Marie Paul
Brooklyn,NY
Summary
Highly-motivated Registered Pharmacy Technician with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Pharmacy Technician (Medication Reconciliation)
Cureatr (Company Closed)
REMOTE, NY, NY
09.2023 - 10.2024
- 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.
- Ensured compliance with all federal, state, local laws and company policies related to pharmacy operations.
- Collaborated with other healthcare professionals such as nurses or physicians regarding drug therapies or treatments for patients.
- Provided education materials about medications to patients upon request.
- Created new customer profiles and updated demographics, allergies and new medications in pharmacy computer systems.
- Leveraged database to confirm validity of prescriptions, patient data and drug side effects.
- Flagged potential side effects and allergies to prescribed medications for patients.
Pharmacy Technician-Medication Adherence
Devoted Health
Remote, NY
08.2022 - 05.2023
- Conduct assessments of medication adherence patterns, including factors contributing to non-adherence
- Deliver education about financial assistance programs (Federal, state, and private) for medication out-of-pocket costs.
- Provide medication refill reminders through Text, email and Fax.
- Adhere to regulatory guidelines for workplace safety and customer confidentiality.
- Team with peers, technicians and pharmacists to prioritize and complete orders.
- Schedule member appointments with clinical pharmacist , guides and Nurse practitioners for medication adherence issues and medication reconciliation.
- Respond to and resolve medication-related inquiries pertaining to formulary tiers, prior authorizations, formulary exceptions, and cost-sharing.
- Outbound Calls to Members, Providers and Pharmacies regarding Medication Adherence, refill reminders, & requests coverage determinations, dosage changes/Discontinuation.
Claims Review Processor-(Contract)
Molina Healthcare
Remote
04.2022 - 08.2022
- Completed relevant insurance and other claim forms.
- Prepared reports, invoices, letters, or medical records using word processing, spreadsheet, or other software applications.
- Received inbound calls to obtain clinical information from providers to create authorizations and referrals.
- Processed paperwork, obtained billing forms and secured confidential information.
- Collected and organized information for entry, prioritizing entries to increase efficiency.
- Supported data entry across departments as requested, switching promptly to new projects.
Clinical Pharmacy Technician-Customer Care/Prior Authorization Specialist
Capital Rx
New York, NY
10.2020 - 02.2022
- Verified eligibility and compliance with authorization requirements for service providers
- Intake of prior authorization requests via phone, fax, and mail
- Field telephone inquiries on authorization details from members and medical staff
- Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel
- Tracked referral submission during facilitation of prior authorization issuance
- Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures
- Triaged unscheduled and emergency authorizations, directing submissions to appropriate personnel for rapid response
- Faxed approval and denial letter to md offices as needed
- Monitored PA requests queue and organized clinical documents, labs and data for pending requests
- Answered heavy phone call volumes from Providers, Members and Pharmacies, regarding benefit plan information, deductibles, Drug coverage and Copays
- Placed refill Overrides based on case-by-case basis.
Pharmacy Technician
Maxor National Pharmacy Services LLC, Callen Lorde
New York, NY, NY
10.2015 - 12.2019
- Calculated dosages, fill and prepare prescription labels with accuracy
- Performed Outreach calls to providers for clarification of medication dosages, refill authorizations and drug changes.
- Arranged and modified New and existing patient profiles in GuardianRX system to include current information such as Demographics, medication history, allergies as well as insurance details.
- Processed over 500 prescriptions per day at a fast-paced Clinical pharmacy setting, achieving decreased customer wait times while maintaining excellent customer satisfaction.
- Answered high volume of incoming phone calls from customers and healthcare providers.
- Collected payments for copays and OTC items from customers utilizing POS system at service window.
- Stocked and verified medication orders to keep accurate records of invoices and shipments.
- Packaged Drug orders for Home Deliveries in accordance to federal regulations and guidelines.
- Generated daily posting reports and shipment labels for medication deliveries via UPS integrated system.
- Consulted with insurance companies to complete claims processing, reconcile payments to resolve third party billing issues.
Sales Associate
Strawberry
New York, NY
05.2014 - 10.2015
- Implemented up-selling strategies such as recommending accessories and complementary purchases to boost revenue
- Organized racks and shelves to maintain store visual appeal, engaged customers with specific products and promotions
- Greet Customers and anticipate their needs by locating and recommending specific merchandise and accessories
- Ticketed Apparel with sale prices and security tags, inventoried stock for returns to sales floor
- Built positive relationships with customers to represent brand while encouraging return of business
- Handled cash, credit and refund transactions with prompt and courteous service at all times.
Pharmacy Technician
Pitkin Care Pharmacy-Per Diem
Brooklyn, NY
10.2012 - 01.2014
- Counted and measured medications applied Rx labels and verified drugs orders with Pharmacist prior to dispensing
- Interacted with customers and resolved customer complaints with friendly, service-oriented support
- Restocked, arranged and organized merchandise in front lanes to drive product sales
- Used POS system to enter orders, process payments, and issue receipts.
Pharmacy Technician-Prior Authorization
Fidelis Care
GuardianRXRego Park, NY
08.2011 - 08.2012
- Processed prior authorization requests via fax, telephone and email from primary care providers and retail pharmacies
- Referred cases for review and conducted follow-ups regarding clarification of requests
- Answered Heavy Volume calls and performed quality assurance calls to members notifying them of eligibility status, alerts for appointment reminders, and information on new policies or changes to coverage
- Reversed rejected claims through pharmacy benefit system
- Data entry of Client Profiles into company database.
Pharmacy Technician-Shipping & Production
Acaria Health
New York
02.2008 - 09.2009
- Accurately selected, counted and packed drug orders to patient homes including home infusion supplies
- Generated shipment labels using FedEx, UPS and Deluxe Courier software
- Tracked packages and rectified patient complaints and concerns regarding drug therapies
- Maintained proper Pharmacy compliance and temperature logs daily
- Scheduled freight pick-up and delivery appointments over the phone
- Unpacked orders, stocked shelves, rotated products and removed expired drugs
- Managed monthly inventory counts and completed audits for review
Education
Associate of Applied Science - Pharmacy Technology
ASA College
06.2006
High School Diploma -
Lafayette High School
08.2000
Skills
- Knowledge in Multiple Pharmacy/Computer software: Microsoft Office Google Workspace, Slack/Zoom Prime-Rx, Micro-Merchant, lotus notes, Facets, NextGen, Epaces, Cerner, SalesForce, TalkDesk, CiscoJabber, PA Hub, Epic Willow/Hyperspace Production, CVS Caremark, Med MS Office/Outlook, Cardinal, Medwise, AmerisourceBergen, HIP
- Self-Motivated
- Highly organized
- Customer Service/Customer Relations
- Conflict Resolution
- Detailed-Oriented
- Inventory Management/Logistics(FedEx/UPS)
- Time Management
- Strong Interpersonal skills
- Third Party Billing & Reject understanding
- Familiarity with Chronic Disease Management: Diabetes, Rheumatoid arthritis, Hypertension, Cholesterol, HIV, Crohn's, Hepatitis C, Multiple sclerosis, Growth Hormone Therapies
- Operations Support
- Quality assurance and control
- Aseptic Techniques
Certification
PTCB Certified HIPAA & PHI trained.
- Certified Pharmacy Technician (CPhT)
- Registered Pharmacy Technician-State of NY
Languages
Haitian Creole
Timeline
Pharmacy Technician (Medication Reconciliation)
Cureatr (Company Closed)
09.2023 - 10.2024
Pharmacy Technician-Medication Adherence
Devoted Health
08.2022 - 05.2023
Claims Review Processor-(Contract)
Molina Healthcare
04.2022 - 08.2022
Clinical Pharmacy Technician-Customer Care/Prior Authorization Specialist
Capital Rx
10.2020 - 02.2022
Pharmacy Technician
Maxor National Pharmacy Services LLC, Callen Lorde
10.2015 - 12.2019
Sales Associate
Strawberry
05.2014 - 10.2015
Pharmacy Technician
Pitkin Care Pharmacy-Per Diem
10.2012 - 01.2014
Pharmacy Technician-Prior Authorization
Fidelis Care
08.2011 - 08.2012
Pharmacy Technician-Shipping & Production
Acaria Health
02.2008 - 09.2009
Associate of Applied Science - Pharmacy Technology
ASA College
High School Diploma -
Lafayette High School
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