Theresa Washington
Summerville,South Carolina
Summary
With a proven track record at the Medical University of South Carolina, I excel in my role as a Medication Access Specialist (Technician IV), demonstrating expertise in medication adherence and team collaboration. My achievements include streamlining the prior authorization process, enhancing patient medication adherence, providing great customer service and significantly contributing to team goals through effective workflow optimization.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Pharmacy Technician IV
Medical University Of South Carolina
Charleston, SC
09.2018 - Current
- Creating and accepting specialty encounters to complete prior authorizations, copay assistance, and patient assistance application requests received from the Hollings Cancer Center and MUSC's regional oncology clinics.
- Completes benefits investigations for oral chemotherapy and supportive medications.
- Extensive knowledge of third-party payors, DUR rejections, insurance formularies (PDL), Medicare billing codes, FDA guidelines, prior authorizations, manufacturer copay resources (PAP and copay foundations), and the Lynn Uber Foundation.
- Extensive prior authorization knowledge in oncology and a variety of additional specialty disease states.
- Extensive knowledge of outpatient electronic medical record (Epic) and retail pharmacy system (WAM).
- Understands REMS and regulatory requirements for specialty medications.
- In-depth understanding of the specialty mail order process (triaging incoming calls, medication shipments, inventory checks, and UPS delivery system).
- Active participant in the training of newly hired employees, including technicians and pharmacists.
- Active participant in the recruitment of new hires.
Lead Pharmacy Technician/Inventory Specialist
CVS/Pharmacy
Johns Island, South Carolina
09.2002 - 04.2023
- Determine and access staffing needs, completing work schedules for pharmacy technicians and pharmacy interns, complete work assignment board daily and train new employees
- Conduct weekly pharmacy 'huddle' meetings to review expectations, discuss team goals, increase execution scores and patient care initiatives
- Managing inventory by completing the weekly out of stock report, completing cycle counts, managing IAR reports, reviewing outside vendor orders (Cardinal Health), completing warehouse returns and outside vendor returns, completing GENCO and Strong Pak returns within the allotted time frame
- Receive written prescriptions or refill requests and verify that information is complete and accurate
- Maintain proper storage, clean working conditions and security conditions for drugs
- Establish or maintain patient profiles, including lists of current medications being taken by the patient or medications recently discontinued by their physician
- Answer telephones, respond to patient needs, questions, requests, or refer the patient to the pharmacist for medication consultation or questions when necessary.
- Organize and file prescriptions that have been filled, using the CVS filing system.
- Order and receive the store's incoming supplies, verify quantities against invoices, check for outdated medications in the current inventory, and inform supervisors of stock needs and shortages.
- Operate cash registers to accept payment from customers.
- Input and adjudicate pharmacy claims.
- Resolve any DUR adjudication messages, and contact the patient or physician if issues are not resolved prior to the promised pick-up time.
- Conducting patient outreach calls, which help promote compliance with their prescribed maintenance medications.
Medication Access Technician II
Medical University of South Carolina
Charleston, South Carolina
10.2011 - 09.2018
- Creating and accepting telephone encounters to complete prior authorization requests received from MUSC's hospital-based clinics, off-site clinics, ambulatory pharmacies, and outside pharmacies.
- Responds to prior authorization requests submitted by healthcare providers, nurses, pharmacists, and pharmacy technicians to assist patients needing prior authorizations for ambulatory pharmacy dispensed medications.
- Utilizes the outpatient electronic medical record (Epic) and retail pharmacy system (WAM) at MUSC to identify patients needing prior authorization assistance.
- Provides insurance companies with accurate clinical documentation required to support FDA guidelines for approvals.
- Communicates with physicians, nurses, pharmacists, and other healthcare professionals, providing documentation via Epic once a telephone encounter is received, initiated, and the expected time frame in which a decision will be reached.
- Creates ivents to track the number of prior authorizations submitted, approved, or denied by insurance companies, and the revenue generated.
- Communicates to providers, nurses, and pharmacists alternative drug therapies and PDL medications that may be prescribed, which may offer cost savings for patients.
- In-depth understanding of disease states, insurance formulary medications (PDL), pharmacy billing, and DUR messages (prescription adjudications).
- Communicates dosing clarifications, clinical diagnosis (ICD-10 codes), and dose changes with the physician, clinical support staff, or pharmacist when an issue arises.
- Extensive prior authorization training in oncology as well as a variety of specialty disease states
Intern
American Red Cross Low Country Chapter
Charleston, South Carolina
01.2010 - 04.2010
- Assisted the development coordinator with general office duties
- Assisted the development coordinator with special events by coordinating and promoting the annual Old Village Home, Garden and Arts Tour
- Assisted in all aspects of fundraising, development and chapter donor relations
- Assisted with designing print material (brochures and print advertisements)
- Conducted outreach calls to yearly donors and sponsors to seek/confirm funding for the annual Old Village Home, Garden and Arts Tour
Intern
Charleston County Probate Court
Charleston, South Carolina
01.2005 - 04.2005
- Attended court sessions conducted by Probate Judge Irvin G. Condon, CPA, Esquire.
- Attended Drug Court sessions conducted by Associate Probate Judge Tamara C. Curry. Esquire
- Attended staff meetings and briefings with Associate Judge Tamara C. Curry, representatives from the Charleston County Sheriff's Office, Probation and Parole, and Mental Health Counselors.
- Assisted the Mental Health Coordinator by filing legal documents, and received training in preparing legal documents.
- Additional training was received to assist with understanding the role of guardianship, conservatorship, and the different divisions of the probate court.
Education
Bachelor of Arts - Corporate Communications, Business Administrations
COLLEGE OF CHARLESTON
Charleston, South Carolina05.2010
Associates - Public Service-Parlegal
TRIDENT TECHNICAL COLLEGE
Charleston, SC05.2005
Skills
- Insurance reconciliation
- Drug safety
- Drug utilization review
- Patient confidentiality
- Medication therapy management
- Insurance verification
- Supporting pharmacy operations
- Insurance billing
- Team collaboration
- Workflow optimization
- Prior Authorizations
- Copay Assistance
- Patient Assistance
- Medication Adherence
Awards
- Trident Technical College Dean's List-Fall 2003
- Trident Technical College-Dean's List Spring/Fall 2004
- Trident Technical College-Dean's List Spring 2005
- College of Charleston Dean's List-Spring/Fall 2008
- College of Charleston-Dean's List-Spring/Fall 2009
- College of Charleston-Dean's List Spring 2010
- Hibernian Scholarship Recipient- 2009-2010
Credentials And Licenses
- South Carolina Board of Pharmacy State Certified Pharmacy Technician, 16705
- Pharmacy Technician Certification Board: PTCB Nationally Certified Pharmacy Technician (CPhT), 290101040760559, 07/31/04
Accomplishments
- Emerging Leaders Program (Spring 2024)
- Onboarding Committee
- System Pharmacy Technician Committee
- Inclusive Excellence Committee
- Inclusive Excellence Book Club
- Immunization Certified (June 3, 2021)
Certification
- South Carolina State Certified Pharmacy Technician (Registration Number 16705)
- PTCB National Certification (Certification Number 290101040760559)
Timeline
Pharmacy Technician IV
Medical University Of South Carolina
09.2018 - Current
Medication Access Technician II
Medical University of South Carolina
10.2011 - 09.2018
Intern
American Red Cross Low Country Chapter
01.2010 - 04.2010
Intern
Charleston County Probate Court
01.2005 - 04.2005
Lead Pharmacy Technician/Inventory Specialist
CVS/Pharmacy
09.2002 - 04.2023
Bachelor of Arts - Corporate Communications, Business Administrations
COLLEGE OF CHARLESTON
Associates - Public Service-Parlegal
TRIDENT TECHNICAL COLLEGE
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