Misty Barlow
Houston,TX
Summary
Results-driven Pharmacy Technician and Insurance Specialist with expertise in client service, insurance processes, and regulatory compliance. Skilled in problem-solving and relationship building, capable of managing multiple priorities effectively. Focused on leveraging skills to contribute to healthcare and insurance sectors while pursuing continuous professional development.
Overview
20
20
years of professional experience
Work History
Insurance Specialist
PFS Group
Houston, Texas
06.2019 - Current
- Claims & Risk Assessment: Evaluate claim details, review documentation, and coordinate with carriers.
- Managed submission, correction, and tracking of primary and secondary insurance claims to ensure timely processing.
- Investigated underpayments, interpreted denial codes, and filed formal appeals to recover denied claims.
- Pre-Certifications: Securing surgical and procedural authorizations prior to patient treatment.
- Reduced aging accounts past 90 days through proactive payer and patient follow-up.
- Utilized Epic software for claims processing and management.
Pharmacy Technician
Walgreen's Pharmacy
Houston, TX
06.2006 - 02.2018
- Assisted pharmacists in medication selection and dosage calculations.
- Processed prescriptions accurately and efficiently for diverse customer needs.
- Compounded medications under pharmacist supervision following safety protocols.
- Prepared medications for dispensing by counting, pouring, labeling, and verifying doses.
- Collaborated with pharmacy team to efficiently prioritize and fulfill medication orders.
- Maintained inventory levels, ensuring timely restocking of medications and supplies.
- Operated pharmacy software for prescription management and patient records maintenance.
- Performed data entry for patient profiles, billing information and prescription orders into the pharmacy software system.
- Created new customer profiles and updated demographics, allergies, and new medications in pharmacy computer systems.
- Collaborated with healthcare professionals to optimize patient care and medication therapy.
- Checked expiration dates on medications to ensure that only unexpired products were dispensed.
- Refilled medications, offered insight into over-the-counter products and verified insurance benefits.
- Assisted in training new employees on pharmacy procedures.
- Provided excellent customer service, addressing inquiries and resolving issues promptly.
- Assisted a pharmacist with clearing high volume of prescriptions and responding to customer questions.
- Restocked shelves with new supplies of medications.
- Organized work areas so that everything was easily accessible when needed.
- Ensured compliance with all federal, state, local laws and company policies related to pharmacy operations.
- Received payment from customers and processed credit card transactions when necessary.
- Interpreted and processed medication orders under the supervision of the pharmacist.
- Kept accurate records of controlled substances received and dispensed in accordance with DEA regulations.
- Organized and maintained accurate filing systems for prescriptions in both electronic and paper formats.
Education
Pharmacy Technician Certification - Pharmacy
Remington College
Houston, TX05-2006
High School Diploma -
Klein Forest Highschool
Houston, TX06-1997
Skills
- Claims processing
- Pre-certification management
- Insurance verification
- Insurance communication
- EPIC software
- Risk assessment
- Data entry
- Pharmacy software proficiency
- Medication dispensing
- Medication compounding
- Inventory control
Timeline
Insurance Specialist
PFS Group
06.2019 - Current
Pharmacy Technician
Walgreen's Pharmacy
06.2006 - 02.2018
Pharmacy Technician Certification - Pharmacy
Remington College
High School Diploma -
Klein Forest Highschool