Monica Downey
Mounds View,MN
Summary
Experienced Pharmacy Technician knowledgeable in all facets of pharmacy operations. Successful in quickly and accurately filling prescription orders and building relationships with customers for sustained business growth and customer retention. Team-oriented and dedicated to collaboratively delivering exceptional customer service.
Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Overview
25
25
years of professional experience
1
1
Certification
Work History
In Patient Pharmacy Technician
Regions Hospital
05.2022 - Current
- Under direct supervision of a Pharmacist, assists in the timely and accurate dispensing of sterile hazardous and non-hazardous medications to patients in accordance with state and federal guidelines.
- Dispensed and procured medicinal products and supplies used in hospital.
- Stocked, labeled, and inventoried medication to keep accurate records.
- Resolved third-party billing, computer system and customer service issues.
- Helped pharmacist clear problematic prescriptions and address customer questions to keep pharmacy efficient.
- Performed various pharmacy operational activities with strong commitment to accuracy, efficiency, and service quality.
- Precisely measured and combined ingredients to deliver scrupulous formulation on customer compound prescription orders.
- Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
- Developed and implemented improvements to pharmacy organization system.
- Prepared packaging and labels for prescriptions.
Clinical Review Technician
Prime Therapeutics
08.2014 - 05.2022
- Used medical and clinical review guidelines and parameters to maintain consistency in MD review process, appropriate utilization levels and compliance with facility policies and procedures.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Input all patient data regarding claims and prior authorizations into system accurately.
- Verified eligibility and compliance with authorization requirements for service providers.
- Fielded telephone inquiries on authorization details from plan members and medical staff.
- Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
- Tracked referral submission during facilitation of prior authorization issuance.
- Researched denied claims and contacted insurance companies to resolve these issues.
- Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
- Reviewed appeals for prior authorization requests and communicated with payers to resolve issues.
Certified Pharmacy Technician; Mail Order/Specialty Services/Transplant Pharmacy
Fairview Pharmacy Services
04.2013 - 08.2014
- Complete intake process for mail order, specialty, transplant, and limited distribution pharmacy patients including new patient enrollment, insurance verification, and medication refill and delivery schedule.
- Under the direction of the pharmacist, receive prescription/orders from patients, process manually or using the appropriate computer system and protocols in an accurate and timely manner in accordance with all legal, regulatory agency and Fairview requirements.
- Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
- Reviewed and verified customer information and insurance provider information.
- Maintained proper drug storage procedures, registries, and records for controlled drugs.
- Communicated with prescribers to verify medication dosages, refill authorizations, and patient information.
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Communicated directly with doctors offices via telephone, fax and email.
- Completed paperwork, entering prescription and insurance or billing information into patient profiles.
- Worked with computerized and automated systems for dispensing medications and editing new patient profiles.
- Communicated with patients to collect information about prescriptions and medical conditions or arrange consultations with pharmacists.
Specialty Pharmacy Technician; Pre-Qa Technician
Prime Therapeutics Specialty Pharmacy- Eagan, Minnesota
10.2012 - 03.2013
- Entered and processed patients' prescriptions into internal system.
- Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
- Set up and modified patient profiles to include current medications and insurance details.
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Completed data entry tasks with accuracy and efficiency.
- Assisted with typing, data entry, and answering incoming calls as required.
- Provided administrative support with accurate document preparation and data entry.
- Gained extensive knowledge in data entry, analysis and reporting.
Certified Pharmacy Technician
Cub Pharmacy - Arden Hills and Maplewood, Minnesota
04.2000 - 10.2012
- Assists the pharmacist in filling prescriptions
- Verifies and gathers needed demographic and insurance information for written prescriptions received
- Contacts prescribers for refill authorization
- Inputs prescription code and customer data into computer, prints labels
- Maintains sales records
- Ensures confidentiality of records
- Maintains knowledge of drug names
- Fills out insurance forms when necessary for customer
- Assists with measuring dosages and labeling containers
- Order, check-in and stock prescription medications
- Process prescription returns
- Responsible for accurately processing customers’ orders through ensuring price accuracy and product knowledge
- Follows proper currency handling and cash register procedures
- Notifies Pricing Coordinator of department price discrepancies
- Maintains familiarity with all product, product location and bottle location
- Ensures positive customer relations - Properly greets and thanks customers
- Provides prompt and courteous service
- Assists customers with product location, questions and refers to Pharmacist as discrepancies - Hazardous drug handling
- Complies with standard operating procedures in handling and dispensing of hazardous drugs
- Performs department receiving and stocking
- Fills, rotates and straightens shelf stock
- Properly maintains ends and displays
- Pulls back stock
- Verifies invoices with product received and fills necessary paperwork for
- Miscellaneous responsibilities include: Assists in ordering, Pulls bottles of drugs for Pharmacists to fill prescriptions, Organizes and cleans, Maintains Board of Pharmacy regulations.
Education
No Degree - General Studies
University of Minnesota
Minneapolis, MNNo Degree - Nursing
Saint Paul College
Saint Paul, MNSkills
- Experienced in Microsoft Office applications
- Accurate data entry
- Medication preparation
- Inventory management
- Skilled in customer support
- Aiding pharmacists in routine activities
- Experienced with Rxclaims software
- Efficient in mastering new technology
- Adaptable to process changes
- Proficient in medical terminology
- Time management skills
- Attention to detail
- Familiarity with CMS regulations
- Familiarity with utilization management processes
- First aid trained
- Certified in CPR
- Relationship building
- Proficient in EPIC systems
Certification
- Registered Pharmacy Technician through the Minnesota Board of Pharmacy since 2000
- Certified through the Pharmacy Technician Certification Board since 2004
- Certified Nutrition Specialist through Fitness Mentors since 2023
- Certified Personal Trainer with ISSA since 2023
Timeline
In Patient Pharmacy Technician
Regions Hospital
05.2022 - Current
Clinical Review Technician
Prime Therapeutics
08.2014 - 05.2022
Certified Pharmacy Technician; Mail Order/Specialty Services/Transplant Pharmacy
Fairview Pharmacy Services
04.2013 - 08.2014
Specialty Pharmacy Technician; Pre-Qa Technician
Prime Therapeutics Specialty Pharmacy- Eagan, Minnesota
10.2012 - 03.2013
Certified Pharmacy Technician
Cub Pharmacy - Arden Hills and Maplewood, Minnesota
04.2000 - 10.2012
No Degree - General Studies
University of Minnesota
No Degree - Nursing
Saint Paul College