Summary
Overview
Work History
Education
Skills
Groups
Personal Information
Certification
Work Availability
Timeline
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Wendy Leon

Wendy Leon

Pharmacy Tech / Pre-Authorization Specialist
Louisville,KY

Summary

With 15 years of medical office experience, I am eager to secure a permanent position to effectively showcase my strengths. As an individual and a team player, I am confident in being a valuable asset to any team. My track record in medication preparation, customer interaction, and inventory management demonstrates my skills as a skilled pharmacy technician. I am known for strong collaboration within healthcare teams and my ability to adapt to changing needs. With expertise in pharmaceutical calculations, prescription processing, and maintaining compliance with safety standards, I am are reliable, results-driven, and focused on delivering high-quality patient care.

Overview

19
19
years of professional experience
1
1
Certification

Work History

Pharmacy Tech

Kroger Pharmacy
Louisville, KY
09.2022 - Current
  • Customer Service with a smile and positive attitude
  • Find and verify the customers medication for point of sale
  • Return drugs to stock shelves after counting out pills to fill the prescriptions
  • Entering the data for the doctors to fill the ordered prescriptions

Pre-Certification Specialist

SENTA
02.2024 - 12.2024
    • Obtain prior authorizations for all scheduled surgeries, MRI's, CT's and Biologic drugs.
    • Developed comprehensive knowledge of various insurance plans, policies, and coverage limitations to provide accurate guidance to patients and providers.
    • When needed, submit appeal letters to insurance companies
    • Assist co-workers with scheduling any outside testing if needed

GRS Membership Rep I

Elevance Health
Louisville, KY
01.2022 - 02.2024
  • Maintain and update member enrollment profiles for GRS Enrollment Production
  • Tasks included correctly processing CONY Opt Outs/Rescinds, HIPAA authorization and processing return mail by following DLPs
  • Quickly learned new tasks and used multiple systems including Marx, Medisys, Beacon, Sharepoint, Smart tools that were required for my tasks

Pre-Certification Specialist

Advanced ENT & Allergy
10.2018 - 06.2021
  • Obtain prior authorizations for all scheduled surgeries, MRI's, and CT's
  • When needed, submit appeal letters to insurance companies
  • Assist co-workers with scheduling any outside testing if needed

Utilization Management

Aetna Insurance
06.2018 - 07.2018
  • Inbound/Outbound queue letter writing team
  • Mailed prior authorizations of letters of determination, labeled incoming faxes

Billing Dept

Surgical Care Associates
Louisville, KY
01.2016 - 06.2018
  • Billing/coding for Vascular testing, posting Humana payments, answering phone calls about patient accounts and most importantly offering customer service with a smile

Front Desk Specialist

Surgical Care Associates
12.2005 - 12.2015
  • Maintain the front office, answering a multi line phone, verifying insurance, check patients in and out, medical records when needed, scheduling for PT, MRI, CT, and other doctors offices

Education

High School -

Eastern High School
06.1994

Skills

  • Problem-solving skills
  • Team collaboration
  • Confidentiality and HIPAA
  • Workflow optimization
  • Answering customer questions
  • Insurance billing
  • Patient confidentiality

Groups

Southeast Christian Church Women's Studies

Personal Information

Hobbies: My grandchildren, Walking, Learning about a healthy lifestyle

Certification

  • Certified Pharmacy Technician (CPhT) - Pharmacy Technician Certification Board (PTCB).
  • Registered Pharmacy Technician - State Boards of Pharmacy.

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline

Pre-Certification Specialist

SENTA
02.2024 - 12.2024

Pharmacy Tech

Kroger Pharmacy
09.2022 - Current

GRS Membership Rep I

Elevance Health
01.2022 - 02.2024

Pre-Certification Specialist

Advanced ENT & Allergy
10.2018 - 06.2021

Utilization Management

Aetna Insurance
06.2018 - 07.2018

Billing Dept

Surgical Care Associates
01.2016 - 06.2018

Front Desk Specialist

Surgical Care Associates
12.2005 - 12.2015

High School -

Eastern High School

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Wendy LeonPharmacy Tech / Pre-Authorization Specialist