Flexible PTCB Certified Technician offering eight-year history of excellent customer service and precise prescription formulation. Versed in relevant regulations with dedication to ethical practices.
Overview
11
11
years of professional experience
Work History
Clinical Pharmacy Technician
Blue Cross And Blue Shield Of Michigan (Contract)
Det
01.2024 - 12.2024
Verified insurance coverage on controlled substance prescriptions prior to filling them out.
Ensured compliance with state regulations related to utilization management activities.
Evaluated clinical information provided by providers against specific criteria set forth by health plans.
Assessed insurance benefits and determined eligibility criteria.
Provided accurate information to all parties, including patients, insurance providers, healthcare staff and office personnel by using effective written and verbal communication skills.
PA Clinical Pharmacy Technician (Call Center)
Magellan Health
Eagan, MN
01.2023 - 12.2023
Handled incoming calls from customers inquiring about products, services and orders.
Ensured adherence to HIPAA regulations while handling confidential patient information.
Answered, screened and processed high volume of calls daily with call management system and web-based communications.
Reviewed prior authorization requests for completeness and accuracy.
Researched medical policies to ensure appropriate coverage of services.
Assessed insurance benefits and determined eligibility criteria.
Submitted prior authorization requests electronically or by phone to payers.
Evaluated clinical information provided by providers against specific criteria set forth by health plans.
Applied knowledge of Medicare, Medicaid and third-party payer requirements utilizing on-line eligibility systems to verify patient coverage and policy limitations.
Specialty Pharmacy Technician (Call Center)
University of Maryland, Baltimore
Baltimore, MD
03.2022 - 11.2022
Handled incoming calls from customers inquiring about products, services and orders.
Provided accurate information to customers regarding prescription medications and drug interactions.
Processed customer orders in a timely manner, ensuring accuracy of all data entered into the system.
Assisted customers with setting up medication refills and scheduling deliveries.
Communicated effectively with pharmacy staff to ensure prompt order fulfillment and delivery of medications to customers.
Verified insurance coverage for prescriptions prior to filling them.
Participated in training sessions to stay abreast of new products, services, processes.
Ensured adherence to HIPAA regulations while handling confidential patient information.
Updated system with order specifics and customer details, preferences and billing information.
IV Pharmacy Technician
Good Samaritan Hospital Medical Center
Baltimore, MD
06.2021 - 02.2022
Prepared and administered intravenous medications as prescribed by physicians.
Performed quality control checks on IV admixtures prior to administration.
Ensured that all IV admixture solutions are prepared in accordance with the safety guidelines established by the hospital pharmacy department.
Verified accuracy of prescription information entered into the computer system for each order filled or compounded.
Monitored expiration dates on all supplies used in compounding and restocked when necessary.
Reported any discrepancies between actual product received and what was ordered to appropriate personnel immediately.
Responded promptly to requests from nursing staff regarding medication availability, dosing questions.
Provided technical support to other pharmacy personnel as needed during peak times or periods of high workloads.
Certified Pharmacy Technician
Lifebridge Health
Baltimore, MD
09.2017 - 07.2021
Provided medication and other healthcare products to customers accurately and efficiently.
Assisted pharmacists in preparing prescriptions for filling, including counting tablets and labeling bottles.
Verified accuracy of patient information on prescription orders.
Received verbal prescriptions from physicians or nurse practitioners via telephone, fax or electronic means.
Performed administrative duties such as filing, data entry, answering phones.
Maintained records of controlled substances dispensed according to state regulations.
Adhered to all federal, state and local laws governing the practice of pharmacy technicians.
Followed safety protocols when handling hazardous drugs or materials in accordance with OSHA standards.
Checked expiration dates on drug products prior to dispensing them to customers.
Answered questions from customers regarding insurance coverage eligibility requirements.
Generated labels for compounded medications using an automated system.
Maintained strict patient confidentiality to adhere to HIPAA regulations and avoid data compromises.
Specialty Pharmacy Technician
Patterson Park Pharmacy
Baltimore, MD
01.2015 - 09.2017
Provided patient counseling and education on medication usage, storage, side effects and drug interactions.
Assisted with the preparation and distribution of medications including compounding, labeling and packaging.
Performed inventory management duties such as receiving, stocking and ordering medications.
Prepared patient-specific prescriptions for compounding according to physician orders.
Calculated, weighed, measured, and mixed pharmaceutical ingredients in accordance with standard formulas or recipes.
Performed quality assurance testing on compounded preparations.
Dispensed finished compounded medications by filling appropriate containers with prescribed amounts of medication.
Reconstituted bulk powders into oral suspensions following established protocols.
Pharmacy Technician
Rite-Aid Pharmacy
Baltimore, MD
08.2013 - 01.2015
Maintained daily inventory of pharmaceuticals and ensured proper storage conditions.
Prepared medications for dispensing by counting, pouring, labeling, and verifying doses.
Performed data entry for patient profiles, billing information and prescription orders into the pharmacy software system.
Provided customer service to patients by answering questions about medications and health-related topics.
Ordered drugs from wholesalers as needed and maintained records of incoming shipments.
Education
PTCB
02.2022
High School Diploma -
Forest Park High School
Baltimore, MD
06.2009
Some College (No Degree) - Criminal Justice
West Virginia University
Morgantown, WV
Some College (No Degree) - Respiratory Therapy
The Community College of Baltimore County
Catonsville, MD
Skills
Drug Inventory Management
Regulatory Compliance
FDA Compliance
Drug Inventory Control
Workflow Optimization
Insurance Verification
HIPAA
Aseptic Techniques
FDA Drug Safety Guidelines
Quality Assurance
Complaint Resolution
Customer Communications
Problem-Solving Skills
Timeline
Clinical Pharmacy Technician
Blue Cross And Blue Shield Of Michigan (Contract)
01.2024 - 12.2024
PA Clinical Pharmacy Technician (Call Center)
Magellan Health
01.2023 - 12.2023
Specialty Pharmacy Technician (Call Center)
University of Maryland, Baltimore
03.2022 - 11.2022
IV Pharmacy Technician
Good Samaritan Hospital Medical Center
06.2021 - 02.2022
Certified Pharmacy Technician
Lifebridge Health
09.2017 - 07.2021
Specialty Pharmacy Technician
Patterson Park Pharmacy
01.2015 - 09.2017
Pharmacy Technician
Rite-Aid Pharmacy
08.2013 - 01.2015
PTCB
High School Diploma -
Forest Park High School
Some College (No Degree) - Criminal Justice
West Virginia University
Some College (No Degree) - Respiratory Therapy
The Community College of Baltimore County
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SERENA T. HORTONSERENA T. HORTON
Customer Service Advocate at Blue Cross Blue Shield Of Michigan & Blue Care NetworkCustomer Service Advocate at Blue Cross Blue Shield Of Michigan & Blue Care Network