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| | Click here or scroll down to respond to this candidateCandidate's Name , CPhTProfessional Profile 14 years experience as a Pharmacy Technician PTCB Certification #: 540107010152693 Expires 05/31/2024 Texas Pharmacy Technician Registration #: 187589 Expires 03/31/2024 Prior Authorizations Claims & Rejections Benefits Verification Microsoft Word, Excel, PowerPointProfessional ExperienceFebruary 2013 Present Albertsons / Tome Thumb Pharmacy Dallas, TX Lead Pharmacy Technician Handle insurance claims and rejections from insurance companies Perform prior authorizations and handle medical authorities such as Medicare and Medicaid Dispense prescriptions according to Texas state law and prescriber instructions (except CIIs) Handle customer escalations Coordinate with prescribers on queries related to prescriptions Handle inbound and outbound calls to customers and insurance companies Stock management, medical inventory, ordering of drugs, and return of expired drugs through GPS return system (except CIIs)December 2011 February 2013 Kroger Pharmacy Richardson, TX Pharmacy Technician Screen calls or making routine inquires on behalf of the pharmacist Label, fill and file prescriptions (except CIIs)/ Entering prescriptions into computer/Connexus Enter patient demographics into the computer system Preparation of IV mixtures, ointments and creams Maintain a daily/weekly will call-will pick up bin Maintain Cat 54 (OTC) stock, outs Cancel items and featured items/ Coordinate and Conduct monthly health screening event January 2009 December 2011 CVS Pharmacy Richardson, TX Prior Authorization Technician Responsible for verifying eligibility and benefits Completion of the data entry component of the authorization process Coordination assisting nursing staff with non-clinical tasks in processing Prior Authorizations Interaction with medical staff, providers offices, hospitals, pharmacies, and patients Review all PAs thoroughly for completion and MD signatures Verbal and fax PAs Administrative tasks including insurance claims, prior authorizations, and medical authorities such as Medicare and MedicaidContact: Candidate's Name Email: Anewson30@yahoo.com. Cell: PHONE NUMBER AVAILABLE November 2005 January 2009 Health & Human Services Comm Dallas, TX Texas Works Advisor III Determine eligibility for TANF (Temporay Assistance for Needy Families), Food Stamps and/or Medicaid Programs Interview clients, document information gathered, and determine benefits Verify case data, explain program benefits and requirements Review clients for ongoing servicesEducationPharmacy Technician CertificationSanford Brown CollegeContact: Candidate's Name Email: EMAIL AVAILABLE Cell: PHONE NUMBER AVAILABLE/pre> |