Monica S. Murphy
Monroeville,PA
Summary
Detail-oriented Senior Pharmacy Technician with expertise in Prior Authorization Reviews for Medicare-D and Medicaid members developed over 10 years of industry experience. Execute both clinical and retail functions proficiently to drive customer satisfaction. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Senior Pharmacy PA/Appeals Technician / Transferred
UM Department
Pittsburgh, PA
02.2018 - Current
- Processes prior authorization requests for specialty Injectable and Infusible medications
- Trained system includes I-Cue, Excel, ECCA, Knowledge Library, State Grid, EPAL, Accountability Grid, Windows, RX Claims
- Make outreach to providers regarding decision of coverage for Specialty / Infusion medication request
- Make outbound calls / fax to provider office requesting additional clinical information
- Following State Specific Guidelines per State Grid
- Special Projects
- Improved operations through consistent hard work and dedication
Senior Pharmacy Technician
UnitedHealthcare
Pittsburgh, PA
04.2014 - 02.2018
- UHC Clinical Services / Transferred/ Relocated to Pittsburg UHC Clinical Services
- Processes prior authorization requests for pharmacy benefit under patient Medicaid plan
- Assist with customer calls requesting status of approval / denial of medications
- Answering Incoming calls regarding Prior Authorization(s) request from Medical Doctors
- Trained systems include – PAS, excel, Windows
Senior Pharmacy Technician / Transferred, Customer Service Rep
OptumRx
Oklahoma City, OK
05.2012 - 04.2014
- Assist with customer calls request status of approval / denial of medications
- Following Guidelines set forth by each Patients Plan for medication coverage
- Incoming / Outbound calls regarding Prior Authorization(s) request from Medical Doctors Offices and Long-Term Care Facilities
- Assist with New Hire training – Y-jacking, fax training, cancellations
- SME-Subject Matter Expect / Special Project
- Experience with Windows PC Applications which includes Microsoft Word and Excel
Customer Service Rep
Prescription Solutions
Oklahoma City, OK
09.2011 - 05.2012
- Provide excellent customer service
- Help with Explanation of Benefits (EOB)
- Assist with resolving customer service inquires
- Billing and payment issues
- Place orders for Mail order prescriptions for customers and physicians' offices
- Frequent speaking, sitting, listening using headset, keyboard and mouse
- Experience with Windows PC Applications which includes Microsoft Word and Excel
Pharmacy Technician
Adecco
Oklahoma City, OK
11.2010 - 04.2011
- Answering Incoming calls regarding Prior Authorization(s) request from Medical Doctors Offices and Long Term Care Facilities
- Following Guidelines set forth by each Patients Plan for medication coverage
- Assist with customer calls request status of approval / denial of medications
- Receiving Inbound faxes for Prior Authorization
- Updating Basic Contact Information
Enumerator
Census Bureau
Oklahoma City, OK
05.2010 - 06.2010
- Collecting Basic Data for 2010 Census
- Providing Confidentiality of all Information received
- Counting and collected data regarding each individual at that address
- Planned efficient visitation routes by studying maps of assigned areas, reaching more than 20 community households per day
- Walked door to door and collected demographic information
- Obtained updated contact information from all subjects and verified data for accuracy
Pharmacy Technician
Adecco
Oklahoma City, OK
09.2009 - 04.2010
- Prior Authorizations
- Customer Service
- Data Entry
- Answering Incoming calls regarding Prior Authorization(s) request from Medical Doctors Offices and Long Term Care Facilities
- Following Guidelines set forth by each Patients Plan for medication coverage
- Assist with customer calls request status of approval / denial of medications
- Receiving Inbound faxes for Prior Authorization
- Updating Basic Contact Information
Pharmacy Techn
Omnicare
Oklahoma City, OK
11.2008 - 08.2009
- Consulted with insurance company representatives to complete claims processing, resolve concerns and reconcile payments
- Reviewed and verified customer information and insurance provider information.
- Resolved non-routine issues like third-party billing, computer system and customer service issues
- Answering incoming/outbound calls regarding client prescriptions
- Faxing/Receiving prescriptions to/from facilities and dispensing pharmacies
- Therapeutic Interchange for medications
Pharmacy / Pharmacy Technician
Ferrum Community
Ferrum, VA
11.2007 - 10.2008
Pharmacy / Pharmacy Technician / Long Term Care Coordinator / Cashier
Martinsville Family
Martinsville, VA
06.2003 - 09.2007
- Processed over 100 prescriptions per day in busy pharmacy achieving decreased customer wait times and maintaining excellent customer satisfaction
- Restocked pharmacy shelves and restocked automated medication dispensing satisfaction with current merchandise to drive consistent peripheral sales
- Located and measured medications according to prescription information, making modifications as instructed by pharmacists and providers
- Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality
- Monitored ordering of pharmacy medication stock to maintain streamlined inventory and low overhead
- Consulted with insurance company representatives to complete claims processing, resolve concerns and reconcile payments
Education
Certificate in Pharmacy Technician - Pharmacy Technology
Patrick Henry Community College
Martinsville, VA06.2003
Skills
- Microsoft Office
- Excel
- Confidentiality Practices
- Time Management
- Verbal and Written Communication
- Answering and Routing Calls
- Customer Service
- Detail-Oriented
- Team Coordination
- Employee Training
- Dependable And Responsible
- Organization And Time Management
- Written Communication
- Team building
- Training Development
Accomplishments
- Collaborated with pharmacist in the development of Long Term Care Monthly Filling Cycle for over 20 Group homes / Senior Care Living Facilities
- Consulting with facility on a daily basis regarding deliveries / account statements / MARS
- Trained new pharmacy technicians on pharmacy policies, procedures and best practices.
- Assist Medicare D patients with Choosing a Part-D plan
Certification
- CPhT - Certified Pharmacy Technician
Timeline
Senior Pharmacy PA/Appeals Technician / Transferred
UM Department
02.2018 - Current
Senior Pharmacy Technician
UnitedHealthcare
04.2014 - 02.2018
Senior Pharmacy Technician / Transferred, Customer Service Rep
OptumRx
05.2012 - 04.2014
Customer Service Rep
Prescription Solutions
09.2011 - 05.2012
Pharmacy Technician
Adecco
11.2010 - 04.2011
Enumerator
Census Bureau
05.2010 - 06.2010
Pharmacy Technician
Adecco
09.2009 - 04.2010
Pharmacy Techn
Omnicare
11.2008 - 08.2009
Pharmacy / Pharmacy Technician
Ferrum Community
11.2007 - 10.2008
Pharmacy / Pharmacy Technician / Long Term Care Coordinator / Cashier
Martinsville Family
06.2003 - 09.2007
Certificate in Pharmacy Technician - Pharmacy Technology
Patrick Henry Community College
Similar Profiles
Ju Yeon ChungJu Yeon Chung
Student Nurse at UM Baltimore Washington Medical CenterStudent Nurse at UM Baltimore Washington Medical Center
Marlon Quesada RRTMarlon Quesada RRT
Registered Respiratory Therapist at Um HospitalRegistered Respiratory Therapist at Um Hospital
Kimberly FinleyKimberly Finley
Clinical Nurse II at UM AMC IBHPClinical Nurse II at UM AMC IBHP
Leah BarracloughLeah Barraclough
Accounts Payable Analyst at Keystone Dedicated LogisticsAccounts Payable Analyst at Keystone Dedicated Logistics
Tammy AnesinTammy Anesin
INSIDE SALES REPRESENTATIVE at CVS HealthINSIDE SALES REPRESENTATIVE at CVS Health