Summary
Overview
Work History
Education
Skills
Timeline
Generic

Tamara Texeira-Solomon

Canton,MA

Summary

Pharmacy Coordinator Skilled at Managing Relationships with Providers & Analyzing Use & Cost Data. Dedicated and self-motivated pharmacy coordinator with extensive experience working with managed care companies, processing medication requests and managing relationships with providers. Skilled in all aspects of insurance billing, claims and collections. Analytical thinker, creative problem solver and active listener. Demonstrated ability to collaborate internally and externally to ensure delivery of efficient, high quality service. Highly organized and flexible and efficiently prioritizes and multitasks to meet all deadlines. Positive, can-do attitude. Personable and friendly and effectively manage relationships with customers and team. Takes initiative to get the job done.

Overview

19
19
years of professional experience

Work History

Pharmacy Technician

Boston Children's Hospital
06.2023 - Current
  • Performs quality controls checks of medication orders and doses distributed following established procedures and schedules.
  • May input patient medication orders on departmental computer system, ensuring that orders are verified by a pharmacist prior to dispensing.
  • Provides training to new technicians in job duties, procedures and techniques.
  • Monitors and documents trainee performance, identifying areas for improvement and reports to designated pharmacist/lead technician and/or pharmacy technician supervisor.
  • Fills and delivers medication orders/prescriptions for hospital inpatients and outpatients. Fills standing inpatient medication orders in individual cassettes following computer-generated lists and fills new orders/prescriptions from physician orders.
  • Delivers cassettes and individual medications to units and collects new medication orders according to established procedures and schedules.
  • Prepares patient medications in accordance with established protocols, methods, and techniques.
  • Measures, mixes, and compounds automated TPNs, irrigations, chemotherapy drugs, and parenteral and oral medications in specified volumes, dosages, and concentrations.
  • Prepares special dilutions of non-controlled and controlled substances, IV, and research study medications as needed. Labels and records manufactured medications as required.
  • Receives and fills pharmaceutical supply requests for nursing units, satellite locations, and other areas.
  • Monitors, restocks, and rotates supplies, including controlled substances, removing and replacing outdated products, and processing related patient charges and credits.
  • Restocks emergency code cart trays and prepares and maintains corresponding logs and records.
  • Assists nursing staff in completing scheduled controlled substance inventory.
  • Performs all automated dispensing functions. Provides training to new technicians in job duties, procedures, and techniques.
  • Prepares and maintains related logs and records.
  • Maintains neatness and organization of work area.
  • Answers, screens, and routes telephone calls as needed.
  • Refers any medical/drug information questions or administrative inquiries to the pharmacist.


Pharmacy Technician lll

Tufts Medical Center
01.2022 - Current
  • Understand how to make complex allergy testing kits that require serial dilutions (complex math calculations)
  • Requires specific hazardous substance handling training and complex sterile compounding techniques and mathematical calculations
  • Prepares a variety of products including specialized dilutions and specialty infusions
  • Partakes in advanced medication dispensing activities: Performs process validation utilizing bar code scanning technology i.e., technology checks technician
  • Removes scheduled II-IV medications from the narcotic vault for the replenishment of automated dispensing cabinets
  • Navigates workflows for high priority orders and prescriptions
  • Displays versatility within the operations to support timely medication dispensing
  • Participates in advanced financial transaction and audit activities: Completes routine benefit investigation for high cost and complex medications
  • Performs audits of narcotic utilization, inventory control, and cost accounting or billing for specialized areas
  • Engages in advanced customer service activities: Investigates and resolves medication issues or request, and communicates directly with patients or health care providers
  • Communicates medication-related issues to all appropriate heath care professionals

Specialty Pharmacy Liaison

Beth Israel Deaconess Medical Center
02.2019 - 06.2021
  • Understands product and payer reimbursement landscape and prior authorization guidelines and processes
  • Collects and reviews all data needed pharmacy and/or medical for prior authorization approvals
  • Resolves insurance related issues, including prior authorizations (PAs), and assist patients with various forms of financial assistance
  • Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly; maintains frequent phone contact with patient, provider and pharmacy staff; and clarifies prescription orders with pharmacist and/or clinician as appropriate
  • Serves as the direct patient and provider contact for pharmacy benefit information, clinical and program information

IV Compounding Technician (Temporary)

Dana-Farber
08.2018 - 02.2019
  • Prepares sterile and non-sterile compounded products according to production schedules and patient orders at the hospital
  • Updates IV production list and makes all new mixes
  • Inventories and orders IV admixture supplies
  • Sets up and prepares all compounding orders
  • Cleans and maintains work area and equipment
  • Restocks drugs, diluents, syringes and needles
  • Recycles and/or destroys returned IV's and syringes
  • Processing medication returns and patient credits

Pharmacy Coordinator

Men’s Health Boston
03.2017 - 03.2018
  • Work closely with Pharmacy Care Representatives (PCRs) in providing excellent patient care
  • Displayed patient-oriented and comprehensive clinical pharmacy services and pharmaceutical care
  • Follow-up with Directors of Nursing and Nursing Staff to communicate unresolved denials or status changes allowing alternate courses of therapy to be prescribed
  • Completes the necessary authorization forms (Certification of Medical Necessity, Prior Authorization Forms, etc) to ensure appeals are executed in with physicians, DON’s and Claims Processors in a timely manner

Pharmacy Coordinator

Celticare/ New Hampshire Healthy Families
01.2014 - 03.2017
  • Assist in identifying and developing interventions for patients that are not meeting target quality measures
  • Educate members on health care benefits through home visits and outreach
  • Participate in the development and support of formulary management and medication utilization initiatives that promote the cost-effective use of pharmacotherapy for patients through involvement in the Celticare Pharmacy and Therapeutics Committee
  • Schedule and complete home visits for noncompliance, benefits information, ED and readmission diversion and other high risk issues
  • Responded to provider and pharmacy inquiries regarding medication authorization and formulary
  • Perform review of pharmacy and override process in compliance with pharmaceutical related company and state guidelines
  • Tracked and trended overrides to ensure criteria were, audited for prior authorizations, analyzed cost and determined utilization patterns
  • Resolved complaints and grievances related to pharmacy network
  • Assist with members inquires related to the formulary and tier process
  • Knowledge of Medicare Part D Medicaid, Medicaid HMO plans, & commercial insurances

Registered Pharmacy Technician

Pharmerica
11.2004 - 01.2014
  • Prepared medications and supplies for dispensing
  • Pre-packaged bulk medication
  • Compounded ointments and creams
  • Verified information to ensure accurate processing and resolved clinical and non-clinical issues
  • Identified and proactively resolved denied claims prior to medication delivery, working with insurance companies, Medicaid, facilities and family members to ensure minimal loss of non-reimbursed inventory

Pharmacy Technician

Village Fertility Pharmacy
05.2006 - 09.2011
  • Entered patient information into Rite RX and HBS System
  • Interacted with insurance companies regarding eligibility issues
  • Compounded suppositories and other fertility medications
  • Insurance processing and verification
  • Supervise Tech’s in training

Education

Registered MA, NH, and RI -

First Aid & CPR Certified -

Certified ESL Tutor -

Associate of Science - Pharmaceutical Sciences

Mountwest Community And Technical College
Huntington, WV
01.2023

Human Services Associates -

Roxbury Community College
01.1991

Skills

  • Problem-solving skills
  • Team Collaboration
  • Confidentiality and HIPAA
  • Workflow Optimization
  • Answering customer questions
  • Insurance Billing
  • Medication Dispensing
  • Patient confidentiality
  • Prescription Filling

Timeline

Pharmacy Technician

Boston Children's Hospital
06.2023 - Current

Pharmacy Technician lll

Tufts Medical Center
01.2022 - Current

Specialty Pharmacy Liaison

Beth Israel Deaconess Medical Center
02.2019 - 06.2021

IV Compounding Technician (Temporary)

Dana-Farber
08.2018 - 02.2019

Pharmacy Coordinator

Men’s Health Boston
03.2017 - 03.2018

Pharmacy Coordinator

Celticare/ New Hampshire Healthy Families
01.2014 - 03.2017

Pharmacy Technician

Village Fertility Pharmacy
05.2006 - 09.2011

Registered Pharmacy Technician

Pharmerica
11.2004 - 01.2014

Registered MA, NH, and RI -

First Aid & CPR Certified -

Certified ESL Tutor -

Associate of Science - Pharmaceutical Sciences

Mountwest Community And Technical College

Human Services Associates -

Roxbury Community College

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Tamara Texeira-Solomon