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Click here or scroll down to respond to this candidateCandidate's Name
San Antonio, TX Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLEObjective: Dedicated Pharmacy Technician: Seeking position with a growing company with potential. foradvancement as well as challenging my pharmaceutical knowledge and skills as well collaboratively allmy experiences and qualifications. Over ten years of exceling and continuously seeks avenues forgrowing professional expertise and actively pursues new learning opportunities.Education/Certification2010-S.A.C-Nursing Program 2007-Present San Antonio College General Courses2003-Registered Pharmacy Technician with the State of Texas # PHONE NUMBER AVAILABLE-Pharmacy Technician Board (PTCB)-# PHONE NUMBER AVAILABLE 2003-STERILE, NON STERILE, CHEMOTHERAPY -NPTAPharmacy Technician 2002-John Jay High School Graduate General StudiesWork Experience:06-12-2022-02/25/2023 -Shields Health -Pharmacy Liaison - - Provide "legendary" care to hospitalpatients by providing a full suite of custom medication management services As a member of the clinicteam, work seamlessly alongside hospital clinicians to serve. patients both face-to-face and over thephone Educate prospective pharmacy patients on how hospital serves patients and improves theiroverall care; Answer, resolve and triage inbound inquiries; Perform refill. reminder calls under thesupervision of a pharmacist; Resolve insurance related issues, including prior authorizations (PAs), andassist patients with various forms of financial assistance Ensure appropriate documentation in allrequired systems/tracking. mechanisms: Information received through RightFax-Information receivedthrough emailer any other methods. of receipt (phone calls, etc. Document and follow-ups on all assignedinventory, utilizing on-line systems and procedures, according to established guidelines. knowledge ofvarious health plan partner benefits, networks, CMS regulations and health plan partner policies Utilizeexperience. and judgment to plan, accomplish goals and effectively resolve each assigned task Receivesand responds to telephone calls through. the UM Phone Queue, as needed Performs all other relatedduties as assigned Proficiently and adequately processing data. Information Review.09/13/2021-05/24/2022 Humana Pharmacy Tech- Remote In bound Call Center -Answer, resolve andtriage inbound inquiries; Perform refill. reminder calls under the supervision of a pharmacist; Resolveinsurance related issues, including prior authorizations (PAs), and assist patients with various forms offinancial assistance Ensure appropriate documentation in all required systems/tracking. mechanisms;Benefit verification, benefit breakdowns. handle high call volume. inbound call from Provider, Patient's,clinic staff ect. and ensuring the safety of HIPPA.Communicate through correspondence with membersand providers regarding claim payment or required information, using clear, simple language to ensureunderstanding by all callers-assisting with speaking with customers (policy holders), assisting withmembers, Provider and Third Party etc. Demonstrated the ability to manage relationships with bothinternal and external customers. in a professional manner. Excellent verbal and written communicationskills, evaluates coverage and confirms benefit. account information and taking inbound calls fromcustomers who have questions about their health benefits.10/26/2020 -05/13/2021-WEB TPA - Benefits Rep- Remote Inbound call center - Ensure appropriatedocumentation in all required systems/tracking. mechanisms; Benefit verification, benefit breakdowns.handle high call volume. inbound call from Provider, Patient's, clinic staff ect. and ensuring the safety ofHIPPA.Communicate through correspondence with members and providers regarding claim payment orrequired information, using clear, simple language to ensure understanding by all callers-assisting withspeaking with customers (policy holders), assisting with members, Provider and Third Party etc.Demonstrated the ability to manage and evaluate coverage and confirm benefits. account information andtaking inbound calls from customers who have questions about their health benefits. explain in detailhealth policy plans.11/29/2010-04/01/2019 Remote -Prior Authorization-Claims-Specialty Prior AuthorizationDepartment/Pharmacy Technician CVS Caremark (Work from Home Agent) work from home) in boundcalls -Process prescription prior authorizations for all specialty drugs. Making outbound calls as well asreceiving calls properly authenticating the call to the HIPAA qualifications. Communicating and educatingthe process and Representatives Etc. Acknowledgement and educated on ICD-10 codes andacknowledgements and educated on diagnosis for all and Communicate through correspondence withmembers and providers regarding claim payment or required information, using clear, simple language toensure understanding by all callers-assisting with speaking with customers (policy holders), assisting withmembers, Provider and Third Party etc. Demonstrated the ability to manage relationships with bothinternal and external customers. in a professional manner. Excellent verbal and written communicationskills, Confirms and evaluates coverage and confirms benefit. account information and taking inboundcalls from customers who have questions about their Pharmacy benefits, coverage, authorization, claimsetc. Inbound call with high volume.03-17-2014-08/22/2016--Baptist Health Care Hospital Setting-Compounding PharmacyTech-(Compounding) -Technicians demonstrate working knowledge of the policies and proceduresregarding procurement, storage, preparation and delivery of pharmaceuticals in hospitals and healthsystem settings. The successful candidate will process physician orders for orders supplies. andmedications. Receives and shelves medications ensure that standard drug supplies are in adequatesupply in all departments. -Prepares labels. Files and prepares billing. Thorough understanding ofdepartment automation, data entry and report generation. Ordering of medication and supplies asdirected, assist with required cleaning and maintenance of the admix area and the pharmacy. departmentin general to minimize particle counts and Prepare medication orders by compounding or admixingmedications under supervision of a physician. Check all orders for completeness of information. -Verifiedpatient information and proper physician authorization. Under a professional's supervision, ad mixesdrugs as ordered by physician in an accurate and timely manner as per department guidelines andpreparing all drugs within OSHA guidelines and interoffice guidelines. -Keeps accurate logs on all protocoldrugs and patient assistance drugs. Maintains proper control documentation of medications,preparing,dispensing, reconciling.06-01-2007--05-05-2013-American Specialty Pharmacy Lead Pharmacy Compounding Tech- Accuratelyand efficiently preparing. prescription orders, verifying prescription information and dosage, Enteringpatient and order information into the pharmacy. system, Processing and submitting insurance claims,Providing quality customer service to patients and other healthcare providers. Orders supplies andmedications. Receives and shelves medications. Receives and shelves medications, Maintains currentdrug. information and MSDS sheets. -Properly disposes all materials used when mixing operate a cashregister including cash, checks, and charge transactions bagging merchandise, insurance signature logsand offer/refer questions to Pharmacist. Checks all orders for insurance approval before admixing. -Undera professional's supervision, administers drugs as ordered by physician in an accurate and timely manneras per department guidelines and preparing all drugs within OSHA guidelines and interoffice guidelines.Calculates correct dosage volumes, converting between metric and apothecary equivalents. Completeinventory control of medications. -Maintains indigent patient drug programs as needed. Maintains currentdrug information and MSDS sheets. -Properly dispose of all materials used when mixing. Prepares IVs asassigned, utilizing aseptic technique, under the supervision of a pharmacist.2004-2007-Q Pharmacy Lead Technician -Patient Advocate Customer Service Representative, customerService Representative is. responsible for assisting current and potential new customers with enrollmentprocesses and assisting existing customers with status updates. Please see below for responsibilities andqualifications. Provides diverse customer service of highly skilled. enrollment and registration support forpersonnel information Maintains good relationships with customer card members. Workwith members, medical providers, and others in the healthcare field to negotiate and mediateout-of-pocket balances on healthcare.bills. Patient Advocates have a professional phone presence, are patient, caring and dedicated to helpinga variety of members andare adept at handling difficult and sensitive situations and cases. Patient Advocates are dedicated toachieving established personal connection with our caller. as well as high inbound calls.ReferencesIda Mares-PHONE NUMBER AVAILABLE - Event Manger 11 yearsLetty Castor -(210) 860-5029 -Health Insurance Customer Service Manager - 8 yearsRoberta Gaitan PHONE NUMBER AVAILABLE Business Manger 10 years |
