A Michele Eliassen
Surprise
Summary
Dedicated Certified Pharmacy Technician with 20 years of experience in pharmacy operations and medical claims processing. Expertise in prior authorizations for Multiple Sclerosis and AutoImmune therapies, along with patient assistance programs. Committed to ethical practices and knowledgeable in regulatory guidelines to prevent fraud, waste, and abuse. Seeking opportunities to enhance skills and contribute to exceptional patient care.
Overview
29
29
years of professional experience
1
1
Certification
Work History
Access Specialist II
Cycle Pharmaceuticals (Cycle Vita)
09.2023 - Current
- Perform insurance verification via direct communication with insurance companies and digital platforms, recording details in CRM. Provide benefits summaries to provider.
- Coordinate HCP submission efforts for prior authorization, appeals, and reimbursement processes.
- Assist patients in navigating financial support programs, incorporating free drug offerings and copay assistance.
- Collaborate with specialty pharmacies for tracking and status updates
- Offer on-site education to healthcare offices as requested for in-person meetings regarding Cycle's reimbursement processes.
- Track detailed records, overseeing workflow prioritization in Salesforce.
- Engage with cross-functional teams as needed, to include sales and compliance.
Access Specialist I
Cycle Pharmaceuticals (Cycle Vita)
07.2023 - 08.2023
- Administer insurance verification for prior authorization and appeal statuses, for ASII to providers with clear next steps.
- Enhanced data accuracy in patient records through meticulous documentation of access-related information.
Pharmacy Technician III (Autoimmune Specialty)
CVS Specialty Pharmacy
04.2019 - 06.2023
- Maintained and managed relationships with therapy referral sources, including MD offices and clinics.
Acted as primary contact for referrals, handling high volumes of daily emails.
Provided exceptional customer service and assistance to patients and providers. - Engage with sales team to sustain and enhance sales, visiting offices on-site as needed.
- Serve as mentor for new team member while supporting current team as subject matter expert and addressing all escalated issues.
- Strong ability to work all therapies, including AI, MS, Oncology, HIV, and HEP.
- Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
Certified Pharmacy Technician
SunWest Long Term Care Pharmacy
04.2017 - 02.2019
- Trained new pharmacy technicians on proper procedures and best practices, ensuring consistent quality of service.
- Completed paperwork, entering prescription and insurance or billing information into patient profiles.
- Enhanced patient care by accurately filling and dispensing prescriptions in a timely manner and ensuring on time deliveries.
- high volume of calls delivering support to patients and caregivers in assisted living facilities, behavioral and juvenile care centers.
Certified IV Pharmacy Technician
Banner Baywood Medical Center
02.2016 - 03.2017
- Support pharmacist by preparing and compounding medications utilizing aseptic techniques.
- Distribute medications in an inpatient setting to patient rooms and Pyxis2000.
- Prepare Chemotherapy medications and IV compounding.
- Support Pharmacy Buyer through effective pharmogistics inventory management
- Facilitated onboarding for all new employees, encompassing pharmacy technicians and pharmacist interns.
Certified IV Pharmacy Technician
Banner Boswell Medical Center
05.2006 - 02.2016
- Support pharmacist through preparation and compounding of chemotherapy utilizing aseptic technique, delivering to patient rooms
- Deliver medications for patient use in inpatient setting to maintain compliance with dosing schedules.
- Oversee, evaluate, and replenish medications in Pyxis dispensing machines for nursing accessibility.
- Support Pharmacy Buyer utilizing Pharmagistics Inventory Management
- Contributed to Shared Leadership Team, advocating for Pharmacy department
- Facilitated onboarding process for all new employees, including pharmacy technicians and pharmacist interns.
- Provided comprehensive training and guidance to enhance employee competency for annual testing.
Claims Associate II
Pacific Life & Annuity/ United Healthcare
01.1996 - 03.2006
- data entry and claims evaluation in alignment with policy and procedure of state mandates and legislative guidelines.
- Evaluated team members to ensure precise claims processing and offered constructive feedback as necessary
Education
Diploma/ Certification - Pharmacy Technician- Valedictorian
Long Technical College/ Kaplan University
Phoenix, AZ04-2006
Certification
- Certified by the Pharmacy Technician Certification Board (PTCB) 07/31/2006-08/31/2026
- Licensed by the Arizona State Board of Pharmacy - 02/23/2006 and expires 10/31/2025 for renewal.
Timeline
Access Specialist II
Cycle Pharmaceuticals (Cycle Vita)
09.2023 - Current
Access Specialist I
Cycle Pharmaceuticals (Cycle Vita)
07.2023 - 08.2023
Pharmacy Technician III (Autoimmune Specialty)
CVS Specialty Pharmacy
04.2019 - 06.2023
Certified Pharmacy Technician
SunWest Long Term Care Pharmacy
04.2017 - 02.2019
Certified IV Pharmacy Technician
Banner Baywood Medical Center
02.2016 - 03.2017
Certified IV Pharmacy Technician
Banner Boswell Medical Center
05.2006 - 02.2016
Claims Associate II
Pacific Life & Annuity/ United Healthcare
01.1996 - 03.2006
Diploma/ Certification - Pharmacy Technician- Valedictorian
Long Technical College/ Kaplan University
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