Mina Abdulnabi
PharMerica
Grand Prairie,TX
1
Certification
8
years of professional experience
Licensed Pharmacy Technician with experience in pharmacy operations, insurance claims, and prior authorizations. Knowledgeable in Medicare Part D, Medicaid, and commercial insurance, with a strong focus on accurate and timely claim processing. Detail-oriented and dependable, with the ability to manage high-volume workloads and work effectively with pharmacy teams and healthcare providers.
Work History
Med D Biller/Licensed Pharmacy Technician
2 Years 7 Months- Reviewed and resolved 200–300 pharmacy claims daily across Medicare Part D, Medicaid, and commercial insurance plans while meeting productivity and quality standards.
- Reviewed plan formularies to verify coverage and identify prior authorization, quantity limit, step therapy, and non-formulary requirements.
- Evaluated rejected claims and routed cases for prior authorization or pharmacist review when covered therapeutic alternatives were available.
- Resolved claim rejections involving refill-too-soon, quantity limits, formulary restrictions, days' supply, duplicate therapy, and coverage issues.
- Verified patient eligibility and census status, including active, discharged, deceased, and coverage-expired patients to ensure accurate claims processing.
- Reviewed ESRD-related Medicare Part D rejections and patient diagnoses to identify claims covered under the Medicare Part A ESRD bundle.
- Collaborated with pharmacy leadership and census contacts to resolve brand-vs-generic discrepancies, coverage issues, and patient status concerns.
- Utilized AS400, FrameworkLTC, OutSystems, and SharePoint to research coverage, document outcomes, and process claims accurately.
Licensed Pharmacy Technician
3 Years 7 Months- Counted and labeled prescriptions with the correct medication and quantity.
- Assisted patients with picking up and dropping off prescriptions.
- Resolved issues related to third-party billing, insurance, computer systems, and customer service.
- Helped customers in person and over the phone with refills, insurance billing issues, and prescription questions.
- Maintained waiting bins by correctly filing and organizing prescriptions for patient pickup.
- Supported COVID-19 testing and vaccination services by registering patients, assisting with testing procedures, and monitoring patients after vaccination.
- Conducted regular inventory checks to identify discrepancies and maintain appropriate stock levels.
- Communicated with pharmacists to resolve prescription, insurance, and patient-related issues.
Cashier/Fitting Room Attendant
1 Year 8 Months- Engaged with customers about the TJX Rewards credit card and assisted with processing applications.
- Processed cash, credit, check, return, and refund transactions accurately.
- Assisted customers with questions about store policies, merchandise, and product availability in person and over the phone.
- Restocked and organized merchandise throughout the front lanes and sales floor.
- Monitored fitting rooms and followed store procedures to help prevent merchandise loss.
- Assisted with coordinating associate breaks and lunches by following daily line-up schedules.
DEA Compliance Clerk
5 Months- Created and manufactured DEA 222 forms by following requests sent from pharmacies.
- Handled the shipping process of DEA forms, instruction manual, and tamper proof bags to their assigned locations.
- Ran various reports before performing tasks and scanned for errors.
- Arranged, filed, and maintained copies of DEA forms in an orderly and organized manner.
- Inputted and reported accurate data and information in a timely and professional manner using pertinent programs and processes.
Education
Bachelor of Science - Software Engineering
Associate of Arts
High School Diploma
Skills
Pharmacy Claims Processing
Prescription Processing & Dispensing
Formulary & Benefits Review
Prior Authorization
Medicare Part D & Medicaid
HIPAA compliance
Pharmacy Law Compliance
Customer Service
Certification
- CPhT - Certified Pharmacy Technician
Timeline
Med D Biller/Licensed Pharmacy Technician
PharMerica
01.2024 - CurrentRead More
Licensed Pharmacy Technician
CVS Health
07.2020 - 02.2024Read More
DEA Compliance Clerk
Inmar
11.2019 - 04.2020Read More
Cashier/Fitting Room Attendant
Marshalls
09.2018 - 05.2020Read More
The University of Texas At Arlington
Bachelor of Science from Software Engineering
Read More
Tarrant County College District
Associate of Arts
Read More
Islamic School of Irving
High School Diploma
Read More