Stephanie Brown

Certified Pharmacy Technician (CPhT) with 33 years of experience in high-volume pharmacy environments. Specialized expertise in Prior Authorization (PA) processing, insurance adjudication, and clinical appeals. Proven ability to maintain 99% accuracy in data entry while navigating PBM portals and HIPAA-compliant remote software. Seeking to leverage deep knowledge of Specialty Meds to streamline approvals for [Company Name].

Pharmacy Technician - Prior Authorization Specialist - Prime Therapeutics - Remote

(2024-05 - 2026-01)

Managed end-to-end PA workflows for 50 daily requests, ensuring compliance with PBM-specific clinical guidelines and state regulations.

• Reduced average turnaround time for urgent PA requests by 50% through proactive communication with physician offices and insurance carriers.
• Evaluated clinical documentation against established criteria to provide initial approval/denial recommendations for various therapeutic classes.
• Collaborated with healthcare providers to obtain missing clinical notes, lab results, and letters of medical necessity, minimizing claim delays.

Level 3 Pharmacy Technician - AllianceRx Walgreens, Now Walgreens Specialty - Canton, MI

(2019-03 - 2023-09)

• Optimized the third-party rejection workflow, resolving complex insurance issues, including "Step Therapy" and "Quantity Limit" overrides.
• Reported the need for overall communication between departments, which created teams for specific drug groups, which reduced turnaround from 14 days to 5 days.
• Maintained a high-performance standard, consistently exceeding weekly quotas for prescription processing and verification by 50%.
• Ensured 100% compliance with HIPAA regulations during all patient and provider interactions.

Washtenaw Community College Pharmacy Technician program