WOUROUD ALHILLI
San Antonio,TX
Summary
Dynamic pharmacy professional with a proven track record in medication preparation, customer interaction, and inventory management. Recognized for exceptional collaboration within healthcare teams and adaptability to evolving needs, ensuring seamless service delivery. Expertise in pharmaceutical calculations, prescription processing, and strict adherence to safety standards demonstrates a commitment to high-quality patient care. Strong communication skills and a proactive approach facilitate effective conflict resolution and enhance patient satisfaction, contributing to overall organizational success.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Pharmacy Technician /Prior Authorization Specialist
Actalent
01.2025 - 12.2025
- Processed prescription orders accurately and efficiently in high-volume pharmacy environment.
- Streamlined prescription processing with accurate data entry and verification of patient information.
- Processed prescriptions accurately and efficiently, ensuring compliance with state and federal regulations.
- Assisted pharmacists in medication management, providing patient consultations on drug interactions.
- Reviewed and verified patient prescriptions and clinical information for accuracy and completeness.
- Processed prior authorization requests for medication, ensuring compliance with insurance guidelines.
- Collaborated with healthcare providers to resolve authorization issues and expedite approvals.
- Monitored changes in insurance policies to maintain up-to-date knowledge of prior authorization requirements.
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
Pharmacy Technician/prior Authorization
prime therapeutics
10.2023 - 11.2024
- Insurance verification, claim adjudication, or medical billing.
- Handled escalated customer service concerns to preserve customer satisfaction and maintain long-term business relationships.
- Experience with Medicare/Medicaid program administration.
- Resolved customer inquiries, questions and concerns to consistently offer quality service and meet performance benchmarks.
- Answered incoming calls and provided highest level of professionalism and knowledgeable service to every customer.
- Engaged actively with callers, confirming or clarifying information and diffusing anger.
- Claims, denials, appeal, etc.
- Communicate with patients, providers, and insurance payers via telephone and email.
- Navigated through computer systems to review information and respond appropriately to callers.
- Transmitted claims to insurance companies for payment and reconciled EOBs.
- Inspected medication storage locations to monitor drug expiration dates and supply adequate inventory.
- Billing and Coding.
- Receive inbound and outbound calls from patients and insurance providers.
- Prior-Authorizations (PA) and insurance verifications.
- Worked with insurance companies to process claims, resolve problems and obtain payments.
Customer Service Representative
HCA Healthcare: Methodist Hospital
02.2022 - 10.2023
- Developed member engagement strategies to enhance satisfaction and retention rates.
- Facilitated communication between members and healthcare providers to resolve inquiries efficiently.
- Conducted regular follow-up calls and emails to maintain relationships with members, ensuring their ongoing satisfaction with the organization''s offerings.
- Resolved customer inquiries through effective communication and problem-solving techniques.
- Managed customer accounts, ensuring accurate data entry and order processing.
- Educated patients on appointment scheduling and healthcare procedures to enhance experience.
- Resolved customer inquiries regarding insurance benefits and coverage options efficiently.
Customer Representative
Alorica
02.2019 - 01.2022
- Consulting with customers regarding loan needs, addressing payments concerns
- Documenting conversations with customers to track requests, problems, and solutions.
- Answering 70+ inbound calls per day and directed to designated individuals or departments.
- Executing loan origination process, including ordering credit reports, appraisals, and preliminary title reports.
- Reviewed and analyzed loan applications to determine loan approval or denial.
- Reviewed loan agreements to verify completeness and accuracy according to applicable policies.
- Assessed feasibility of loan approval by reviewing financial histories, available credit and current employment.
- Helped customers make decisions about loans and lines of credit based on availability, terms and benefits.
- Set up debt payment plans based on client credit, income and assets.
- Collaborated with company teams to expedite loan approval processes.
- Approved or denied loan applications and explained reasoning behind decisions.
- Updated client account information and records in company databases.
- Collected and organized loan documents before submission to underwriting.
Patient Caretaker
axiom home health
09.2017 - 01.2019
- Transferred, admitted, and discharged patients, complying with principles of safe patient handling. Educated patients on disease process, diet and medication regimen.
- Assisted with patient transfers to and from wheelchairs, beds, and exam tables.
- Observed and documented patient behavior and performed laboratory tests.
- Performed healthcare-related tasks, such as monitoring vital signs and medication, under direction of registered nurses and physiotherapists.
- Coordinated with interdisciplinary team members, including nurses, social workers, physical therapists, occupational therapists, and dietitians, regarding patient progress and plan of care changes.
- Monitored vital signs regularly throughout shift shifts for trends or changes in the patient's health status.
- Utilized computer systems for charting patient data.
- Worked with coworkers to complete tasks.
- Maintained accurate records of patient care, condition, progress, and concerns.
Pharmacy Technician
Walgreens
08.2016 - 09.2017
- Assists Member Services, pharmacies, and health plan providers in resolving member prescription claim, prior authorization, or pharmacy services access issues.
- Oversaw medication preparation and dispensing processes, ensuring compliance with safety standards.
- Mentored junior pharmacy technicians, enhancing team efficiency and knowledge sharing.
- Implemented workflow improvements that reduced medication turnaround times by streamlining operations.
- Prepares and assembles reports and presentations by gathering data and interpreting data using PowerPoint, Excel, etc. for team leader review and distribution.
- Conducted patient consultations, providing education on medication usage and potential side effects.
Education
Pharmacy Technician -
National Healthcareer Association
San Antonio, TXBiology
University of Texas At San Antonio
San Antonio, TX01.2026
Science
Northwest Vista College
San Antonio06.2019
High School Diploma - undefined
John Marshall High School
San Antonio06.2016
Skills
- Bilingual in [Arabic] proficiency
- Data Entry
- Call Center Customer Service
- Payment Processing
- Familiarity with medical terminology
- Professional phone skills
- Billing and coding
- HIPAA
- Insurance/Billing verification
Certification
- Texas State Board of Pharmacy #374855
- CPhT - Certified Pharmacy Technician
J4L3F7K3
Timeline
Pharmacy Technician /Prior Authorization Specialist
Actalent
01.2025 - 12.2025
Pharmacy Technician/prior Authorization
prime therapeutics
10.2023 - 11.2024
Customer Service Representative
HCA Healthcare: Methodist Hospital
02.2022 - 10.2023
Customer Representative
Alorica
02.2019 - 01.2022
Patient Caretaker
axiom home health
09.2017 - 01.2019
Pharmacy Technician
Walgreens
08.2016 - 09.2017
High School Diploma - undefined
John Marshall High School
Pharmacy Technician -
National Healthcareer Association
Biology
University of Texas At San Antonio
Science
Northwest Vista College