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Click here or scroll down to respond to this candidateCandidate's Name
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PHONE NUMBER AVAILABLEEMAIL AVAILABLEOBJECTIVESeeking an opportunity with advancement potential within an organization. Also, looking to contribute by putting my superior customer service skills to good use in the service of a company.EXPERIENCE09/08 Present Certified Pharmacy TechnicianWalmart 03/2021-PresentVeterans Affairs Hospitals 07/2022- 12/2022Exact Care 06/2016-05/2017, 10/2021- 07/2022MetroHealth Hospital 07/2018-10/2019Pharmerica 05/2017-07/2018Aerotek Healthcare 10/2012-02/2020AllianceHealthcare 04/2015- 03/2020CVS Pharmacy08/2008-09/2011SKILLS INCLUDEServes as a primary contact for Specialty Pharmacy benefits verifications and prior authorization, and acts as a liaison between patients and representatives of medication assistant programs. Follows up with and resolves issues related to authorizations. Implements denial management protocols as directed.Prepare medications including emulsions, liquids, powders and ointments.Sanitizes IV room, equipment and hood.Ability to use multiple software programs to fulfill medication orders.Trained to use TCG machine.Working with a dedicated team in production to ensure patient medication is filled efficiently and correctly.Answer phone inquiriesUtilize McKesson Pharmacy SoftwareProcess Medicare Part D or commercial appeal requests, ensuring that requests are correctly categorized as appeals and all deadlines are met.Create explanations of coverage for providers and generate an appeal entry in clinical processing system. Identify when company is and is not delegated to process commercial appeals, and communicate appropriate course of action to providers.Prepare prior authorizations for denied and appeals sent in from doctor office's and pharmacies'.Inform members of appeal determinations via both verbal communication and appropriate written notificationAssists in processing returned drugs and recycle/dispose per procedureAssists in monthly fills by delivering and exchanging medications to scheduled nursing homeApplies labels, and stack boxes according to directionsEntered translated prescription information into computer systemTook inventory of over-the-counter medications.Daily data entry for insurance billing.Completing cash register transactions.Works directly with foundations, grants, and manufacturers to ensure all necessary documentation for submission is provided, including but not limited to medical records, demographic information, and recovery paperwork.EducationCuyahoga Community CollegeCertified Nurse Assistant, CMHA Job Match II ProgramWork Enhancement Training East High SchoolLarock Healthcare AcademyClinical Laboratory AssistantCardiac Monitor Technician |
