I am a Certified Pharmacy Technician in California with 9 years experience in pharmacy administration with a state HMO. I am dedicated, hard-working. I'm a reliable and accurate professional who delivers courteous service at all times. I'm detail oriented and aggressive in order to obtain necessary information to make coverage determinations for pharmaceutical/medical based services. I'm skilled in benefit administration and contract benefit determination for commercial, PPO, Welfare and Medicare plans. I have previous background as a LVN in the medical/surgical field which has given me additional knowledge in diagnostics vs.. criteria in coverage determination.
Outreach calls to Medicare members in regards to compliance and adherence of important maintenance medication. Assist Medicare members with filling and obtaining statin, ace/arbs and anti-diabetic medications in a timely manner. Advise Medicare members of pharmacy benefit information and assist in answering any questions. Increasing compliance and adherence with best benefit information, ie: 90 day supply and preferred pharmacies. Consulted with customers via telephone or in-person to assist with navigating pharmacy systems and completing requests. Answered patient questions regarding medication. Confirmed prescriptions for patients by placing calls and conferring with physicians' office staff. Efficiently responded voicemails to promote assistance and service to customers. Document and track information obtained on appropriate spreadsheet.
Properly fill and dispense an average of 450 prescriptions per day. Effectively resolve insurance rejections and other billing issues. Manage drug and supply inventories. Manage approximately thousands of dollars in cash and credit card sales daily. Conduct routine inspections of medication storage locations. Performed technical processes required to dispense medications to patients. Complete new and updated patient profiles, including lists of patient medications. Clean equipment and work areas as well as sterilized glassware to maintain sanitary conditions. Receptively answered customer questions and helped locate desired items. Reconstitute oral liquids. Efficiently operate cash register and handle cash, checks and charge transactions. Assist the pharmacist with checking in and pricing drug orders, third party transactions and relevant paperwork. Prepare medications such as emulsions, liquids, powders and ointments. Hand counted control medications measured liquids and reconstituted antibiotics. Coordinated the pharmacy staff schedule and assisted with personnel monitoring and performance evaluations. Comply with all federal and state laws, company policies and procedures and regulations regarding intern, technician and assistant training and licensure. Save patients money and increase pharmacy profit margins with therapeutic equivalents and more cost-effective generic drugs. Also effectively prioritized tasks and organized work flow to increase efficiency.
Pharmacy Administration position requiring clinical review of diagnosis to drug coverage according to individual contract.
Contacting providers to obtain diagnosis and clinical history in order to determine and administer coverage for medications as per criteria on contract. Determine Medicare benefit per Medicare guidelines. Processing coverage for B and D benefits. Maintaining and allowing benefit for pharmacy patients according to Policies and Procedure. Effectively resolving insurance rejections and other billing issues. Assisting consumers with information involving pharmacy benefit and contracted providers. Review and monitor the administration of drugs given in the provider settings. Review and determination of coverage of injectable medications requiring prior authorization on a case by case basis. Working together with the multiple departments to allow the consumer the smoothest transition and best experience possible.
In addition to all aspects of Senior Pharmacy Technician position duties states previously: Handled guest complaints calmly and professionally. performed inventory and restocking assignments as necessary. Communicated effectively with management concerning important customer issues. Hired and trained staff. Ordering perishable and nonperishable inventory. Rotating entire store inventory as needed. Supervising staff and scheduling tasks. Banking and cash control of large amounts of cash, checks and credit. Monitoring security system. Cooperating with law enforcement when necessary for legal issues, ie: obtaining security film and testifying in prosecution cases.
coursework in Biology, Chemistry, physics, Pharmacy Technology, Human anatomy , physiology and Microbiology.
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