Summary
Overview
Work History
Education
Skills
Work Availability
Timeline
Generic

Sandra Terry

Jellico,TN

Summary

Patient-oriented Certified Pharmacy Technician Advanced/Billing Specialist with extensive experience preparing, filling, labeling medications, billing, and credentialing with insurance companies. Highly skilled at processing prescriptions and billing claims, managing pharmacy inventory. Well-versed in interacting with patients to answer questions and provide status updates on prescription fills, also provide updates on insurance claims.

Successful Certified Pharmacy Technician Advanced/Billing Specialist bringing 22 years of experience in filing claims with expert accuracy, building relationships with customers and promoting teamwork within pharmacy/billing settings. Knowledgeable about regulatory guidelines and policies governing fraud, waste and abuse.

Overview

22
22
years of professional experience

Work History

Pharmacy Technician CPhT-Adv/Manager

Windham Drug
Williamsburg, KY
01.2011 - 05.2023
  • Managed inventories, rotated stock, removed expired or damaged drug products and resolved discrepancies in drug counts.
  • Maintained strict patient confidentiality to adhere to HIPAA regulations and avoid data compromises.
  • Maintained clean and organized pharmacy shelving and work areas.

• Bill and reverse claims for reimbursement

• Credentialing

• Human Resources

• Audited Prescriptions for different insurance companies

• Prior Authorizations- Send in paperwork for patients medications and verified other medications for trial and fail

• Compliance Officer

  • Assisted pharmacist with clearing high volume of prescriptions and responded to customer questions.
  • Worked with insurance companies to process claims, resolve problems and obtain payments.
  • Completed and filed patient paperwork, updating records in system with insurance carrier changes and allergy information.
  • Received and verified daily incoming drug inventories, reported discrepancies and logged items into inventory system.
  • Efficiently processed cash register transactions for new and refilled prescription orders.
  • Adhered to regulatory guidelines for workplace safety and customer confidentiality.
  • Established and updated patient profiles, medications and insurance details.
  • Created new customer profiles and updated demographics, allergies and new medications in pharmacy computer systems.
  • Verified patients' identities at pickup to prevent sale of wrong medications.
  • Consulted with customers via telephone or in-person to assist with navigating pharmacy systems and completing requests.
  • Supervised inventory levels to maintain adequate supply of medications and medical supplies.
  • Received, reviewed, dispensed and labeled over 800 prescriptions daily.
  • Transmitted claims to insurance companies for payment and reconciled EOBs.
  • Compiled customer demographic, allergy and medical history background.
  • Participated in prescription pharmaceutical and over-the-counter product inventory audits.
  • Prepared pricing and instruction labels for placement on prescriptions.
  • Adhered to infection control policies and procedures to prevent spread of disease.
  • Educated patients on prescription instructions and answered questions regarding drug side effects.
  • Verified and filled medications for up to 800 patients per day, maintaining 100% accuracy.
  • Verified and filled over 800 prescriptions per day in busy Independent pharmacy setting.
  • Merchandised related products to drive pharmacy department sales.

Cashier

Frontier House
Jellico, TN
06.1988 - 06.2010
  • Operated cash register or POS system to receive payment by cash, check and credit card.
  • Accepted cash and credit card payments, issued receipts and provided change.
  • Answered customer questions and provided store information.
  • Collected payments and provided accurate change.
  • Delivered high level of customer service to patrons using active listening and engagement skills.
  • Helped customers find specific products, answered questions and offered product advice.
  • Completed daily recovery tasks to keep areas clean and neat for maximum productivity.
  • Worked closely with front-end staff to assist customers.
  • Trained new team members in cash register operation, stock procedures and customer services.
  • Directed trash removal and sanitation procedures to keep aisles and register area organized.
  • Verified customer age requirement for alcohol or tobacco purchases.

Pharmacy Technician

Family Drug Center
Jellico, TN
08.2001 - 08.2008
  • Teamed with peers, technicians and pharmacists to prioritize and complete orders.
  • Created new customer profiles and updated demographics, allergies and new medications in pharmacy computer systems.
  • Assisted pharmacist with clearing high volume of prescriptions and responded to customer questions.
  • Refilled medications, offered insight into over-the-counter products and verified insurance benefits.
  • Verified prescriptions and drug labels, documents and packages.
  • Maintained pharmacological practices by checking drug inventory, stocking medications and monitoring supplies.
  • Interpreted and processed medication orders under supervision of pharmacist.
  • Received and verified daily incoming drug inventories, reported discrepancies and logged items into inventory system.
  • Inspected medication storage locations to monitor drug expiration dates and supply adequate inventory.
  • Liaised with pharmacist to measure and prepare medication doses and packaging and label prescriptions.
  • Prepared prescription transfers to other pharmacies.
  • Transmitted claims to insurance companies for payment and reconciled EOBs.
  • Improved inventory management procedures to reduce overhead, backorders and overstock.
  • Leveraged database to confirm validity of prescriptions, patient data and drug side effects.
  • Flagged potential side effects and allergies to prescribed medications for patients.
  • Answered telephones to respond to questions or requests.
  • Entered prescription information into computer databases.
  • Operated cash registers to accept payments from customers.
  • Assisted customers by answering questions, locating items or referring to pharmacist for medication information.
  • Received written prescriptions and refill requests from patients, evaluating information for completeness and accuracy before filling.
  • Received written prescription or refill requests, verifying information for completeness and accuracy.
  • Greeted customers and answered questions regarding personal medications or over-the-counter pharmacy products.
  • Cleaned and maintained equipment or work areas according to prescribed methods.
  • Ordered, labeled and counted stock of medications and entered inventory data into computer.
  • Communicated effectively with doctors and insurance agencies to resolve prescription cost discrepancies.
  • Checked medications for content, accuracy and completeness of drug packaging and labeling.
  • Maintained proper storage and security conditions for drugs.
  • Prepared and processed medical insurance claim forms and records.
  • Received and stored incoming supplies and informed supervisors of stock needs and shortages.
  • Prepacked bulk medicines, filled bottles with prescribed medications and typed and affixed labels.
  • Established or maintained medications and other patient profiles.
  • Mixed pharmaceutical preparations according to written prescriptions.
  • Monitored supply inventory and promptly submitted replenishment orders to prevent shortages.
  • Computed charges for medication or equipment dispensed to hospital patients and entered data into computer.

Teaching Assistant

Campbell County Schools
Jacksboro, TN
09.1992 - 08.2002
  • Established positive relationships with students, parents, fellow teachers and school administrators.
  • Graded assignments and tests and documented results into filing systems.
  • Helped teachers with material generation, lesson plan development, class preparation, scheduling, exam distribution and student mentoring.
  • Supervised children and participated with children in activities.
  • Helped students master learning concepts through one-on-one and small group tutoring.
  • Assisted teachers with lesson preparation and curriculum implementation.
  • Helped students master assignments and reinforced learning concepts presented by teachers.
  • Contributed to positive, educational setting by delivering gentle discipline and promoting student success.
  • Instructed and monitored students in use and care of equipment and materials.
  • Worked one-on-one with special needs students to help navigate through school challenges.
  • Tutored and assisted children individually and in small groups to help master assignments and reinforce learning concepts.
  • Provided individualized and small group support to reinforce classroom topics and promote student learning.
  • Prepared lesson materials, bulletin board displays, exhibits and demonstrations to assist teachers in classroom preparation.
  • Handled clerical duties, managed classrooms and coordinated documents for teachers.
  • Prepared lesson materials and visual aids to reinforce lesson concepts.
  • Organized student performance and enrichment activities to facilitate learning.
  • Assessed student learning styles and understanding of material to redirect and optimize teaching strategies.
  • Discussed assigned duties with classroom teachers to coordinate instructional efforts.

Education

GED -

Jellico High School
Jellico, TN
05.1992

Some College (No Degree) - Nursing Science

Lincoln Memorial University
Harrogate, TN

Skills

  • Teamwork and supervising experience
  • Billing claims with accuracy
  • Ordering and Stocking Medications
  • Verifying accurate claim billing
  • Verifying Orders
  • Troubleshooting Malfunctioning Equipment
  • Pharmacy Operations
  • Computer skills
  • Proper Labeling Procedures
  • Point of Sale Systems Proficiency
  • Customer Service
  • Relationship Building
  • Prioritization and Organization
  • Recordkeeping and Documentation
  • Data Entry
  • Prescription Refill Fulfillment
  • Prescription Filling and Labeling
  • Verbal and Written Communication
  • Inventory Management
  • Strong client relations skills
  • Relationship building
  • Statement preparation
  • Codes reviewing
  • Bookkeeping
  • [Type] billing experience
  • Budgeting
  • Financial statements expertise
  • Process improvements
  • Month-end closing procedures
  • Team Bonding
  • Account Reconciliation
  • Payment posting
  • Research and due diligence

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline

Pharmacy Technician CPhT-Adv/Manager

Windham Drug
01.2011 - 05.2023

Pharmacy Technician

Family Drug Center
08.2001 - 08.2008

Teaching Assistant

Campbell County Schools
09.1992 - 08.2002

Cashier

Frontier House
06.1988 - 06.2010

GED -

Jellico High School

Some College (No Degree) - Nursing Science

Lincoln Memorial University
Sandra Terry