, , 100 Montgomery St. 10th Floor(555) 432-1000, resumesample@example.com
Summary
Board Certified Pharmacy Technician with 20+ years of extensive experience and strong communication skills. Highly skilled at processing prescriptions and managing pharmacy inventory in a hospital and retail setting. Knowledgeable about regulatory guidelines, policies governing fraud, waste and abuse, and insurance procedures. Passionate about creating stimulating environments that help students achieve their full potential and the drive to excite students to learning and enjoying the trade.
Skills
Time management
Communications
Organization Skills and Critical Thinking
Friendly, Positive Attitude
Planning and coordination
Process improvement or problem resolution
Reliable & Trustworthy
CPhT certification
Computer Skills with some experience with Word and Excel
Insurance billing and prior authorizations
Verifying Orders
Proper Labeling Procedures
Aseptic Techniques
Pharmacy Operations
Point of Sale Systems Proficiency
Drug Inventory Control
Ordering and Stocking Medications
Experience
06/2014 to CurrentPharmacy Technician/ Appeal Coordinator/Patient Access RepresentativeHca | Citrus Springs, FL,
Collaborated closely with pharmacist and Medical directors to deliver high level of quality care to patients and patrons.
Retained strong medical terminology, familiar with ICD 10 and CPT codes to help better comprehend the policy and procedures within the pharmacy department
Worked in an Excel master spreadsheet to record appeals, denials and approvals.
Instructed clients on amounts covered under benefits plans in easy-to-understand terminology.
Improved operations by working with team members and customers to find workable solutions.
Provided excellent service and attention to customers through phone conversations.
Upheld privacy and security requirements established by HIPPA
Documented conversations with customers to track requests, problems and solutions.
Worked with Pharmacy supervisors and other appeal coordinators to develop pharmacy appeals processes and to maintain compliance with CMS, NCQA and BMS.
Participated in the creation of the OICS platform for appeals and grievances.
Handled all delegated tasks assigned in a timely manner.
Demonstrated self-reliance by meeting and exceeding workflow needs.
Attended training and operating standards, such as CQI to help understand quality improvement plans with in the company.
Kept records of quality records of Medicare appeals and grievances for the medicare plan manager call with compliance.
Applied HIPAA privacy and security regulations while handling patient information.
Verified demographics and insurance information to register patients in computer system.
10/2005 to 06/2014Critical Care TechnicianBarnesville Hospital | City, STATE,
Maintained thorough, accurate and confidential documentation in electronic medical records.
Educated patients on treatment plans, medications and aftercare procedures.
Directed care for patients in ICU, including implementation of treatment plan, monitoring vitals.
Liaised between patients, families and care staff in all aspects of care delivery.
Advocated for patients by supporting and respecting basic rights, values and beliefs.
Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
Stocked clinical workstations and procedure rooms with necessary supplies.
Prioritized patient care assignments based on patient conditions to achieve optimal outcomes.
Collaborated with interdisciplinary healthcare professionals to create, implement and adapt individualized care plans.
Managed all facets of telemetry, including dysrhythmia interpretation and chest tube management.
Improved operations by working with team members and customers to find workable solutions.
Demonstrated self-reliance by meeting and exceeding workflow needs.
Alerted physician of diagnostic study results and changes in patient condition.
10/2003 to 02/2006Pharmacy Technician Shift SupervisorRite Aid Pharmacy | City, STATE,
Ordered medicines daily to comply with demands and needs.
Compiled customer demographic, allergy and medical history background.
Prepared prescription transfer requests from competitor companies.
Verified labeled prescriptions using 8-point check system to maintain accuracy and efficiency.
Participated in prescription pharmaceutical and over-the-counter product inventory audits.
Maintained clean and organized pharmacy shelving and work areas.
Adhered to regulatory guidelines for workplace safety and customer confidentiality.
Checked medications for content, accuracy and completeness of all drug packaging and labeling.
Verified prescriptions by contacting physicians' offices and receiving approval.
Delivered quality care to customers through close collaboration with pharmacist.
Worked with insurance companies to process claims, resolve problems and obtain payments.
Assisted upper management with daily operations to meet standards of service and quality.
Trained employees in effective work procedures and performance strategies to optimize operations.
Patrolled work areas to inspect operations, identify concerns and implement corrective actions.
Created schedules and assigned jobs based on employee strengths and anticipated customer demand.
Performed opening and closing procedures including setting up registers and arranging products to keep facility operations-ready.
Efficiently processed cash register transactions for new and refilled prescription orders.
Managed inventories, rotated stock, removed expired or damaged drug products and resolved discrepancies in drug counts.
08/1999 to 07/2002Pharmacy TechnicianCompany Name | City, State,
Teamed with peers, technicians and pharmacists to prioritize and complete orders.
Created new customer profiles and updated demographics, allergies and new medications in pharmacy computer systems.
Assisted pharmacist with clearing high volume of prescriptions and responded to customer questions.
Refilled medications, offered insight into over-the-counter products and verified insurance benefits.
Verified prescriptions and drug labels, documents and packages.
Interpreted and processed medication orders under supervision of pharmacist.
Received and verified daily incoming drug inventories, reported discrepancies and logged items into inventory system.
Transmitted claims to insurance companies for payment and reconciled EOBs.
Answered telephones to respond to questions or requests.
Operated cash registers to accept payments from customers.
Maintained proper storage and security conditions for drugs.
06/1996 to 08/1999Pharmacy TechnicianCompany Name | City, State,
Entered prescription information into computer databases.
Operated cash registers to accept payments from customers.
Answered telephones to respond to questions or requests.
Assisted customers by answering questions, locating items or referring to pharmacist for medication information.
Received written prescriptions and refill requests from patients, evaluating information for completeness and accuracy before filling.
Maintained proper storage and security conditions for drugs.
Inspected medication storage locations to monitor drug expiration dates and supply adequate inventory.
Education and Training
Expected in 05/1996High School Diploma | Barnesville High School , Barnesville, OH, GPA:
Expected in 05/2002Associate of Applied Science | Registered Nursing Belmont College, Saint Clairsville, OHGPA:
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