Melissa Sigler
Certified Pharmacy Technician
Center,TX
Summary
Prior Authorization Technician managing fax-based intake, outbound follow-up, and insurance-related documentation for pharmacy authorization requests. Coordinates with doctors, pharmacists, and members to collect missing information and keep requests moving. Supports timely medication access by getting patients the medicine they need through accurate communication and careful case handling.
Overview
1
1
Language
1
1
Certification
18
18
years of professional experience
Work History
Prior Authorization Technician
Uhc group
08.2025 - 04.2026
- I receive faxes for prior authorization from doctors, pharmacists and members, I make outbound calls if more information is needed.
- Facilitated prior authorization requests, ensuring compliance with established guidelines and protocols.
- Collaborated with healthcare providers to gather necessary documentation for efficient processing of authorizations.
- Reviewed and analyzed clinical information, verifying accuracy and completeness before submission for approval.
- Processed prior authorization requests efficiently, ensuring compliance with regulatory standards.
- Verified eligibility and compliance with authorization requirements for service providers.
- Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
- Collaborated with healthcare providers to resolve authorization issues and clarify requirements.
- Maintained accurate documentation of authorization requests in electronic health record systems.
- Tracked referral submission during facilitation of prior authorization issuance.
- Fielded telephone inquiries on authorization details from plan members and medical staff.
Certified Pharmacy Technician (CPhT)
Bussey Drug-Timpson
12.2023 - 07.2025
- I receive , input and fill prescription as well as speak to customers about their medication. I file prescription to be stored.
- Managed prescription processing and medication dispensing in compliance with pharmacy regulations.
- Assisted pharmacists in patient consultations, providing accurate medication information and guidance.
- Maintained inventory levels, ensuring timely ordering and restocking of pharmaceutical supplies.
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Stocked, labeled, and inventoried medication to keep accurate records.
- Completed paperwork, entering prescription and insurance or billing information into patient profiles.
- Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
Cafeteria Manager
Center ISD
06.2020 - 12.2023
- Supervise workers may sure food is prepared correctly according to state regulations. I ordered food for cafeteria and entered inventory into the computer and end of day logs.
- Led daily food service operations, ensuring compliance with health and safety regulations.
- Oversaw daily cafeteria operations, ensuring compliance with health and safety regulations.
- Managed inventory systems to optimize food supply and reduce waste.
- Trained and supervised staff in food preparation, service techniques, and sanitation practices.
- Coordinated scheduling to maintain efficient workflow during peak meal times.
- Reduced food waste by closely monitoring inventory levels and implementing proper food storage techniques.
Certified Pharmacy Technician
Walmart
03.2008 - 12.2023
- I received , typed and filled prescriptions as well as phoned insurance on rejected prescriptions.
- Managed medication inventory to ensure accurate stock levels and prevent shortages.
- Processed prescriptions efficiently, adhering to safety regulations and quality standards.
- Provided exceptional customer service by addressing inquiries and resolving issues promptly.
- Trained new pharmacy technicians on procedures and best practices for optimal workflow.
- Collaborated with pharmacists to review medication orders for accuracy and completeness.
- Implemented process improvements that enhanced operational efficiency within the pharmacy department.
- Conducted regular audits of medication storage areas to maintain compliance with health regulations.
- Enhanced patient care by accurately filling and dispensing prescriptions in a timely manner.
- Increased customer satisfaction by delivering friendly, personalized service during transactions.
- Managed medication inventory to ensure accurate stock levels and minimize shortages.
- Provided exceptional customer service by addressing patient inquiries and resolving issues promptly.
- Trained new pharmacy technicians on operational procedures and software systems effectively.
- Monitored prescription fulfillment processes to enhance workflow efficiency and accuracy.
- Implemented safety protocols to maintain compliance with regulatory standards in medication handling.
- Collaborated with healthcare professionals to optimize patient care through effective medication management.
Education
GED -
Center ISD
Center, TX09.1995
Skills
- Prescription intake
- Prescription processing
- Prescription verification
- Pharmacy software
- Inventory management
- Refill authorization
- Insurance prior authorization
- Insurance third-party billing
Certification
Registered Pharmacy Technician, PTCB Certification, ServSafe, Food Handler Certification, Driver's License, Pharmacy Technician Certification, Pharmacy Technician License
Timeline
Prior Authorization Technician
Uhc group
08.2025 - 04.2026
Certified Pharmacy Technician (CPhT)
Bussey Drug-Timpson
12.2023 - 07.2025
Cafeteria Manager
Center ISD
06.2020 - 12.2023
Certified Pharmacy Technician
Walmart
03.2008 - 12.2023
GED -
Center ISD