Roneeka Jones
Denver,CO
Summary
Driven Pharmacy Technician with proven track record and success in building strong relationships with patients and clients. Detail-oriented with a commitment to maintaining high-quality assurance and control standards when filling prescriptions.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Pharmacy Operations Manager
Weekend Health
San Francisco, CA
05.2023 - Current
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
- Monitored pending cases closely, proactively following up on outstanding documentation needed for successful approval outcomes.
- Achieved high success rate in obtaining authorizations by effectively demonstrating medical necessity through comprehensive documentation and clear communication with insurance companies.
Care Specialist /Escalations Team Lead
Alto Pharmacy
Detroit Metropolitan Area
03.2020 - Current
- Managed a team of 5-25 Care Specialists
- Developed personal growth opportunities through frequent shadowing and office hours to produce results and meet goals
- Coached and motivated team, driving productivity and utilization up to 96% and delivering exceptional customer service as well as soft skills by consistently achieving 3.5+ CSAT's scores
- Communicated plans, metrics and actions to meet departmental goals with leadership
- Conducted Audits to ensure specialists were delivering excellent service and offered constructive feedback to team members, boosting overall job performance
- Handled Escalation requests as needed assisting 100+ patients weekly while supporting my team needs
- Worked alongside with workforce management on scheduling and filling in gaps per business needs using NICE
- Additional customer support experiences: Zendesk, Asana, Google Suite.
Pharmacy Technician Senior Technician
Walgreens
10.2011 - 02.2020
- Operated cash register and POS to process sales transactions and handle payments
- Stocked, Typed (Intake), labeled and inventoried medication to keep accurate records
- Supervised 3-5 pharmacy technicians and coordinated day-to-day assignments such as filling, packaging or ordering
- Trained new hires to meet our company standards and soft skills
- Filling more than 300 prescriptions daily prescriptions in high-volume pharmacy in the district
- Helped pharmacist clear problematic prescriptions and address customer questions to keep pharmacy efficient.
Education
High School Diploma -
Aurora Central High School
Aurora, CO05.2001
Skills
- Active Listening
- Communication
- Interpersonal
- Time Management
- Leadership
- Teamwork and Engagement
- Root cause analysis
- Conflict Resolution
Certification
PTCB Certification/Licensing, 05/01/21
Timeline
Pharmacy Operations Manager
Weekend Health
05.2023 - Current
Care Specialist /Escalations Team Lead
Alto Pharmacy
03.2020 - Current
Pharmacy Technician Senior Technician
Walgreens
10.2011 - 02.2020
High School Diploma -
Aurora Central High School