Victoria Ruiz
Pharmacy Technician
Albuquerque,NM
Summary
Dedicated Pharmacy Technician with 24 years of extensive experience in retail and managed care settings. Proven ability to optimize workflows, ensure regulatory compliance, and deliver exceptional patient care. Passionate about leveraging in-depth industry knowledge to enhance team performance and support a forward-thinking healthcare environment that prioritizes innovation and growth. Committed to contributing to a collaborative team focused on advancing patient outcomes and operational excellence.
Overview
20
20
years of professional experience
Work History
Prior Authorization Coordinator
MedImpact
04.2025 - 12.2025
- Managed prior authorization requests, ensuring compliance with regulatory standards.
- Reviewed and analyzed authorization documentation for accuracy and completeness, reducing processing errors.
- Collaborated with healthcare providers to gather necessary documentation for timely approvals.
- Managed complex cases requiring escalations, ensuring adherence to company policies and standards.
- Maintained up-to-date knowledge of insurance regulations and industry best practices to inform decision-making.
Pharmacy Operations Representative
Blue Cross Blue Shield of NM
03.2020 - 03.2023
- Processed and approved prior authorization pharmacy requests based on client clinical guidelines.
- Provided timely updates on approval decisions to physicians and office staff.
- Directed requests necessitating thorough clinical assessment to Pharmacist for review.
- Managed multiple task queues and assignments with precision.
- Kept current with office-administered prescription drugs, disease states, and health plan formulary management techniques.
Pharmacy Benefits Technician II
Presbyterian Health Plan
10.2015 - 03.2020
- Processed prior authorization requests received from providers.
- Monitored and implemented formulary updates across all business lines.
- Responded to inquiries from customer service representatives and providers about eligibility, copayment details, and prior authorization outcomes.
- Reviewed requests for Direct Member Reimbursement and determined outcomes.
- Addressed claims department inquiries regarding prior authorization of J codes.
- Participated in groups to implement new tools and systems, optimizing overall efficiency.
- Communicated potential enhancements in internal workflows to supervisors and lead technician.
- Trained pharmacy technician new hires.
- Assisted with lead technician responsibilities in the absence of primary technician.
- Responded to inquiries from technicians, pharmacists, and other departments.
- Stayed current with benefits trends and legislation through continuous education and professional development
- Provided exceptional customer service, addressing inquiries related to health plan benefits and eligibility.
Sr. Pharmacy Technician
Walgreens
02.2006 - 08.2014
- Entered new patient profiles and prescriptions into pharmacy system efficiently.
- Handled up to 550 prescriptions with precision on busy days.
- Checked accuracy of patient demographics and insurance billing data.
- Handled multi-line phone system, efficiently resolving inquiries and grievances from medical professionals and patients.
- Oversaw inventory management activities.
- Managed controlled drug registries with precision and ensured compliance with regulations.
Education
Associate of Arts - Liberal Arts
Central New Mexico Community College
Albuquerque, NM12.2015
Skills
- Detail-oriented data entry
- Thorough in quality assurance
- Proficient workload organization
- Client assistance
- Effective communication skills
- Proficient in Microsoft Office
- HIPAA compliance
- Benefit coverage
References
Available upon request
Certification
CPhT - Certified Pharmacy Technician
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Prior Authorization Coordinator
MedImpact
04.2025 - 12.2025
Pharmacy Operations Representative
Blue Cross Blue Shield of NM
03.2020 - 03.2023
Pharmacy Benefits Technician II
Presbyterian Health Plan
10.2015 - 03.2020
Sr. Pharmacy Technician
Walgreens
02.2006 - 08.2014
Associate of Arts - Liberal Arts
Central New Mexico Community College