Tammy Y Hardin
Saint Hedwig
Summary
To work in a position with advancement opportunities that can help further my knowledge of the company.
Overview
20
20
years of professional experience
Work History
Pharmacy Technician
CVS
- Assisted the pharmacist with filling perceptions
- Worked with insurance companies to verify prescription coverage
- Ordered Medications and supplies for pharmacy
Sr Coordinator, Complaint and Appeals Operations
Aetna/ CVS Health
San Antonio, TX
08.2024 - Current
- Reviewed and interpreted regulatory guidelines to ensure compliance in appeal decisions.
- Analyzed complex appeals to determine eligibility and resolution pathways.
- Enhanced customer satisfaction with timely resolution of appeals, addressing concerns thoroughly and professionally.
- Analyzed and rendered determinations on assigned non-complex grievance and appeal issues.
- Reviewed, analyzed and processed non-complex grievances and appeals.
- Followed department guidelines and tools to conduct reviews.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
NCD Pharmacy Technician
CVS Caremark
San Antonio, TX
10.2018 - 08.2024
- Take ownership of the investigation process, and partner closely with neighboring departments to help support the efficiency and timeliness of the pharmacy workflow
- Data entry of escribed, mailed, and faxed prescriptions
- Faxing information regarding Prior Authorizations to prescribers
- Clarifying and processing prior authorizations and rejected orders
- Inputting overrides for new and refilled medications
- Faxing information regarding Recalled or Out of stock prescriptions
RXE Pharmacy Technician
CVS Caremark
10.2006 - 10.2018
- Process prescriptions, moving them to the next appropriate queue for both Prescription Entry and Doctor calls (sub-queues trained in but not inclusive to : Translation, Med B, Diabetic , FRS and more
- Assisted with Aged orders to fulfill turnaround time goals
- Conducted mentoring for new hires and tenured techs to help them improve on their performance
- Conducted and assisted with training and cross training
- Assisted with Lead Support
- Assisted with Grievances and complaints
- Provided feedback to Management on process improvements
Education
Pharmacy Technician - Pharmacy
San Antonio College of Medical And Dental Assistants
San Antonio, TX12.2002
Skills
- Self-Motivated
- Ability to work overtime and meet deadlines
- Excellent Time Management Skills
- Organized and ability to prioritize work – multitask
- Attention to detail
- Great communication skills (verbal and handwritten)
- Accountable for goals and results
- Customer focused and Relationship Building
- Flexible and adaptive to change
- Strong PC skills, including Excel & other MS Office, Windows applications
- Review, analyze and compile information from multiple data sources
- Handle multiple task with competing priorities
- Good problem solving skills
- Strong analytical skills
- Confidence in ability to learn complex material
- Ability to work in high production, fast paced, time sensitive environment
- Confidentiality and HIPAA
- Team collaboration
- Patient confidentiality
- Supply restocking
- Pharmacy ethics
Timeline
Sr Coordinator, Complaint and Appeals Operations
Aetna/ CVS Health
08.2024 - Current
NCD Pharmacy Technician
CVS Caremark
10.2018 - 08.2024
RXE Pharmacy Technician
CVS Caremark
10.2006 - 10.2018
Pharmacy Technician
CVS
Pharmacy Technician - Pharmacy
San Antonio College of Medical And Dental Assistants