Gardening, hiking, fish keeping, singing, playing musical instruments
Tiffany Stewart
Pharmaceutical Professional
Atlanta,GA
Summary
Highly efficient Pharmacy Technician well established in fast-paced and challenging environments. Eager to learn with aptitude for applying new knowledge with skill and efficiency.
Overview
21
21
years of professional experience
1
1
Certification
Work History
POC and Mentor for RCN Program
Elevance
05.2019 - Current
- Assisting mentees in setting achievable goals and creating realistic action plans for personal and professional growth.
- Training new employees for RCN program (Adherence, Generic Equivalent/Therapeutic Equivalent, Behavioral Health Management)
- Updating Quarterly Reference Reviews
- Holding meetings with other managers and pharmacists explaining workflow process for RCN program
- Handing difficult case issues and resolving problems
Relationship Manager
Heartland Payment Systems
09.2017 - 09.2019
- Provided credit card processing services to small and mid-sized businesses
- Built relationships with merchants from various industries
- Provided business solutions to clients
Certified Pharmacy Technician
Aetna Via Contract With HGS Healthcare
09.2018 - 05.2019
- Approved and denied prior authorizations with help of clinical pharmacists by reviewing clinical criteria.
- Utilized Master Formulary to review clinical criteria to approve or deny prior authorizations.
Senior Billing Specialist
Guardian Pharmacy
10.2013 - 09.2017
- Adjudicated claims
- Worked and resolved unpaid claims
- Generated patient statements
- Maintained Accounts Receivable records
- Resolved insurance issues with Medicare Part D, commercial insurance, and hospice
- Generated and followed through with Prior Authorizations
- Built relationships with nurses and LTC facilities
- Reconciled invoices
Senior Pharmacy Technician
Primrose Pharmacy
10.2012 - 10.2013
- Filled prescriptions under supervision of pharmacist. Handled inventory of medications.
- Billed prescription orders via health insurance plan (including Medicare, WC, Medicare D, and Medicaid)
Clinical Business Associate
Catalyst Rx
03.2008 - 10.2012
- Generated quarterly rebate invoices, as well as disseminating them to drug manufacturers
- Reconciled payments received from manufacturers
- Calculated client rebate payments and created client rebate remittances
- Maintained client tables relating to client billings and client payments
- Created monthly rebate reporting and provided same to company's accounting group
- Communicated with manufacturer representatives to resolve disputes and initiate collection activities for non-payment of rebates
Pharmacy Technician Program Manager
High-Tech Institute
04.2005 - 04.2008
- Interviewed, hired, and trained employees
- Scheduled space utilization for lecture/lab
- Budgeted and ordered students' books and supplies
- Appraised instructor performances
- Addressed student concerns
- Worked with probation boards
- Conducted Advisory Board meetings
Coordinator for Pharmaceutical Customer Services
Diversified HealthCare Services
04.2003 - 04.2005
- Took physicians' orders via telephone and email
- Kept sales reps up to date on order processing
- Kept record of sales numbers made daily by each sales rep
Education
Bachelor of Science - Biochemistry
Suffield University
Twin Falls, ID 05.2001 -
Bachelor of Science - Psychology/Pharmacy
Northeastern University
Boston, MAApplied Jewelry Professional - Gemology
Gemological Institute of America
Carlsbad, CACertified Diamontologist - Gemology
Diamond Council of America
Nashville, TNSkills
Skill Development
Teamwork and Collaboration
Individual Tutoring
Effective Leadership
Problem Solving Skills
Teaching and Management
Public Speaking
Proficient in MS Word, Excel, Access, and Power Point
Accomplishments
- Earned award from Elevance in 2020 advising providers to add statin meds to diabetic patients' drug regimen to protect the heart
- Exceeded expectations in meeting goals in the RCN program
- Became POC (Person of Contact) for RCN program in 2022.
Certification
Pharmacy Technician Cerfication
Interests
Timeline
POC and Mentor for RCN Program
Elevance
05.2019 - Current
Certified Pharmacy Technician
Aetna Via Contract With HGS Healthcare
09.2018 - 05.2019
Relationship Manager
Heartland Payment Systems
09.2017 - 09.2019
Senior Billing Specialist
Guardian Pharmacy
10.2013 - 09.2017
Senior Pharmacy Technician
Primrose Pharmacy
10.2012 - 10.2013
Clinical Business Associate
Catalyst Rx
03.2008 - 10.2012
Pharmacy Technician Program Manager
High-Tech Institute
04.2005 - 04.2008
Coordinator for Pharmaceutical Customer Services
Diversified HealthCare Services
04.2003 - 04.2005
Bachelor of Science - Biochemistry
Suffield University
05.2001 -
Bachelor of Science - Psychology/Pharmacy
Northeastern University
Applied Jewelry Professional - Gemology
Gemological Institute of America
Certified Diamontologist - Gemology
Diamond Council of America
Similar Profiles
Deborah A LivengoodDeborah A Livengood
Physical Health Team Lead at ElevancePhysical Health Team Lead at Elevance
Nilsa RamirezNilsa Ramirez
Customer Care Representative/Claims Representative at ElevanceCustomer Care Representative/Claims Representative at Elevance
LeAnn PenryLeAnn Penry
ECOB III at ElevanceECOB III at Elevance
ERIC THOMPSONERIC THOMPSON
Clinical Provider Auditor at ElevanceClinical Provider Auditor at Elevance
Raymond ConwayRaymond Conway
Member Services Specialist at Vystar Credit UnionMember Services Specialist at Vystar Credit Union