Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Shannon Pipkin

San Tan Valley,AZ

Summary

Certified Pharmacy Technician with over 28 years of experience. Dedicated, hard-working, reliable and accurate professional who always delivers courteous service. I am a detail-oriented technician skilled at filling prescriptions, familiar with non-sterile compounding, prior authorizations, Medical and Pharmacy billing and pharmaceutical calculations.

Overview

32
32
years of professional experience
1
1
Certification

Work History

PHARMACY CLAIMS AUDITOR

Conduent.
01.2023 - Current
  • Managed and audited pharmacy claims for accuracy and compliance with regulations.
  • Reviewed and verified prescription orders for appropriateness and adherence to policies.
  • Maintained detailed records of all pharmacy claims and audit findings.
  • Improved customer satisfaction by providing timely and accurate feedback on submitted claims, facilitating a positive experience.
  • Researched issues related to claims processing to identify origins and implement corrective solutions.

INSURANCE BILLING SPECIALIST

Freedom Fertility
07.2022 - 09.2023
  • Fertility Processing specialty medications for patient using the QS1 system
  • Troubleshooting insurance claims and taking patient calls
  • Performing Medical Billing Investigations and obtaining prior authorizations for patients
  • Managed patient account information to ensure accuracy and compliance with HIPAA regulations
  • Assisted patients with understanding their health plan benefits and coverage details.
  • Obtained prior authorizations for patients thru their medical and pharmacy benefits.


SENIOR PHARMACY TECHNICIAN

Walgreens.
01.1993 - 01.2022
  • Assisted in training and mentoring new pharmacy technicians, leading to increased team efficiency and cohesion.
  • Expedited prescription fulfillment through proficient use of pharmacy software systems, resulting in reduced wait times for customers.
  • Facilitated seamless communication between patients, healthcare providers, and insurance companies to expedite prescription processing.
  • Enhanced customer satisfaction with prompt and courteous service while addressing their prescription needs.
  • Non-Sterile Compounding
  • Reduced medication errors by meticulously verifying prescription information and conducting thorough drug interaction checks.
  • Coordinated verification and filling of more than 300 daily prescriptions in high-volume retail-pharmacy environment.

Education

High School Diploma -

Mountain Pointe High School
Phoenix, AZ
12.1994

Skills

  • Certified Pharmacy Technician
  • Detail-oriented
  • Non-Sterile Compounding
  • Prior Authorizations
  • Medical and Pharmacy Billing
  • Inventory Management
  • Regulatory Compliance
  • Claims Auditing
  • Claims Processing
  • Team Collaboration
  • Auditing Techniques
  • Organizational Skills

Certification

  • PTCB-10115054
  • AZ Pharmacy Tech License-T002650

Timeline

PHARMACY CLAIMS AUDITOR

Conduent.
01.2023 - Current

INSURANCE BILLING SPECIALIST

Freedom Fertility
07.2022 - 09.2023

SENIOR PHARMACY TECHNICIAN

Walgreens.
01.1993 - 01.2022

High School Diploma -

Mountain Pointe High School

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Shannon Pipkin