Experienced Pharmacy Technician/Prior Authorization Coordinator knowledgeable in all facets of pharmacy operations, eager to bring talent and expertise to a Health Care Services organizationin the position of PATIENT AUTHORIZATION REPRESENTATIVE/COORDINATOR. Also seeking to advance within a company and take on more responsibilities as I gain necessary knowledge and training.
Licenses In good standing with the California State Board of Pharmacy-Pharmacy Technician TCH 81163 and the National Pharmacy Technician Certification Board as a Certified Pharmacy Technician (CPhT) Certification Number 10064132.
Eight years of successful career experience as a retail Pharmacy Technician with major emphasis on direct customer service, obtaining and properly dispensing prescription orders.
Comprehensive academic and clinical experience in terminology, nutrition, pharmaceutical calculations, medication usage and distribution.
Four years of experience in prior authorization reviewing and maintaining expert knowledge on all Medicare Pharmacy benefits and formularies, including Centers for Medicare Services (CMS) regulations as it pertains to this position.
Strong computer skills and working knowledge of Microsoft products, claims processing software with the ability to learn new software applications.
Effective liaison who maintains reliable professional connections between the health care company and its associates. Provide accurate quality checks on active prior authorization claims while working within the guide lines and policies of the company.
Articulate, confident and knowledgeable communications with physicians, medical staff/assistants and insurance/worker compensation agents supported by accurate documentation and time management skills with a professional understanding of Medicare processing and HIPAA guidelines.
Currently taking on-line courses
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