Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Samantha Cupples

Greenville,TX

Summary

Experienced Failed Claims Pharmacy Technician with a strong background in the industry and a proven track record of problem-solving and resolving insurance discrepancies. With over 10 years of knowledge and experience, including 6 years in a retail setting and experience in mail order pharmacy, PBM, and hospital pharmacy, I have developed a comprehensive understanding of the field. Currently employed at Centerwell Pharmacy in the Doctor Calls department, I excel at identifying and addressing the root cause of issues. Seeking a challenging role with Centerwell Pharmacy to further leverage my skills and contribute to the success of the organization.

Overview

15
15
years of professional experience
1
1
Certification

Work History

Pharmacy Technician Doctor Call

Centerwell Pharmacy
05.2023 - Current
  • Answered incoming phone calls and addressed questions from customers and healthcare providers.
  • Collaborated with healthcare professionals to clarify prescription details, ensuring accuracy.
  • Resolved third-party billing, computer system and customer service issues.
  • Coordinated with physicians and insurance agency representatives for speedy resolution of prescription discrepancies.

Medication Adherence Technician/ Pharmacy Technician

Adherehealth/ AdhereRX
08.2019 - 04.2023
  • Help improve the health of members by problem solving issues with their medications
  • Provide local resource information if a patient is struggling with daily living activities
  • Troubleshooting and communicating effectively to resolve any issues preventing patients from getting or taking medications
  • Train new hires for this role and coach new hires to learn all aspects of this job role

Help Desk Specialist

Hospice Pharmacy Solutions
05.2018 - 08.2019
  • Assist different hospices with admitting, discharging, and claims processing for patients during their hospice care
  • Work closely with select hospices in a pilot model the company designed based on my communication with specific hospices
  • I was the hospice's first point of contact when problem solving and troubleshooting
  • Created the engagement committee to increase morale and team building

Item Entry Pharmacy Technician

Humana Pharmacy
07.2015 - 02.2017

ITEM ENTRY TECHNICIAN, Humana

Trained briefly in the failed claims department before being transferred to Item Entry. Typed prescriptions with speed and accuracy. Responsible for meeting expected rates for each queue and

meeting expected DPMO. Trained in different queues ranging from data entry of faxed, mailed, and electronic

prescriptions to processing clarifications. Verified all necessary patient information to ensure patient safety

and perfect service.

Certified pharmacy technician

Walmart
08.2009 - 07.2015
  • Helped with training and education of new CPhT or techs in training in the pharmacy
  • Taught new hires Wal-Mart specific computer software
  • Skilled in maintenance of record keeping and patient profile systems
  • Applied strong attention to detail when inputting, filling, and billing all prescriptions
  • Great customer service and communication skills were learned while working in this retail setting

Education

AAS -

Paris junior college
12.2015

Skills

  • Strategic thinker
  • Insurance Verification
  • Medicare and Medicaid process
  • Insurance processing
  • Medical Insurance Claims Processing
  • Insurance Claim Processing Software
  • Attention to Detail
  • Insurance reconciliation
  • Compounding Techniques
  • Intravenous admixture preparation
  • Pharmacy Software Proficiency
  • Problem-solving skills
  • Team Collaboration
  • Confidentiality and HIPAA
  • Workflow Optimization

Certification

PTCB Certified license

#10001741 03/01/2025


TSBP Registration

#197576 Exp 03/31/2025

Timeline

Pharmacy Technician Doctor Call

Centerwell Pharmacy
05.2023 - Current

Medication Adherence Technician/ Pharmacy Technician

Adherehealth/ AdhereRX
08.2019 - 04.2023

Help Desk Specialist

Hospice Pharmacy Solutions
05.2018 - 08.2019

Item Entry Pharmacy Technician

Humana Pharmacy
07.2015 - 02.2017

Certified pharmacy technician

Walmart
08.2009 - 07.2015

AAS -

Paris junior college
Samantha Cupples