Prior Authorization Pharmacy Technician - Sentara Health Plans - Norfolk, VA
(2021-10)
- Compiled reports summarizing daily activities related to processing of prior authorizations.
- Researched drug formularies as well as therapeutic alternatives when needed during the authorization process.
- Collaborated with other departments such as billing, clinical staff, and providers in order to ensure successful completion of the prior authorization process.
- Evaluated non-formulary drugs based on cost effectiveness compared with formulary drugs when necessary, during the authorization process.
- Maintained current knowledge of changes within the healthcare industry related to the prior authorization process.
- Interpreted health plan benefits and coverage requirements related to prior authorization process.
- Provided customer service support by responding promptly and professionally to inquiries from patients, physicians' offices, insurance companies via phone or email.
Certified Pharmacy Technician - CPS Wellness Center - Chesapeake, VA
(2014-08 - 2021-10)
- Served as a liaison between patients and healthcare providers for communication purposes.
- Performed follow up calls to confirm scheduled appointments.
- Assisted in scheduling, rescheduling, and canceling appointments for patients.
- Conducted outbound calls to remind patients of upcoming appointments.
- Generated daily reports on the number of booked, canceled, rescheduled appointments.
- Assisted pharmacists in preparing prescriptions for filling, including counting tablets and labeling bottles.
- Monitored stock levels of medications in the pharmacy's inventory system.
- Maintained a clean work environment by wiping down counters, cleaning spills promptly and properly disposing of waste products.
- Checked expiration dates on drug products prior to dispensing them to customers.
- Maintained records of controlled substances dispensed according to state regulations.
- Answered questions from customers regarding insurance coverage eligibility requirements.
- Followed safety protocols when handling hazardous drugs or materials in accordance with OSHA standards.
Senior Certified Pharmacy Technician - Walgreen's Pharmacy - Portsmouth, VA
(2006-06 - 2014-08)
- Ensured accurate billing information was included on prescription orders prior to processing them.
- Provided medication and other healthcare products to customers accurately and efficiently.
- Adhered to all federal, state and local laws governing the practice of pharmacy technicians.
- Maintained pharmacy inventory by restocking shelves with medications and supplies.
- Processed third-party insurance claims for reimbursement of pharmaceuticals.
- Entered patient profile information into computer systems accurately and completely.
- Assisted patients in understanding their medication instructions and usage directions.
- Verified accuracy of patient information on prescription orders.
- Managed inventories, rotated stock, removed expired, or damaged drug products and resolved discrepancies in drug counts.
- Conducted regular audits of medication inventories in order to identify discrepancies.
- Participated in continuing education programs designed to enhance job knowledge.
- Compounded and dispensed medications according to physician orders.
- Adhered to infection control guidelines when handling hazardous materials.
- Provided support for pharmacists during drug distribution activities.
- Provided customer service to patients regarding their prescription medications.
- Ensured compliance with federal and state laws pertaining to controlled substances.
- Ordered prescription refills as requested by physicians or authorized personnel.
- Maintained accurate records and inventory of pharmaceuticals, supplies, and equipment.
- Organized and maintained pharmacy area in accordance with established standards.
- Filled prescriptions accurately under the direction of a pharmacist.
- Managed workflow within the pharmacy department while adhering to all state regulations.
- Monitored expiration dates on medications in order to maintain product integrity.
- Trained new employees on pharmacy operations, policies, procedures, and safety protocols.
- Assisted with the development of policy changes related to pharmacy services.
- Resolved billing issues with insurance companies or other third-party payers.
- Verified patient information, including allergies, drug interactions, and contraindications.
- Efficiently processed cash register transactions for new and refilled prescription orders.
- Adhered to regulatory guidelines for workplace safety and customer confidentiality.
- Received and verified daily incoming drug inventories, reported discrepancies, and logged items into inventory system.
- Organized medications for dispensing.
- Created new customer profiles and updated demographics, allergies, and new medications in pharmacy computer systems.
- Maintained clean and organized pharmacy shelving and work areas.
- Compiled customer demographic, allergy, and medical history background.
- Assisted pharmacist with clearing high volume of prescriptions and responded to customer questions.
- Worked with insurance companies to process claims, resolve problems and obtain payments.
- Established and updated patient profiles, medications and insurance details.
- Provided exceptional customer service, ensuring patient satisfaction and loyalty.
- Led a team of pharmacy technicians, providing training and supervision.
- Coordinated workflow to ensure timely and accurate medication dispensing.
- Maintained a clean and organized pharmacy workspace to ensure efficiency.
