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Skills

  • Onboarding Efficiency Improvement
  • Customer satisfaction improvement
  • Insurance policy review
  • Data entry accuracy
  • Assisting pharmacists
  • Laboratory Operations
  • Processing payments
  • Documentation and record-keeping
  • Confidentiality and HIPAA
  • Quality assurance and control

Work Experiences

  • Non-routine issues such as third-party billing, computer system, and customer service issues were resolved by me.
  • Collaborated with clinical teams to reduce errors.
  • Collaborated with providers and pharmacy operations.
  • Calculated dosages, filled prescriptions, and printed prescription labels with extreme precision.
  • Double-checked patient data and billing information in order to identify and correct erroneous bills caused by system errors.
  • Assisted in deploying new prior authorization software.
  • Conducted detailed audits of prior authorization records.
  • Assisted over 3 patients monthly.
  • Hired, trained, and coached 8 Prior Authorization Pharmacy Technicians, resulting in a 8% increase in overall performance.
  • Communicated with patients to obtain information about prescriptions and medical conditions, as well as to schedule pharmacist consultations.

Summaries

  • Looking forward to bringing my talent and track record of excellent customer service to a growing pharmacy.
  • Achieved a decrease in denials by 16%.
  • Prior Authorization Pharmacy Technician is a multi-talented Prior Authorization Pharmacy Technician who is consistently rewarded for planning and operational improvements.
  • Achieved a 49% customer satisfaction rating.
  • Achieved a 15% increase in patient satisfaction.
  • Within Pharmacy, senior Prior Authorization Pharmacy Technician and outstanding performer in strategic planning and budget management.
  • Excellent track record of resolving issues, increasing customer satisfaction, and driving overall operational improvements.
  • Multitasking and relationship-building abilities.
  • Safety-conscious and well-organized, with extensive experience working with insurance companies, prescribers, and individuals to resolve problems.
  • Prior Authorization Pharmacy Technician is a detail-oriented Prior Authorization Pharmacy Technician with expertise in team leadership gained over 9 years in the industry.

Accomplishments

  • Assisted in navigating prior authorization challenges for high-priority cases, reducing medication waiting times for at-risk patients by 55%.
  • Championed initiatives to enhance patient advocacy, resulting in faster medication access and approvals for 17 patients with complex cases.
  • Documented and resolved category which led to standard.
  • Spearheaded a data-driven approach to improve approval rates, resulting in a 67% decline in delayed medication delivery to patients.
  • Spearheaded the development of standardized responses for prior authorization claims, achieving a 85% reduction in denial rates.
  • Improved payer communication lines for specialty medications, ensuring a 55% faster resolution on time-sensitive authorizations.
  • Implemented streamlined documentation protocols, ensuring compliance with payer guidelines and achieving a 16% increase in claim approvals.
  • Trained a team of 8 pharmacy technicians in accurate submission processes, yielding a 24% increase in approval rates within two years.
  • Reduced processing delays by 67% through active communication with insurance providers, effectively expediting medication approvals.
  • Oversaw the integration of a new EHR tool with third-party payer systems, reducing average manual workload by 40%.

Affiliations

  • Health Plan Prior Authorization Policies Education, 2016
  • Advanced Specialty Pharmacy Technician Certification, 2015
  • EHR Certification Workshop, 2016
  • Society of Women Engineers
  • Certified Pharmacy Technician (CPhT), standard
  • American Society of Safety Professionals
  • Association for Supply Chain Management (APICS)
  • American Medical Informatics Association
  • Society for Affordable Healthcare (SAHC)
  • Certified Prior Authorization Specialist, system

Certifications

  • First Aid/CPR Certified
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Project Management Professional (PMP)
  • Certified Professional in Healthcare Quality (CPHQ) - Brightline
  • HIPAA Professional Training & Certification - HubSpot - 2015
  • Certified Medication Therapy Management Technician (CMTMT) - Meridian
  • Certified Public Accountant
  • CompTIA Network+
  • Certificate in Managed Care Pharmacy - Lakeside Partners
  • Cisco Certified Internetwork Expert (CCIE)

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