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Skills

  • Appeal process management
  • Pharmacy and customer records management
  • Detail-Oriented Case Documentation
  • Pharmaceutical sales and services
  • FDA Drug Safety Guidelines
  • Receiving incoming supplies
  • Customer satisfaction improvement
  • Processing payments
  • High-Cost Medication Coordination
  • Updating medication histories

Work Experiences

  • Communicated with patients to obtain information about prescriptions and medical conditions, as well as to schedule pharmacist consultations.
  • Assisted over 3 patients monthly.
  • Cut down on response times.
  • Hired, trained, and coached 8 Prior Authorization Pharmacy Technicians, resulting in a 8% increase in overall performance.
  • Assisted in deploying new prior authorization software for method, speeding up authorization turnaround times by 54% and reducing pending requests backlog.
  • Was responsible for a variety of pharmacy operations with a strong focus on accuracy, efficiency, and service quality.
  • Assisted customers with placing orders, navigating systems, and locating items in person or over the phone to solve their problems.
  • Championed a patient advocacy program.
  • Completed within several months.
  • Collaborated with physicians, insurance payers, and patients to prioritize urgent authorization requests, ensuring timely access to life-saving medications for over 18 patients monthly.

Summaries

  • Experienced Pharmacy Technician with extensive knowledge of all aspects of pharmacy operations, eager to contribute her skills and knowledge to Summit Group.
  • Achieved a reduction of 28% in delays.
  • Accelerated approval turnaround.
  • From prescription drop-off to pick-up, a skilled Pharmacy Technician with 14 years of experience and a proven track record of providing exceptional customer service.
  • Clear understanding of risk assessment and stakeholder engagement as well as team leadership training.
  • Achieved a 15% increase in patient satisfaction.
  • Achieved a 15% approval rate for first-time submissions.
  • Achieved faster approvals for complex medications.
  • Achieved a 79% recovery in denied claims.
  • Achieved a 44% reduction in errors.

Accomplishments

  • Implemented streamlined documentation protocols, ensuring compliance with payer guidelines and achieving a 16% increase in claim approvals.
  • Trained and coached 17 team members on common electronic health record and prescription authorization challenges, boosting accuracy by 22%.
  • Reduced claim rejection rates by 39% by implementing a new checklist system ensuring thorough cross-checking before submission.
  • Troubleshot and resolved prior authorization discrepancies in the EHR system, leading to a 19% reduction in errors within one year.
  • Implemented a new patient case management system that resulted in a 59% decrease in human error during prior authorization submissions.
  • Documented and resolved category which led to standard.
  • Drafted and submitted appeals for rejected authorizations, securing a 53% approval rate on resubmissions during 18 months.
  • Mentored 16 new pharmacy technicians, leading to an overall team performance improvement in prior authorization tasks by 35%.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Designed and conducted training webinars on prior authorization best practices, positively impacting the pharmacy department’s overall productivity by 77%.

Affiliations

  • Medication Therapy Management Certification, 2023
  • American Marketing Association
  • National Association of Specialty Pharmacy (NASP)
  • EHR Certification Workshop, 2016
  • Association for Computing Machinery
  • Association for Supply Chain Management (APICS)
  • National Pharmacy Technician Association (NPTA)
  • Freemason
  • Pharmacy Technician Certification Board (PTCB)
  • College of Pharmacy, initiative

Certifications

  • ServSafe
  • Certified Public Accountant (CPA)
  • Understanding Medicare Part D - Meridian - 2021
  • First Aid/CPR Certified
  • Pharmacy Technician Continuing Education (CE) - system
  • Certified Operational Risk Manager (CORM) in Healthcare - Harbor & Co.
  • Certified Public Accountant
  • Pharmacy Technician Certificate Program - Cedar Works - 2021
  • Certified Medication Therapy Management Technician (CMTMT) - Meridian
  • Certified Pharmacy Benefits Specialist (CPBS) - Brightline

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