Certified Pharmacy Technician with extensive experience at AmeriHealth Caritas, specializing in Medicare and Medicaid processes. Demonstrated leadership in team training and quality assurance, with a strong focus on problem-solving. Skilled in managing complex prescription inquiries while ensuring compliance with HIPAA standards, resulting in enhanced patient care and operational efficiency.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Certified Pharmacy Technician
AmeriHealth Caritas
Philadelphia, PA
10.2019 - Current
Assist members with Pharmacy benefit inquires
Educate providers on formulary and prior authorization processes
Provide real-time support to pharmacies with point-of-service inquiries
Enter customer data and other relevant information into the database
Effectively communicate issues and resolutions to customers and appropriate internal staff
Adhere to standard operating procedures to ensure call handling accuracy and operational effectiveness
Certified Pharmacy Technician
Penn Medicine
Philadelphia, PA
12.2018 - Current
Assist the pharmacy's concierges with prescriptions for the hospital's inpatients whose scheduled for patient discharge
Greet customers and answered questions regarding personal medications or over-the-counter pharmacy products
Manage medication stocks, including conducting counts, labeling products and maintaining controls
Refill medications, provided exemplary customer service to patients, offered insight into over-the-counter products and verified insurance benefits
Process and submit claims to insurance companies for payment
Establish and update patient profiles and patient charts in EPIC and Citrix systems, including lists of medications and insurance details
Checked medications accuracy, completeness of all drug packaging & labeling, and verify CII prescriptions in PDMP for the pharmacist final verification
Assisted pharmacist with clearing high volume of problem prescriptions and customer questions to maintain optimal team efficiency
Created new customer profiles and updated changes such as demographics, allergies and new medications in pharmacy Citrix and EPIC computer systems
Received, reviewed, dispensed, and labeled prescriptions with expert accuracy
Efficiently processed cash register transactions for new and refilled prescription orders
Consulted with customers via telephone or in-person to assist with prescription requests
Researched customer health insurance plans to provide prescription authorization and efficient patient care
Entered patient and medication information into Epic and Citrix software to generate prescription labels
Certified Pharmacy Technician
Enclara Pharmacia
Philadelphia, PA
04.2017 - 09.2019
Communicated effectively with doctors and insurance agencies to resolve prescription cost discrepancies
Created new customer profiles and updated changes such as demographics, allergies and new medications in pharmacy computer systems
Researched customer health insurance plans to provide prescription authorization and efficient patient care
Received written prescriptions and refill requests from patients, evaluating information for completeness and accuracy before filling
Identified and corrected data entry errors to prevent duplication across systems
Maintained quality levels above prescribed minimums to support team productivity and efficiency
Identified errors in data entry and related issues by mentioning to supervisors for resolution
Lead Pharmacy Technician/ Wellness Ambassador
Rite Aid Pharmacy
Yeadon, PA
05.2000 - 05.2017
Wellness ambassador/pharmacy tech to promote, organize, and arrange flu clinics
Promote the Redi-clinic, increase RX scripts, and engage with customers to inform the importance of immunizations
Entered new/update patient profiles and processed prescriptions into medication input software system
Communicated directly with doctors' offices via telephone, fax and email
Provided friendly customer service at prescription drop-off and pick-up counters
Worked closely with pharmacists and used medication input software to safely and accurately dispense medication
Efficiently answered multi-line phone and processed high volume of order requests from nurses, doctors and pharmacists
Answered and screened phone calls for the staff pharmacist in a friendly, efficient manner
Verified patient data and billing information
Promptly referred all doctors' calls and customers' medical questions to the pharmacist on duty
Labeled all products appropriately, including cautionary and auxiliary labels
Precisely processed third party prescriptions and managed adjudication review
Directed operations to increase efficiency and minimize patient wait times
Consistently upheld proper pharmacy and general safety procedures and standards
Maintained proper inventory levels, rotated stock and immediately complied with prescription drug recalls
Maintained proper pharmacy and general safety procedures and standards, including department cleanliness
Proficiently processed and dispensed written, oral and electronic prescriptions
Team Lead Certified Pharmacy Technician
Perform RX/Keystone Mercy Health Plan
Philadelphia, PA
12.2005 - 10.2010
Assist with escalated calls; monitor queue and track inbound calls
Motivate and encourage technicians on the team with positive feedback and recommendations of any errors if needed
Weekly huddles with the team to discuss events, communicate company updates, and answer questions and comments
Perform monthly call audits
Assist members with pharmacy benefits inquires
Assist with inbound and outbound calls with pharmacies in processing for Medicaid and Medicare rejected claims
Provide real-time support to pharmacies with point-of-service inquiries
Reviewed and follow-up prior authorization forms for non-formulary medications; Educate prescribers on formulary and prior authorization processes
Work on special projects for the team
Provided side-by-side training as needed
Maintain contact with contracted clients to assure Perform RX/KMHP protocols are maintained
Education
Pharmacy Technology - Pharmacology and Pharmacy Law
Harcum College
Bryn Mawr, PA
01.2004
Skills
Expert understanding of Medicare and Medicaid processes
Independent Contractor – Member Services at AmeriHealth Caritas Pennsylvania - Medicaid & Keystone First – AmeriHealth Caritas Pennsylvania Community Health Choices – Keystone First Community Health ChoicesIndependent Contractor – Member Services at AmeriHealth Caritas Pennsylvania - Medicaid & Keystone First – AmeriHealth Caritas Pennsylvania Community Health Choices – Keystone First Community Health Choices