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PHONE NUMBER AVAILABLEEMAIL AVAILABLEExperienceOct. 2020 PresentPharmacy Technician I CPCC Anthem/Ingenio-RXAssisting Medicare and Medicaid members with staying adherent with their blood pressure, diabetes, asthma, and cholesterol medications. Contacting providers offices via fax regarding different requests of the member, contacting pharmacies on behalf of member for things such as placing refills, setting up automatic refills, setting up Med Synch. Making members aware of other programs members may be eligible for through their pharmacy benefits trying to alleviate any issues may be having with getting their meds and being able to stay adherent.Sept. 2019 Oct. 2020Collection Agent Collections Robert A. Schuerger Law OfficeIm a collector for defaulted student loans on behalf of the United States Department of Education. Its my responsibility to advise borrowers of their options and get them into a repayment program by taking inbound and/or making outbound calls. Once the borrower is on the phone, verification is done to make sure the correct person is on the line. I make the borrower aware of why their account has been placed with our office, make the borrower aware of consequences of remaining in default and providing to them all of the options available to them to get their account back into good standing. This position requires excellent customer care skills, patience and the ability to multi-task.June 2019-Sept. 2019Mail Operations Specialty Pharmacy Technician Disease Management Team Humana Outbound calls to patients to obtain information to update their Humana profile Outbound call to patients to schedule delivery of their specialty medications to their home Entering insurance information into ScriptMed if not already entered Researching to find insurance information to add to ScriptMed in order to process claim Submitting prior authorization requests when necessary via CoverMyMeds Outbound calls to the patients doctors office to schedule delivery of specialty medications in time for patients appointment Inbound calls from patients Inbound calls from doctors offices checking statuses of referrals (prescriptions) Following up on referrals if more information is needed, either from the patient or the doctorAug. 2018June 2019Mail Operations Pharmacy Technician 2 Dr Call Phones HumanaMaking outbound calls to Humana members to make them aware of either no response received from their doctors regarding new prescriptions or the doctor has denied Humana's request for a new prescription. Taking inbound calls from doctors' offices, other pharmacies, and/or members with questions or concerns regarding prescriptions for membersFeb. 2018Aug. 2018Precertification Specialist Insurance TrihealthObtaining prior authorizations for chemotherapy and non-chemotherapy medications as requested by referral Verification of insurance Obtaining re-authorization of chemotherapy and non-chemotherapy medications as needed Becoming familiar and staying up to date with insurance policies regarding authorizations/pre-determinationsAug. 2015Feb. 2018Certified Pharmacy Technician II Pharmacy Clinton Memorial HospitalObtaining prior authorizations for chemotherapy regimens Tracking expirations dates of authorizations and obtaining renewals as needed Assisting pharmacist in the mixture of chemotherapy Assisting social worker with obtaining patient assistance for patients unable to afford their medications (chemotherapy and/or prescriptionAssisting pharmacist with inventory control Assisting Director of Pharmacy with tracking the budget of purchasing of medications needed for chemotherapy treatmentsMarch 2011Aug. 2015Certified Pharmacy Technician Pharmacy HumanaThe Aged Orders Teams is responsible for resolving issues involving orders that have aged in the system 10 days or greater and finding process gaps between each department to better assist in the processing of prescriptions throughout the system from beginning to end. Asked to be part of creation of team January 2012 due to being a Subject Matter Expect on new system Work problem orders through system and out the door to member in timely manner Call center to both doctors offices and patients for various reasons Finance collecting payments and payment information Closing of process gaps amongst the departments to better assist the membersAlong with Item Entry departmentEducationAdena High School, Frankfort, OHGeneral StudiesReferencesAvailable upon request |
