Trisha Rickey
Marana,AZ
Summary
Accomplished and certified Pharmacy Technician with over 10 years of experience in retail pharmacy environments for major national chains. Practiced at offering medications to patients, offering information to patients and communicating with healthcare professionals. Knowledgeable about FDA drug safety guidelines, prescription interactions and pharmacy law. Calling insurance companies and patients with professional etiquette daily. Finding solutions to problems and helping patients.
Experienced with managing prior authorization processes efficiently to ensure patient access to treatments. Utilizes critical thinking and effective communication to streamline operations and support healthcare providers. Track record of enhancing workflow efficiency and navigating complex authorization requirements.
Professional in healthcare administration with extensive background in prior authorization processes. Proven ability to navigate complex insurance requirements, ensuring efficient and accurate approvals. Strong focus on team collaboration and delivering consistent results. Known for adaptability, reliability, and maintaining high standards in fast-paced environment. Skilled in customer service, data entry, and compliance with healthcare regulations.
Results-driven healthcare professional prepared to excel in facilitating prior authorization processes. Adept at streamlining operational workflows and supporting healthcare providers in navigating authorization requirements. Focus on team collaboration and adaptability to changing needs. Key skills include critical thinking, effective communication, and problem-solving.
Amiable Prior Authorization Representative with 3.5 years of connecting patients and healthcare providers to vital resources. Dedicated to executing on prescribed medical funding guidelines and policies. Maintains compassionate and sympathetic relations with consumers. Adept at balancing business interests with human-centric service models.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Lead Prior Authorization Technician
UnitedHealth Group
Remote
11.2023 - Current
- Ensured compliance with HIPAA regulations by maintaining strict confidentiality in handling sensitive patient information
- Managed team of 15 agents to enhance efficiency in prior authorization tasks.
- Managed high-priority calls to ensure timely resolution.
- Organized team huddles to streamline communication.
- Collaborated with direct supervisor to optimize team performance.
Prior Authorization Pharmacy Technician
United Healthcare Group
Remote
11.2021 - 11.2023
- Demonstrated adaptability by effectively transitioning between different roles within the pharmacy setting as needed while maintaining a high level of professionalism and competence.
- Enhanced customer satisfaction with timely resolution of insurance issues, addressing concerns, and providing accurate information.
- Participated in continuing education opportunities to remain current on industry standards, best practices, and emerging trends in the field of pharmacy.
- Improved patient outcomes by accurately processing prior authorization requests and collaborating with healthcare providers.
- Reduced errors in the prior authorization process by diligently reviewing patient records, insurance details, and medication interactions.
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
Certified Pharmacy Technician
Smiths Food And Drug
Gardnerville , NV
01.2011 - 11.2020
- Stocked, labeled and inventoried medication to keep accurate records.
- Consulted with insurance company representatives to complete claims processing, resolve concerns and reconcile payments.
- Worked with computerized and automated systems for dispensing medications and editing new patient profiles.
- Communicated directly with doctors offices via telephone, fax, and email.
- Reviewed and verified customer information and insurance provider information.
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Resolved non-routine issues like third-party billing, computer system and customer service issues.
- Assisted in preparation, distribution, and storage of pharmaceuticals.
- Helped pharmacist clear problematic prescriptions and address customer questions to keep pharmacy efficient.
- Completed paperwork, entering prescription and insurance or billing information into patient profiles.
- Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems and locating items.
- Supervised 4 pharmacy technicians and coordinated day-to-day assignments.
Education
High School Diploma - N/A
Douglas High School
Minden, NV5 2008
Skills
- HIPAA
- Team Leadership
- Updating Medication Histories
- Manual and Automated Medication Dispensing
- Insurance Knowledge
- Managed Care
- Cash Register Operation
- Patient Information Verification
- Shelving
- Workflow Optimization
- Pharmacy and customer records management
- Patient confidentiality
- Assisting pharmacists
- Drug inventory management
- Medicare and Medicaid process
- Answering customer questions
- Typing medication labels
- Medication dispensing
- Leadership skills
- Submitting prior authorizations on behalf or member and providers
- Adjusting agents time in Webstation
- Approving Prior Authorization cancellations
- Entering Medical approvals into Salesforce
- Coach agents on Quality Audits
- Coach agents on Improvement Opportunities
- Assist agents with processing Prior Authorizations
Certification
- Pharmacy Technician license from the Nevada State Board of Pharmacy.
- PTCB
Timeline
Lead Prior Authorization Technician
UnitedHealth Group
11.2023 - Current
Prior Authorization Pharmacy Technician
United Healthcare Group
11.2021 - 11.2023
Certified Pharmacy Technician
Smiths Food And Drug
01.2011 - 11.2020
High School Diploma - N/A
Douglas High School