Sourdough baking
Muriel Martinez
CPHT
Omaha,NE
Summary
PTCB certified Pharmacy Technician with 15+ years of experience in specialty, retail, and hospital pharmacy settings. Bilingual, detail-oriented, dedicated, and hard-working pharmacy professional with emphasis on data entry and patient care who delivers courteous service at all times.
Overview
16
16
years of professional experience
3
3
Languages
Work History
Patient Support Advocate
Shields Health Solutions
Stoughton , MA
2022.07 - Current
- Improved patient outcomes by accurately processing prior authorization requests and collaborating with healthcare providers.
- Reduced errors in the prior authorization process by diligently reviewing patient records and insurance details.
- Supported team members during peak periods to ensure optimal patient care.
- Contributed to a positive work environment through effective communication, collaboration, and problem-solving efforts.
- Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
- Reached out to insurance carriers to obtain prior authorization for prescription medications.
- Input all patient data regarding claims and prior authorizations into system accurately.
- Developed and maintained productive working relationships with healthcare providers.
- Continually updated knowledge on industry developments, ensuring adherence to best practices and relevant regulatory changes impacting the prior authorization process.
- Provided training to new staff members on the intricacies of various insurance plans and their specific prior authorization requirements.
- Reduced turnaround time for prior authorization requests by utilizing electronic submission methods.
- Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
- Maintained organized records and up-to-date files for all completed and pending authorization requests, ensuring easy access during audits or reviews.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
Specialty Pharmacy Program Liaison
Amber Specialty Pharmacy
Omaha , NE
2020.09 - 2022.06
- Serve as primary point of contact for internal and external communications between Amber Specialty Pharmacy, PTC Therapeutics, and HUB service provider
- Act as liaison between pharmacy, patients, insurance companies, PTC, and provider's offices
- Collaborate with Pharmacy Operations and Trade Relations depts to ensure patient referrals are handled in a timely and accurate fashion
- Actively listen and work with patients and caregivers to understand their needs to provide seamless transition from support program to Amber Specialty Pharmacy
- Directly in charge of managing prior authorizations and proactive prior authorizations for all 400+ Emflaza patient referrals
- Inform PTC Cares case managers of all upcoming prior authorization expirations starting 65 days prior to expiration and provided detailed information needed for renewals.
- Accept and follow patient referrals from time received, through prescription processing, benefits investigation, and initial delivery setup
- Participate in relevant Quarterly Business Reviews (QBRs) as needed
- Serve as back up for other program management teams
- Assist call center in taking incoming calls as needed
- Offer friendly and efficient service to patients.
- Coordinate with insurance representatives to troubleshoot and process claims on daily basis
- Assist Claim and Billing depts in troubleshooting live insurance claims for patients
- Developed and maintained courteous and effective working relationships with PTC Cares case managers
Patient Access Technician - Intake Team
Amber Specialty Pharmacy
Omaha , NE
2019.12 - 2020.09
- Received and properly processed 300+ prescriptions daily for verification by a pharmacist
- Processed all prescriptions marked STAT and all prescriptions in New Patient and Therapy queues within 10 minutes from time received for all Amber and HPS sites
- Assist COE in processing all prescriptions in Renewal queue as needed
- One of three techs trusted and given permission to process compound prescriptions for all compounding sites using correct established recipes
- One of a handful of technicians with knowledge and permission to process prescriptions for REMs program medications
- Ensured all contracted medications had their corresponding Reporting Assessments attached so a pharmacist may more accurately verify a prescription for new patients
- Regularly communicated with doctors offices to obtain missing diagnoses, patient vitals, prescription clarification, etc
- Collected and entered patient demographic and insurance information into CareTend to establish patient's medical record
- Verified patient demographics were as complete as possible before placing in Ready to Setup Delivery queue
- Assisted other members of the Intake team and/or COE team with their tasks as needed.
- Routed faxed and electronic prescriptions for new and established patients for all Amber and HPS sites
- Conducted benefits investigation to determine eligibility and coverage for medications prescribed
- Identified insurance payment sources and listed payers in proper sequence to establish Coordination of Benefits
- Cross-trained to assist patients and healthcare providers with services provided by COE teams such as setting up first time or refill deliveries, signing up for copay savings cards, collect payments, etc
Patient Care Technician - RON Team
Amber Specialty Pharmacy
Omaha , NE
2018.03 - 2019.12
- Worked closely with other members of COE team dedicated to medications for rare diseases, neurology/CNS, and other specialties
- Received and properly processed scripts in RX Setup for Rx Verification by a pharmacist
- Assisted in investigation of prescription drug benefits for patients
- Interacted effectively with patients, caregivers, and hospital or medical Dr office staff to deliver high level of customer service and teamwork
- Handled data entry for medications such as Ingrezza, Austedo, Epidiolex, Vivitrol, Copaxone, and many others for all Amber sites.
- Worked with Ingrezza Pharmacy Liaison to provide patients with medication in a timely fashion or make issues know for assistance
- Worked with Ingrezza and Epidiolex Pharmacy Liaisons to follow up with patient's and doctor's offices as needed
- Cross-trained to assist with issues pertaining to other COE teams
- Assisted other COE teams with their Rx Setup as needed
- Troubleshooting insurance issues for patients placing first time orders
- Triaged calls from patients and doctors offices to a pharmacist or other departments as needed
- Looked over any orders in RONs Refill Too Soon queue and assisted in scheduling delivery of medication as soon as a medication can be filled
- Assisted patients in scheduling delivery of first time and refill orders
- Helped go through RONs COE Tech Followup queue to reach out to doctor's offices for refills or any other situations that required followup
- Placed calls to doctor's offices and insurances for PA followup when assistance was needed
- Completed benefits investigation on all Hy-Vee Pharmacy transfers received to verify Amber Pharmacy would be able to fill before a pharmacist called to complete transfer.
- Provided translation services to Spanish speaking patients
Pharmacy Technician
OneWorld Pharmacy
Omaha , NE
2017.07 - 2018.01
- 340B Pharmacy
- Reviewed and verified customer information and insurance provider information
- Answered incoming phone calls and addressed questions from customers and healthcare providers
- Restocked automated medication dispensing equipment
- Provided Translation services for Spanish language patients
- Saved patients money by assessing patient needs and financial situation and directing them to compatible clinic or pharmacy prescription assistance options
- Received some training for MTM and MirixaPro
- Used QS/1 NRX computer System to run weekly Patient Adherence reports
- Made weekly calls to patients regarding medication adherence and syncing medications
- Completed daily pharmacy tasks such as temperature checks, disinfecting counters, restocking printer paper
- Worked with pharmacy financial supervisor to provide cost effective medication to patients
Pharmacy Technician
Harmons Grocery
Roy , UT
2015.07 - 2017.06
- Effectively resolved insurance rejections and other billing issues
- Helped Manage drug and supply inventories
- Monitored the ScriptPro medication dispensing robot within the pharmacy to ensure medications were readily available at all times
- Assisted other pharmacy staff with drug inventory, purchasing, and receiving
- Regularly rotated stock and checked assigned shelves for expired medications
- Performed required information checks to dispense medications to patients
- Completed new and updated patient profiles, including lists of patient medications
- Answered customer questions and helped locate desired items in the pharmacy and store as per Harmons customer service policy
- Correctly completed daily and weekly pharmacy reports
- Hand counted control medications, measured liquids and reconstituted antibiotics
- Worked with Harmons administrative team to develop and implement in-store programs to increase sales
- Preformed regular calls to doctor offices to ensure proper ICD-10 codes are being used on all prescriptions billed to UT Medicaid
- Provided translation services for Spanish speaking customers
- Answered telephones in pharmacy within 2 rings per pharmacy standards and redirected calls to the appropriate store department if needed
- Checked all controlled substance prescriptions to ensure they met Harmons 90% fill policy
- Assisted to insure all patient properly informed regarding any status updates or issues with prescriptions
- Ensured all prescriptions billed to Medicare Part B were on correct Rx forms and properly documented
Pharmacy Technician
Ogden Regional Medical Center
South Ogden , UT
2014.04 - 2014.12
- Inpatient hospital pharmacy
- Proficiency in IV compounding
- Monitored the medication dispensing machines within the hospital to ensure supplies were readily available to staff
- Assist other pharmacy staff with drug inventory, purchasing, and receiving
- Properly clean and maintain department equipment such as IV hoods
- Compound and repackage medications, including unit-doses, topical medications and sterile products
- Troubleshot mechanical issues with Pyxis Medstation and other equipment
- Cleaned equipment and work areas and sterilized glassware to maintain safe and sanitary conditions
- Communicate regularly with physicians and nurses
- Conducted routine inspections of medication storage locations
- Properly compounded and dispensed medications as prescribed by doctors
- One of regularly chosen technicians to assist near by Long Term Care pharmacy as needed
- One of two unofficial liaisons between nearby LTC pharmacy and hospital inpatient pharmacy
Pharmacy Technician
Midtown Pharmacy
Ogden , UT
2008.08 - 2014.03
- 340B Pharmacy
- Personally filled and dispensed an average of 115 prescriptions per day
- Effectively resolved insurance rejections and other billing issues
- Experience with managing drug and supply inventories
- Assisted other pharmacy staff with drug inventory, purchasing, and receiving
- Regularly stocked shelves, rotated stock and checked for expired medications
- Performed technical processes required to dispense medications to patients
- Completed new and updated patient profiles, including lists of patient medications
- Receptively answered customer questions regarding pharmacy and clinic services
- Reconstituted oral liquids
- Efficiently operated cash register and handled cash, checks, and charge transactions
- Received and accurately processed written prescriptions from patients using FSI Foundations computer system
- Communicated regularly with physicians, insurance companies and managed care organizations
- Provided translation services for Spanish speaking patients
- Managed approximately $3,000 in cash and credit card sales daily
- Helped educate patients on Medicaid and Medicare enrollment resources
- Pharmacy liaison to Midtown CHC Prescription Assistance Dept
- Assisted patients in qualifying and signing up for local prescription and medical assistance programs
Education
Associate of Science - Pharmacy Technician
Eagle Gate College
Layton, UT2009
Skills
- Bilingual - fluent in English and Spanish, Conversational French skills
- Specialized experience with medications for neurological disorders such as Duchenne Muscle Dystrophy, Epilepsy, Tardive Dyskinesia, etc
- Experience with many Pharmacy systems such as FSI Foundations, Horizon MedComm RX, CareTend, etc
- Knowledge of EMR and EHR systems
- IV Compounding and admixtures
- Excellent customer service skills
- Motivated self-starter
- Strong data entry skills
- Medication Therapy Management (MTM)
- Adaptable
- Sterile and non-sterile compounding skills
- 340B Pharmacy
- Tech Check Tech
- Knowledge of prescription assistance programs
Certification
- CPhT - Certified Pharmacy Technician
Interests
Resin Crafting
DIY Projects
Music
References
References may by provided on request.
Timeline
Patient Support Advocate
Shields Health Solutions
2022.07 - Current
Specialty Pharmacy Program Liaison
Amber Specialty Pharmacy
2020.09 - 2022.06
Patient Access Technician - Intake Team
Amber Specialty Pharmacy
2019.12 - 2020.09
Patient Care Technician - RON Team
Amber Specialty Pharmacy
2018.03 - 2019.12
Pharmacy Technician
OneWorld Pharmacy
2017.07 - 2018.01
Pharmacy Technician
Harmons Grocery
2015.07 - 2017.06
Pharmacy Technician
Ogden Regional Medical Center
2014.04 - 2014.12
Pharmacy Technician
Midtown Pharmacy
2008.08 - 2014.03
Associate of Science - Pharmacy Technician
Eagle Gate College
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