Markeshia Mike
Fort Worth,USA
Summary
Certified Pharmacy Technician with extensive experience in medication management and insurance claims processing. Recognized for effective communication and problem-solving abilities, contributing to enhanced patient care and operational efficiency.
Overview
1
1
Certification
14
14
years of professional experience
Work History
Certified Pharmacy Technician
CareMetx
Fort Worth, Texas
04.2025 - Current
- Processed medication orders accurately and efficiently for patient care.
- Collaborated with healthcare providers to clarify prescription orders and resolve medication discrepancies.
- Worked with insurance companies to process claims, resolve problems and obtain payments.
- Established and updated patient profiles, medications and insurance details.
- Entered patient profile information into computer systems accurately and completely.
- Performed administrative duties such as filing, data entry, answering phones.
Pharmacy Communication Technician
Select Quote
Fort Worth, TX
09.2024 - 04.2025
- Receives inbound calls from providers and patients
- Answers questions in a professional and accurate manner
- Forwarded calls and tasks to appropriate departments to facilitate efficient communication
- Maintains client and associate confidentiality
- Inputs information about patient prescriptions into record-keeping programs
- Ensured accuracy of records and collaborated with pharmacist for comprehensive information verification
- Updated patient files to maintain accurate records in the pharmacy system.
- Spot checked for errors and discrepancies in data, investigating and correcting issues according to established procedures
Certified Pharmacy Prior Authorization Specialist
TotalMed
Fort Worth, TX
11.2022 - 09.2024
- Coordinated pre-authorization approvals from insurance companies and workman's compensation via internet or telephone.
- Contacted patients before procedures to gather essential account information, ensuring smooth pre-authorization.
- Completed pre-registration for patients, accurately entering demographics, physician details, insurance, and financial information.
- Receive information from the physician office in a courteous and positive manner obtaining all necessary information required to complete the pre authorization process.
- Informed patients of co-payments and deductibles based on insurance plans, providing clear cost estimates.
- Enter required information accurately into appropriate databases.
- Contributed to Quality Improvement projects that enhanced service delivery and patient care.
- Met department standards and measures to maintain operational efficiency and effectiveness.
- Acquired knowledge of physician practices and department-specific policies to facilitate patient interactions.
Certified Pharmacy Technician
Texas Health Resources
Fort Worth, TX
06.2022 - 11.2022
- Dispensing medication to patients per the prescription, or provider's orders.
- Prepared new prescriptions and refill requests to ensure timely access to medications for patients.
- Packed and labeled prescribed medications to maintain accuracy and compliance with safety standards.
- Preparing compounded medications using sterile and non-sterile processes.
- Filled medication drawers with prescribed doses to support medication administration efficiency for healthcare staff.
- Delivering medications to different hospital areas, such as nurses' stations, operating rooms, or emergency departments; making sure that crash carts are adequately supplied and managing inventory in dispensing machines.
- Collected specific drug containers from storage areas.
Certified Pharmacy Technician - Prior Authorization Specialist-SME + Lead
Anthem Health
Grand Prairie, TX
06.2018 - 10.2021
- Completes the appropriate documentation to obtain prior authorization.
- Documented prior authorization information and conversations with insurance companies accurately in the designated system to maintain compliance and support care continuity.
- Verifies that treatments ordered are following Medicare LCDs/NCD and CMS articles for Medicare patients.
- Verifies a treatment ordered complies with FDA indications for the drug ordered regarding diagnosis and line of defense.
- Follows all prior authorization requirements based on insurance documentation and not based on information received from customer service representatives.
- Follows protocols for treatment regimens and requirements.
- Verified insurance coverage and benefits through phone and online communications, resolving issues prior to treatment to facilitate patient care.
- Interacts with patients, physicians, and other employees in a polite, prompt, and helpful manner.
- Provided exceptional customer service to enhance patient and family experience by addressing inquiries promptly and effectively.
Certified Pharmacy Technician
Perrone RX, LLC
Fort Worth, TX
03.2018 - 12.2018
- Enter and maintain prescription data using our computer system.
- Typed and processed prescriptions for patient medication needs.
- Disburse completed and confirmed prescriptions to patients.
- Contacted doctors to obtain necessary prescription information for patients. or hospitals to clarify prescription information.
- Assisted pharmacist in maintaining medication inventory and placing orders to support efficient pharmacy operations.
- Answered patient questions and resolved customer service issues, enhancing patient satisfaction and support.
- Answer incoming phone calls and field patient questions.
- Contact the facilities and doctors for all patient needs.
Certified Pharmacy Technician
JPS Hospital
Fort Worth, TX
07.2016 - 12.2016
- Assists in filling new prescriptions and processing refill prescriptions, processes prescriptions first in, first out.
- Assists patients with prescription needs and provides excellent customer service directly and via the telephone.
- Ensures medication management processes meet all legal and regulatory requirements. Assists with monthly reporting.
- Tracked prescription orders via pharmacy tracking program to ensure accurate delivery information for patients, returned medications to stock promptly, and maintained Will-Call system.
- Filled and stocked medications and supplies within the department and monitored inventory levels.
- Facilitated resolution of issues related to pharmacy operations by collaborating with team members.
- Maintained a clean and safe pharmacy environment by adhering to sanitation protocols.
- Provides technical support for drug distribution services for all outpatients.
- Participates in performance improvement (PI) activity which improves patient care.
Doctor Call Pharmacy Technician-SME
Humana
Irving, TX
09.2014 - 07.2016
- Communicates via outbound calls with doctors' offices.
- Updated and forwarded prescriptions to pharmacists upon receipt of necessary clarifications.
- Facilitated prescription refills and clarifications by creating and sending faxes to healthcare providers.
- Creates faxes for patients requesting transfer of their prescriptions.
- Managed fax generator panel to ensure accurate and timely document transmission.
- Handled multiple queues to ensure efficient processing of tasks.
- Collaborated with team members to conduct side-by-side evaluations.
- Participated actively as a member of the Inclusion and Diversity committee to promote workplace equity.
- Recognized for outstanding contributions with the Employee of the Month award.
Sr. Data Entry Technician
Express Scripts
Fort Worth, TX
08.2012 - 06.2014
- Proofed and inputted prescriptions while maintaining productivity and quality standards.
- Processed all new and refilled prescriptions.
- Resolved escalated issues to enhance client satisfaction.
- Documented correspondence and followed up in the system.
- Liaised with clients and departments to facilitate effective communication.
- Provided support to team on policy and procedure questions to ensure compliance.
- Audited new hire training sessions to ensure compliance with company standards.
Education
Associate - healthcare management
University of Phoenix
Phoenix, AZDiploma - Pharmacy Technician
Remington College
Fort Worth, TXSkills
- Medication management
- Prescription verification
- Insurance claims processing
- Compounding medications
- Patient information management
- Medication preparation
- Customer relationship management
Certification
- TX Pharmacy Tech License, 204540, 07/31/28
- CPhT, 590107010048317, 05/31/28
Awards
- Employee of the Month, 2015, Valuable contributions, persistence to goals, and cooperation to building a strong team during the month of August.
- Shining Star Award, 2015, Markeshia Mike has demonstrated full commitment to her department by exceeding all production and quality goals from the start time at Humana. She has expressed her intention to develop her skill set and promote engagement. She immediately asked to join the Inclusion and Diversity Team and represent the Dr. Call Department. She has volunteered to help her peers by doing side by side and lets her leaders know of opportunities where the department can rethink routine. Along with putting together informative presentations that help us all thrive together.
Credentials
CPhT
Timeline
Certified Pharmacy Technician
CareMetx
04.2025 - Current
Pharmacy Communication Technician
Select Quote
09.2024 - 04.2025
Certified Pharmacy Prior Authorization Specialist
TotalMed
11.2022 - 09.2024
Certified Pharmacy Technician
Texas Health Resources
06.2022 - 11.2022
Certified Pharmacy Technician - Prior Authorization Specialist-SME + Lead
Anthem Health
06.2018 - 10.2021
Certified Pharmacy Technician
Perrone RX, LLC
03.2018 - 12.2018
Certified Pharmacy Technician
JPS Hospital
07.2016 - 12.2016
Doctor Call Pharmacy Technician-SME
Humana
09.2014 - 07.2016
Sr. Data Entry Technician
Express Scripts
08.2012 - 06.2014
Associate - healthcare management
University of Phoenix
Diploma - Pharmacy Technician
Remington College