Oriana Loggins
Horn Lake,USA
Summary
Detail-oriented healthcare support professional with experience in pharmacy operations, insurance verification, and prior authorization processing. Skilled in resolving claim rejections, coordinating with providers and payers, and ensuring timely medication access for patients. Proven ability to manage high-volume workloads while maintaining HIPAA compliance, accuracy, and excellent customer service in remote and fast-paced environments.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Pharmacy Support Specialist
IQVIA
New Providence, NJ
11.2024 - Current
- Assist patients and healthcare providers with program enrollment, eligibility verification, and medication access support
- Review and verify insurance coverage while ensuring full compliance with HIPAA regulations
- Process and support prior authorizations to facilitate timely approval of prescriptions and claims
- Troubleshoot and resolve pharmacy claim rejections, including insurance and eligibility-related issues
- Coordinate with providers, insurance companies, and pharmacies to ensure accurate and efficient claim processing
- Provide high-volume support via phone, email, and fax while maintaining professionalism and accuracy
- Document all interactions, case updates, and resolutions within internal systems
- Escalate complex or unresolved cases to appropriate departments for further review
- Identify workflow inefficiencies and recommend process improvements to enhance service delivery
Pharmacy Technician Lead
Walgreens
Bartlett, TN
06.2020 - 07.2022
- Kept track of the ordering of pharmacy medication stock in order to keep inventory streamlined and costs low.
- Helped patients save money on their medical bills by suggesting generic alternatives to prescription medications.
- Double-checked patient data and billing information in order to identify and correct erroneous bills caused by system errors.
- Stocked, labeled, and inventoried medication to keep accurate records.
- Answered incoming calls and provided answers to customers and healthcare providers' questions.
- Handled a variety of pharmacy tasks with a strong focus on accuracy, efficiency, and service quality.
- Resolved non-routine issues like third-party billing, computer system and customer service issues.
- Helped with inventory management, placing and expediting orders, and removing expired drugs.
- Took down and filed doctor's orders and prescriptions.
- Am responsible for filling and labeling prescription bottles.
- Check out customers and handle cash credit, as well as basic store purchases, on a regular basis.
- Created and updated patient profiles to include current information such as medications and insurance information in queue.
- Worked with insurance companies to secure payments and refill authorizations.
SOC Operator (Remote)
Stanley Black & Decker
Memphis, TN
06.2022 - 04.2023
- Help maintain a safe and secure environment for clients by providing centrally managed law enforcement radio monitoring with event logging and recording, alarm monitoring of intrusion detection systems, and emergency dispatch, incident reporting and analysis, and remote alarm panel programming.
- Took public emergency and non-emergency calls and supervised response prioritization in order to dispatch official units such as police, fire, and EMS in real-time environments.
- Took basic information from callers and answered calls from an automated routing system.
- Reduced risks and issues with emergency response by observing public safety field units.
- Routed calls to police, fire, and ambulance services to meet individual call needs.
- Communicated the most up-to-date information to first responders through electronic means, phone calls, and radio responses.
- Inbound and outbound calls
- Help with dealer accounts on alarms
Fulfillment Associate
Amazon
Olive Branch, MS
03.2024 - 09.2024
- Followed safety protocols to minimize workplace accidents.
- Pulled orders quickly to maintain demanding productivity goals.
- Printed labels, packaged boxes, and loaded into outbound containers.
- Took on extra hours and shifts during busy periods to meet tight shipping deadlines.
Sales Associate
Cricket Wireless
Memphis, TN
02.2018 - 09.2020
- Strengthened customer loyalty by being friendly and professional in all interactions.
- Met with territory, regional, and strategic managers to plan account approaches.
- Explained product prices and packages to customers, as well as answering their questions and addressing their concerns.
- Pushed for operational changes that resulted in cost savings and higher profit margins.
- Kept up with current promotions, exchange policies, payment policies, and security procedures.
- Took incoming phone calls and answered them with information about products, services, store hours, policies, and promotions.
- Sold a variety of products by explaining their unique features and instructing customers on how to use them properly.
Warehouse Worker
DHL
Memphis, TN
07.2018 - 10.2020
- Package Handling
- Distribution
- Shipping and receiving
- Warehouse safety
- Inventory Control
- Inbound receiving
Warehouse
NIKE
Memphis, TN
03.2018 - 03.2019
- Labeling
- Pallets
- Inventory control
- Packing
Warehouse Associate
Bosch
West Memphis, AR
01.2018 - 11.2018
Education
College Degree - Pharmacy Technician
Concorde career college
Memphis, TN08.2020
High school diploma -
Ridgeway High School
Memphis, TN05.2018
Skills
- Prior Authorizations & Claims Processing
- Insurance Verification & Benefits Investigation
- Pharmacy Operations & Medication Access Support
- HIPAA Compliance & Patient Confidentiality
- Third-Party Billing & Reimbursement
- Claim Rejection Resolution
- Provider & Payer Coordination
- Patient Support & Customer Service
- Data Entry & Case Documentation
- EMR/EHR Systems (Electronic Medical Records)
- Call Center & Remote Support
- Inventory Management & Workflow Efficiency
- Logistics and Distribution
- Inventory control
- Picking and packing
Certification
- PTCB Certification
- First Aid Certification Present
- Pharmacy Technician Certification
- CPR Certification Present
- Basic Life Support (BLS) October 2022 to Present
- Bloodborne Pathogens Training Present
Timeline
Pharmacy Support Specialist
IQVIA
11.2024 - Current
Fulfillment Associate
Amazon
03.2024 - 09.2024
SOC Operator (Remote)
Stanley Black & Decker
06.2022 - 04.2023
Pharmacy Technician Lead
Walgreens
06.2020 - 07.2022
Warehouse Worker
DHL
07.2018 - 10.2020
Warehouse
NIKE
03.2018 - 03.2019
Sales Associate
Cricket Wireless
02.2018 - 09.2020
Warehouse Associate
Bosch
01.2018 - 11.2018
College Degree - Pharmacy Technician
Concorde career college
High school diploma -
Ridgeway High School