Nicole Ralston Vernet
Orlando,FL
Summary
Friendly Senior Certified Pharmacy Technician proficient in assisting pharmacists, helping team members with various things, and meeting customer and business needs. Personable and energetic with a warm approach to customer service. Maintains accuracy and focus in all aspects of the role. Good relationship-building and multitasking skills.
Overview
11
11
years of professional experience
Work History
Utilization Management Support Technician
Rightway Healthcare PBM
12.2023 - Current
- Create prior authorization cases from fax and phone requests in a system named MHK
- Complete technician review of the cases and send to RPH for clinical review
- Input approved prior authorizations into a system named Tredium and ensure the test claim pays
- Monitor incoming messages from any team requesting help with a case and assist
- Request chart notes or clinical documents from the prescriber via fax
- Call prescribers office to follow up on fax request
- Maintain accuracy and the daily goal for the department
Sr. Certified Pharmacy Technician
Walgreens
05.2023 - 12.2023
- Completed orientations and assist with onboarding of new employees.
- Conduct classes, tutoring, and proctored exams for the pharmacy tech in training program.
- Helped train and/or coach team members, ran reports and helped monitor productivity
- Continuously supported leadership and the pharmacists on duty
Pharmacy Technician
CoAssist Pharmacy
06.2021 - 05.2023
- Prescription Data Entry from e-script or fax
- Inbound and outbound calls to patients to obtain insurance and/or schedule delivery
- Calls to MDO to obtain patient info
- Calls to insurance company to verify patient benefits/coverage and filled prescriptions
Pharmacy Technician
Covance Specialty Pharmacy (Contract)
07.2020 - 06.2021
- Data entry of prescriptions and Inbound/Outbound calls to patients to schedule medication delivery
- Processed prescriptions, sent to fill techs and triaged faxes to correct teams
Relief Pharmacy Technician
Benzer Pharmacy (Contract)
03.2020 - 07.2020
- Accurately and efficiently prepared prescription orders under direct pharmacist supervision
- Verified prescription information and dosage
- Entered patient demographics and order information into the pharmacy system
- Reminded customers about their prescription refills
- Answered incoming calls to investigate and respond to customer service issues and inquiries in a professional and friendly manner
DME Care Coordinator
Orchid Medical (Contract)
09.2019 - 03.2020
- Assisted patients, adjusters, and case managers via phone, email, and fax regarding DME equipment for worker's compensation patients
- Took new orders from nurse case managers and adjusters for the requested DME items required for the patient’s injury
- Located local vendors to provide DME to patients statewide
- Communicated with claimant to ensure receipt of item(s)
Front End Pharmacy Technician
Express Scripts
11.2018 - 08.2019
- Prescription entry and verification
- Fax triage
- Set up doctor and patient calls
Financial counselor
Orlando Health
08.2017 - 10.2018
- Obtained and verified patient demographic information and insurance
- Explained insurance forms to patients and obtained consent signatures
- Collected copayments and deductibles for hospital services
- Signed uninsured patients up for financial assistance.
Patient Service Representative
Aetna Specialty Pharmacy (Contract)
08.2015 - 05.2017
- Handled refill calls from patients for specialty medications
- Ran claims and provided copay assistance information
- Advised if prior authorization is on file.
Eligibility Specialist & Prior Authorization Rep
Express Scripts (Contract)
06.2014 - 07.2015
- Verified patient insurance information to get paid claims
- Called patient, doctor's office and/or insurance companies to obtain info required for the prior authorization
- Initiated prior authorization process and followed up on status
- Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
Pharmacy Billing & Resolution Specialist
Walgreens
01.2013 - 03.2014
- Resolved rejected insurance claims for patients dropping off prescriptions at Walgreens stores by contacting the patient's insurance company and making the proper changes
- Entered prescription information into system for processing.
- Researched billing errors to initiate corrective action.
Education
Associate of Science - Nursing
South College
Orlando, FL2025
Associate of Arts - General Studies
Valencia College
Registered Pharmacy Technician -
Walgreens (In-house University)
2014
High School Diploma -
Newburgh Free Academy
Newburgh, NYSkills
- Microsoft Office 365
- Customer Service
- Training
- Data Entry
- Prior Authorizations
- Triage
- Insurance verification
- Medical billing
- EMR systems
- Medical records
Timeline
Utilization Management Support Technician
Rightway Healthcare PBM
12.2023 - Current
Sr. Certified Pharmacy Technician
Walgreens
05.2023 - 12.2023
Pharmacy Technician
CoAssist Pharmacy
06.2021 - 05.2023
Pharmacy Technician
Covance Specialty Pharmacy (Contract)
07.2020 - 06.2021
Relief Pharmacy Technician
Benzer Pharmacy (Contract)
03.2020 - 07.2020
DME Care Coordinator
Orchid Medical (Contract)
09.2019 - 03.2020
Front End Pharmacy Technician
Express Scripts
11.2018 - 08.2019
Financial counselor
Orlando Health
08.2017 - 10.2018
Patient Service Representative
Aetna Specialty Pharmacy (Contract)
08.2015 - 05.2017
Eligibility Specialist & Prior Authorization Rep
Express Scripts (Contract)
06.2014 - 07.2015
Pharmacy Billing & Resolution Specialist
Walgreens
01.2013 - 03.2014
Associate of Science - Nursing
South College
Associate of Arts - General Studies
Valencia College
Registered Pharmacy Technician -
Walgreens (In-house University)
High School Diploma -
Newburgh Free Academy
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