Tiesha Provins
Port St. Lucie
Summary
Healthcare operations professional with a Bachelor’s degree in Healthcare Management and 12+ years of pharmacy technician experience supporting high-volume pharmacy operations, medication access, insurance processing, and regulatory compliance. Skilled in resolving complex pharmacy and insurance-related issues, supporting prior authorizations and claims processes, and collaborating with providers, payers, and internal teams to ensure accurate and timely outcomes. Experienced in pharmacy workflow optimization, financial and inventory processes, data accuracy, and customer support. Seeking to leverage pharmacy operations expertise and analytical skills in an Account Manager role supporting 340B pharmacy programs.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Lead Pharmacy Technician
Costco Wholesale
Lantana, FL
02.2011 - 10.2022
- Supported daily pharmacy operations in a high volume environment, ensuring accuracy, efficiency, and compliance with healthcare regulations and internal policies.
- Processed prescriptions and assisted with insurance billing, claims resolution, and prior authorization coordination with providers and insurance companies.
- Resolved complex medication access issues by working directly with patients, pharmacists, physicians, and insurance representatives to ensure timely therapy initiation.
- Maintained accurate documentation for pharmacy operations, including prescriptions records, insurance activity, and compliance-related reporting.
- Assisted with medication inventory management, purchasing, ordering, and reconciliation to support cost control and operational efficiency.
- Collaborated across pharmacy teams to improve workflow efficiency and patient service outcomes.
- Utilized pharmacy systems and electronic health records (EHR) to manage prescriptions, documentation, and operational data.
- Provided education and support to patients and healthcare partners regarding medication use, insurance processes, and pharmacy services.
Membership Associate
Costco Wholesale Corp
Lantana, Fl
11.2009 - 02.2011
- Provided exceptional member support by responding to inquiries, resolving concerns, and assisting with healthcare service needs in a timely and professional manner.
- Managed member accounts, updated demographic and coverage information, and maintained accurate records while protecting confidential healthcare data.
- Educated members on available benefits, services, policies, and procedures to improve understanding and satisfaction.
- Collaborated with internal departments, providers, and internal partners to resolve member issues and coordinate effective solutions.
- Reviewed account information, identified discrepancies, and supported accurate documentation and data integrity.
- Assisted with enrollment processes, eligibility verification, and benefit- related questions while ensuring compliance organizational standards.
Education
Bachelor of Science - Healthcare Management
Palm Beach State College
Lake Worth, FL05.2019
Skills
- Pharmacy Operations & Workflow Management
- 340B Program & Pharmacy Compliance (Exposure/Understanding)
- Client & Account Relationship Support
- Medication Access & Specialty Pharmacy Support
- Insurance Verification, Billing & Claims Support
- Prior Authorization & Appeals Coordination
- Pharmacy Purchasing, Inventory & Reconciliation
- Data Review, Reporting & Trend Identification
- Process Improvement & Operational Efficiency
- Microsoft Excel (Data Tracking, Reporting, Spreadsheets)
- Cross-Functional Collaboration
Certification
- CPhT - Certified Pharmacy Technician
Pharmacy Technician Certification Board (PTCB)
2014- present
- Registered Pharmacy Technician (RPhT)
Florida Board of Pharmacy
2014- present
Timeline
Lead Pharmacy Technician
Costco Wholesale
02.2011 - 10.2022
Membership Associate
Costco Wholesale Corp
11.2009 - 02.2011
Bachelor of Science - Healthcare Management
Palm Beach State College