Experienced Certified Pharmacy Technician with extensive knowledge, excelling in prior authorizations and patient assistance. Proven track record in claims processing and quality assurance, effectively reducing turnaround times. Skilled in EMR/EHR systems and adept at managing high-volume calls with professionalism and empathy.
Overview
7
7
years of professional experience
Work History
Certified Pharmacy Technician
Hawaii Cancer Care
04.2022 - 06.2023
Solved patient problems in-person or over telephone by providing assistance with placing orders, navigating systems and locating items.
Communicated directly with doctors offices via telephone, fax, and email.
Completed paperwork, entering prescription and insurance or billing information into patient profiles.
Helped patients obtain financial assistance through foundations and medication programs.
Verified eligibility and compliance with authorization requirements for service providers.
Reached out to insurance carriers to obtain prior authorization for testing and procedures.
Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
Monitored pending cases closely, proactively following up on outstanding documentation needed for successful approval outcomes.
Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
Managed a high volume of incoming calls, maintaining professionalism while effectively addressing the needs of callers seeking assistance with prior authorizations.
Researched denied claims and contacted insurance companies to initiate process of appeals
COVID-19 Tester
ElixRx Pharmacy
08.2021 - 03.2022
Handled and stored potentially contaminated nasal, oral and blood samples to prevent compromise.
Reported positive and negative response cases according to established protocols and reporting mandates.
Administered and interpreted infrared temperature scans, blood samples and surveys.
Assessed vitals while adhering to PPE requirements and other restrictions.
Certified Pharmacy Technician
Infectious Disease Consultants
04.2021 - 07.2021
Managed patient records, prior authorizations and verified insurance eligibility.
Prepared intravenous solutions using aseptic techniques.
Coordinated charts, update patient education forms and managed inventory.
Coordinated and personally delivered patient’s supplies and medications.
Scanned medical records in digital format for easy retrieval and accessibility.
Reduced turnaround time for prior authorization requests by utilizing CoverMyMeds
Analyzed medical records and other documents to determine approval of requests for authorization.
Expedited resolution times for appeals cases by efficiently managing workload and prioritizing urgent matters.
Informed Patients throughout the appeals process, ensuring a clear understanding of expectations and potential outcomes.
Sterile Pharmacy Technician
Roadrunner Pharmacy
03.2019 - 04.2021
Prepared injections, admixtures and ophthalmic drugs using aseptic techniques.
Measured and compounded medications following USP and guidelines.
Calculated dosage and prepared labels with absolute accuracy.
Supervised the ordering of pharmacy stock.
Sterile Pharmacy Technician
Avella Specialty Pharmacy
06.2017 - 03.2019
Exhibited proficiency in IV and chemo compounding.
Properly cleaned and maintained department equipment such as IV hoods.
Assessed correct identity, strength and purity of medications.
Completed compounding and environmental logs including daily and weekly reports.
Compounding Technician
Roadrunner Pharmacy
10.2016 - 05.2017
Ensured quality, security and proper disposal using the implemented standard procedures.
Inspected drug storage sites, monitored drug supply and expiration dates.
Cleaned and sterilized equipment and work areas to maintain safe and sanitary conditions.
Counted, measured, and compounded medications following standard procedures.