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Certify Clinical Pharmacy Technician Resume Example

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Jessica
Claire
resumesample@example.com
(555) 432-1000,
, , 100 Montgomery St. 10th Floor
:
Professional Summary

Accomplished and certified Pharmacy Technician with over nine years of experience in retail and clinical pharmacy environments for major national chains and call centers. Practiced at offering medications to patients, and communicating with healthcare professionals. Knowledgeable about FDA drug safety guidelines, prescription interactions and pharmacy law. Experienced non-medical Care Provider offering five years of expertise providing in-home care. Complete domestic duties, help patients with self-care and hygiene and provide companionship. Experienced working with children and elderly, with skill anticipating and proactively addressing client needs. Friendly and engaging with strong attention to detail. Empathetic Care Worker with sensitive and compassionate approach to cultivating trusting, stimulating and varied lifestyle for residents. Offers enhanced care with flexible learning approach for patients. Experience in providing guidance and encouragement to patients through physical and emotional support. Diligent Caregiver focused on providing optimal support to clients through personalized assistance and care required to manage diverse medical conditions. Proficient in organizing medications, doctor appointments and personal activities. Caring, organized and friendly with excellent interpersonal skills. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Skills
  • Ability to successfully engage, motivate, and communicate with members,provider office staffs and Third party callers .
  • Strong interpersonal skills.
  • Strong written and verbal communication skills.
  • Administrative Task experience / proficiency.
  • Computer Software Skills; proficiency in Microsoft Office Suite including Word and Excel.
  • Confidentiality and HIPAA
  • Patient confidentiality
  • Patient education and counseling
  • Ability to identify and troubleshoot problematic issues
  • Respectful and Compassionate
  • Dependable and Responsible
  • Client Records Management
  • First Aid Certification
  • Problem Identification
  • Companionship and Emotional Support
  • Verbal and Written Communication
  • HIPAA Compliance
  • Practice Assistance
  • Time Management
  • Client Education
  • Strong Ethics
  • Multitasking and Organization
  • Medication and Appointment Reminders
  • Accurate in Following Orders
  • Independent Thinking
  • Extensive medical terminology knowledge
  • Attention to detail and ability to work efficiently to meet deadlines and timelines.
  • Patient Support
Education
John Tyler Community College Midlothian, VA, Expected in 12/2024 Associate of Applied Science : Health Sciences - GPA :
St Monica's College of Education Ghana-mampong, Expected in 09/2011 High School Diploma : - GPA :
Work History
Magellan Health - Care Support Specialist
, , Richmond, VA 06/2022 - Current
  • Provides non-clinical support within the model of care by providing administrative and logistics support for membership.
  • Performs administrative tasks to support the implementation of care plans, including outreach to providers and community resources to connect members and to perform appropriate follow-up .
  • Provides information to members and providers regarding company policies and procedures, mental health managed care programs and community treatment resources.
  • Assists in coordinating behavioral health services for members and supports efforts to link members to appropriate services.
  • Effectively communicates with appropriate care team members or Care Manager when an appropriate provider, type of service or appropriate level of care cannot be readily found.
  • Assists with transition of care activities for members in treatment and support communication with members, hospitals and providers (e.g., discharge planning, member appointment reminder calls, post discharge calls, medication checks, appointment verification calls).
  • Works collaboratively with all clinical operations team members including other care support resources, care managers, transition of care teams, outreach and engagement teams, etc. to enable effective and efficient support of member care.
  • Maintains professional relationship with external stakeholders, such as caregivers, providers, community services, health plan, etc.
  • Demonstrates flexibility and appropriate time management to aid in serving members and help the company achieve its business and operational goals.
  • Proactively seeks and participates in ongoing training (formal and informal) in all aspects of the Care Support role and Magellan required training.
  • Coordinates and supports distribution of correspondence and materials to members and providers as required (e.g., Magellan communications, behavioral health educational and care management material).
  • Provides data entry into electronic health records and maintains appropriate recordkeeping supporting efficient and effective operational management.
  • Built strong relationships with clients to deliver emotional support and companionship.
  • Assisted with dressing guidance, grooming, meal preparation and medication reminders.
  • Broke down and evaluated user problems, using test scripts, personal expertise and probing questions.
Access Healthcare Physicians, Llc - National Registered Certify Medical Assistant
, , Richmond, VA 01/2022 - Current

As a care support specialist,I am responsible for providing administrative and logistics support to Clinical Operations Care Managers in the execution of care planning and coordination of care and services associated with person-centered care plans for the Medicaid, Medicare, and Whole Health markets. This is an unlicensed member of the care team. Enables community research and education for members in care management, along with supporting member engagement with their primary care and other sources of support. Works with licensed Care Managers to meet standards of care and performance set by the Member Market Leads and Care Management Center of Operational Excellence Lead.

Martin's Food - certify clinical pharmacy technician
, , 12/2017 - Current

.Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria.

.Determines appropriateness for medications. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists.

.Researches, resolves and documents prior authorization outcomes in pharmacy system.

.Communicates selected prior authorization criteria, pharmacy benefit coverage and formulary alternatives to physicians, physician`s office staff, medical management staff and/or pharmacists.

.Escalates requests to Pharmacist when request requires extensive clinical review or denial.

.Researches, resolves and documents physician or client inquiries and grievances and provides verbal or written results to client, prescriber, provider and/or management.

.Performs other duties as required.

Company Name - Clinical Pharmacy Technician
, , 12/2015 - 2016
  • Actively listens and probes callers in a professionally and timely manner to determine purpose of the calls
  • Researches and articulately communicates information regarding member eligibility, benefits, EAP services, claim status, and authorization inquiries to callers while maintaining confidentiality
  • Responsible for updating self on ever changing information to ensure accuracy when dealing with members and providers
  • Support team members and participate in team activities to help build a high-performance team.
  • Resolves customer administrative concerns as the first line of contact - this may include claim resolutions and other expressions of dissatisfaction
  • Determines appropriateness for medications. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists. Researches, resolves and documents prior authorization outcomes in pharmacy system.
  • Escalates requests to Pharmacist when request requires extensive clinical review or denial.

Company Name - Pharmacy Technician
, , 2013 - 2015
  • Communicated with patients to collect information about prescriptions and medical conditions or arrange consultations with pharmacists.
  • Consulted with insurance company representatives to complete claims processing, resolve concerns and reconcile payments.
  • Collected co-payments or full payments from customers.
  • Entered and processed patients' prescriptions into internal system.
  • Restocked pharmacy shelves with current merchandise to drive consistent peripheral sales.
  • Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems and locating items.
  • Located and measured medications according to prescription information, making modifications as instructed by pharmacists and providers.
  • Counted, measured, and compounded medications following standard procedures.
  • Answered incoming phone calls and addressed questions from customers and healthcare providers.
  • Prepared bills for insurance companies.
  • Resolved non-routine issues like third-party billing, computer system and customer service issues.
  • Resolved non-routine issues like third party billing, computer system and customer service issues.
  • Monitored ordering of pharmacy medication stock to maintain streamlined inventory and low overhead.

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Resume Overview

School Attended
  • John Tyler Community College
  • St Monica's College of Education
Job Titles Held:
  • Care Support Specialist
  • National Registered Certify Medical Assistant
  • certify clinical pharmacy technician
  • Clinical Pharmacy Technician
  • Pharmacy Technician
Degrees
  • Associate of Applied Science
  • High School Diploma