Laura Dominguez
Los Angeles,CA
Summary
Results-driven Senior Pharmacy Technician known for high productivity and efficient task completion. Specialize in prescription processing, inventory management, and regulatory compliance. Excel in teamwork, communication, and adaptability, ensuring smooth pharmacy operations and positive patient interactions.
Overview
1
1
year of post-secondary education
12
12
years of professional experience
Work History
Senior Pharmacy Technician
Centene management
Los Angeles, California
10.2022 - 01.2026
- Reviewed insurance requests for medical services, ensuring accurate documentation of necessary information.
- Communicated with healthcare providers to gather additional clinical information.
- Track and triage coverage determination requests submitted
- from providers and determine if a pharmacist review is required
- Obtain verbal authorizations and request detailed clinical
- information from prescribers
- • Approve coverage determination requests based on defined
- criteria
- • Enter and document coverage determination request decision
- into the PBM system and notify providers and/or members
- • Ensured compliance with FDA regulations and guidelines.
- • Conducted quality assurance checks to verify service standards.
- • Managed prior authorization processes for medical services, facilitating timely approvals and enhancing service delivery.
- • Respond to client inquiries regarding authorization approvals and
- PBM on-line applications
- • Refer coverage determination requests for specially drugs to
- delegated vendor or client for processing
- •Performed a wide range of pharmacy operations with strong
- commitment to accuracy, efficiency and service quality.
- • Consulted with insurance company representatives to complete
- claims processing, resolve concerns, and reconcile payments.
- • Verified eligibility and compliance with authorization
- requirements for service providers.
- • Input all patient data regarding claims and prior authorizations
- into system accurately.
- • Evaluated clinical criteria for approval or denial of services
- requiring pre-authorization.
- Evaluated patient eligibility for prior authorization based on insurance guidelines.
- Processed prior authorization requests using electronic health record systems.
- Coordinated with departments to compile required information for prior authorization, streamlining the approval process.
- Verified patient insurance coverage, including eligibility, benefits and authorizations for medical services.
- Reviewed prior authorization requests to ensure accuracy and completeness of required information.
- Notified ordering providers of denied authorizations.
Contact Tracer
San Diego Unified School District
Los Angeles, California
07.2022 - 08.2023
- Contact providers for additional information to facilitate
- coverage determination reviews Notify physicians, providers and
- members of coverage determination request decisions
- • Different states insurance Established or maintained medications
- and other patient profiles.
- • Teamed with peers, technicians and pharmacists to prioritize and
- complete orders
- • Prepared and processed medical insurance claim forms and
- records
- • Refilled medications, offered insight into over-the-counter
- products and verified insurance benefits
- • Received written prescriptions and refill requests from patients.
- evaluating information for completeness and accuracy before
- filling
- • Flagged potential side effects and allergies to prescribed
- medications for patients
- • Transmitted claims to insurance companies for payment and
- reconciled EOBS
- • Explained importance of contact tracing to prevent disease
- transmission and keep communities healthy
- • Completed data entry to facilitate case interview and elicited
- close contacts into designated system immediately after
- obtaining
- • Notified individuals regarding appointment follow-ups and
- referrals and provided transportation to appointments
- • Followed set protocol for contacting assigned newly diagnosed
- COVID-19 case patients and documented contact attempts and
- timeframes
- • Provided excellent service and attention to customers when
- face-to-face or through phone conversations
- • Performing COVID tests for staff and students Recording test
- results
- • Screening staff and students for COVID symptoms
- • Monitoring patients who either test positive, or demonstrate
- COVID symptoms Interview people who have probable or
- confirmed COVID-19 (Case), offer appropriate services, and
- provide appropriate isolation/quarantine guidance
- Identify close contacts during the case's infectious period
- Notify close contacts of their potential exposure to COVID-19.
- provide isolation/quarantine guidance, offer appropriate
- services, and refer for testing
- • Employ de-escalation skills and motivational interviewing
- techniques to address questions and concerns as needed
- • Find creative solutions to locate or engage with cases and close
- contacts who may be difficult to reach or reluctant to engage in
- conversation
- • Provide guidance to Case Investigators and Contact Tracers to
- ensure that case interview activities are conducted according to
- applicable protocols, policies and procedures As needed
- • Conduct case reviews with Case Investigators and Contact
- TracersTesting approvals for students and staff, District
- • Testing, SQL report, Outbreak team.
Lead Pharmacy Technician
Marina del rey pharmacy
Los Angeles, CA
06.2020 - 07.2021
- Created new customer profiles and updated demographics,
- allergies and new medications in pharmacy computer systems
- • Mixed pharmaceutical preparations according to written
- prescriptions
- • Received written prescription or refill requests, verifying
- information for completeness and accuracy:
- • Ordered, labeled and counted stock of medications and
- entered inventory data into computer
- • Worked with insurance companies to process claims, resolve
- problems and obtain payments
- • Maintaining stock, handling administrative aspects, keeping in
- touch with vendors, researching specialized items, and updating
- records Covid-19 administrating
- • Data Entry of patient/facility information &prescription orders
- • Customer service (i.e, receiving and processing order requests)
- • Daily fill including controlled substances Prescription fulfillment
- (i.e., various packaging, Compounding, IV preparations)
- • Staging items for delivery
- • Answering phones and processing refills
- • Other duties: calling insurance, inventory control, working with
- QS/1 system prime care, prior authorizations, and billing
- • Reviews and approves physician inquiries for pre-authorization
- and medical necessity Maintains and updates internal databases
- • Enters application information, prior authorizations and other
- relevant data.Ensures database information and appended files
- are current and accessible to staff
- • Generates reports and other information requested on a
- scheduled/as needed basis.
- Supervised daily pharmacy operations and workflow efficiency.
- Processed prescriptions accurately using pharmacy management software.
Lead Pharmacy Technician
Pharmaca pharmacy
Los Angeles, California
09.2018 - 07.2020
- Answered telephones to respond to questions or requests
- • Verified prescriptions and drug labels, documents and packages
- • Maintaining stock, handling administrative aspects, keeping in
- touch with vendors, researching specialized items, and updating
- records Exceptional customer service Maintaining all areas clean
- Sending mediation thru FedEx Staging items for delivery
- Supervised other technicians and lead the pharmacy. inventory
- and reordering medication, calling doctor's office, and specialty
- Other duties included: typing, refilling, dispensing medicine,
- utilized pharmacy system (EPS) (PDS) also work using Phil
- over-boarding system
Lead Pharmacy Technician
Rx Pharmacy
Los Angeles, CA
08.2019 - 01.2020
- Data Entry of patient/facility information &prescription orders
- Customer service (i.e, receiving and processing order requests)
- Mixed pharmaceutical preparations according to written
- prescriptions
- • Daily fil including controlled substances Prescription fulfillment
- (i.e., various packaging, Compounding, IV preparations)
- • Staging items for delivery Answering phones and processing refills
- • Other duties: calling insurance, inventory control, working with
- QS/1 system prime care, prior authorizations, and
- • Billing Operated cash registers to accept payments from
- customers
- • Entered prescription information into computer databases
- Monitored supply inventory and promptly submitted
- replenishment orders to prevent shortages
- • Computed charges for medication or equipment dispensed to
- hospital patients and entered data into computer
- • Checked medications for content, accuracy and completeness
- of drug packaging and labeling
- • Received written prescriptions and refill requests from patients.
- evaluating information for completeness and accuracy before
- tilling
- • Maintained proper storage and security conditions for drugs
- • Cleaned and maintained equipment or work areas according to
- prescribed methods
- • Transferred medication from vials to sterile, disposable syringes
- using aseptic techniques
- • Received written prescription or refill requests, verifying
- information for completeness and accuracy
- • Established or maintained medications and other patient profiles.
Pharmacy Technician
Olympia Pharmacy
Los Angeles, California
08.2015 - 08.2017
- Exceptional customer service, typing, refilled, dispensing
- medicine, compounding, utilized pharmacy system (Entreby)
- • Maintaining all areas clean supervised drivers and in between
- pharmacy, inventory and re ordering medication
- •HIV prior authorizations sending medication via USPS, FedEx, and
- UPS
- • Sending mediation thru FedEx Staging items for delivery
- Pulled and packed patients supplies and medication for delivery
- • Supervised drivers and scheduled delivery routes
- Maintained stock for pharmacy Performed qualitycontrol tests
- Compounded patient medication using aseptic technique for
- home infusion, including chemotherapy
- Maintained inventory levels of pharmaceuticals and supplies.
Pharmacy Technician
Olive View-UCLA Medical Center
Sylmar, California
03.2014 - 08.2015
- Exceptional customer service, typing, refilled, dispensing
- medicine compounding
- • Utilized pharmacy system (pscus) (entreby)
- • Maintaining all areas clean.Ensured the cleanliness, sanitation
- and maintenance of all facilities, pharmacy and equipment
- Helped implement pharmacy's quality assurance and control
- program
- • Efforts ensured compliance with HIPAA, State Board of Pharmacy
- and OSHA regulations: and improved patient care/satisfaction
- • Reacted calmly and effectively in emergency situations, and
- added the personal, caring touch that immediately
- Assisted pharmacists with prescription preparation and compounding.
- Performed data entry for patient profiles, billing information and prescription orders into the pharmacy software system.
Education
Certificate - Pharmacy Technician
American Career College
Los Angeles, California 02.2012 - 02.2013
University High School
Los Angeles, CaliforniaSkills
- Prior authorization
- Claims processing
- Medication reconciliation
- Customer relationship management
- Drug utilization review
- Inventory management
- Data entry accuracy
- Problem solving
- Team collaboration
- Pharmacy ethics
- Proper labeling
- FDA and HIPAA compliance
- Insurance billing
- Immunization administration
- Insurance verification
- Medication dispensing
- FDA compliance
- Order verification
- Updating medication histories
- Typing skills
Timeline
Senior Pharmacy Technician
Centene management
10.2022 - 01.2026
Contact Tracer
San Diego Unified School District
07.2022 - 08.2023
Lead Pharmacy Technician
Marina del rey pharmacy
06.2020 - 07.2021
Lead Pharmacy Technician
Rx Pharmacy
08.2019 - 01.2020
Lead Pharmacy Technician
Pharmaca pharmacy
09.2018 - 07.2020
Pharmacy Technician
Olympia Pharmacy
08.2015 - 08.2017
Pharmacy Technician
Olive View-UCLA Medical Center
03.2014 - 08.2015
Certificate - Pharmacy Technician
American Career College
02.2012 - 02.2013
University High School