prior authorization processing
- Prescription order accuracy
- Customer service
- Data entry proficiency
- HIPAA compliance
- Attention to detail
- Problem-solving
- Verbal and written communication
- Work Planning and Prioritization
Certification
- Certified Pharmacy Technician PTCB ID 1198350
- Registered Pharmacy Technician CA Board of Pharmacy TCH 62357
Timeline
Lead Pharmacy Technician
Ventegra Health
04.2025 - Current
Pharmacy Technician/Prior Authorization (40hrs/Week)
CVS Caremark
03.2024 - 04.2025
Pharmacy Technician/Prior Authorization/Configuration Specialist (40hrs/Week)
Magellan Health
10.2021 - 09.2023
Records/Billing Specialist (40hrs/Week)
Paradise Valley Hospital
Pharmacy Technician (Parole and Transfers) (40hrs/Week)
Richard J. Donovan Correctional Facility (RJD)
Certificate of Technical Studies - Pharmacy
Academy of Health Professions