Pharmacy Technician Prior Authorization Resume Example
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PHARMACY TECHNICIAN PRIOR AUTHORIZATION
Professional Summary
Top of class pharmacy technician diploma graduate, effective problem solver who is able to grasp and cater for the individual customer's needs as well as an outgoing team player with demonstrated ability to increase customer satisfaction. Bilingual
Key Skills
- Positive upbeat, fun, friendly, social personality.
- Takes criticism well during performance reviews and seeks improvement.
- Gives full attention to what other people are saying, taking time to understand, asking questions when appropriate and not interrupting at inappropriate times.
- Effective interpersonal skills to maintain good relationship with others.
Professional Experience
10/2015
Pharmacy Technician Prior AuthorizationEGS (Expert Global Solution) － City , STATE
- Receives incoming calls from members, providers, facilities, and other departments
- Provides superior customer service that is consistent with policies, company values, and quality standard.
- Maintains customer history in using correct codes and detailed comments.
- Meets department and CMS standard for pre-authorization and overrides for members.
- Follows established CMS guideline to complete insurance pre-authorizations, which included member and provider notification standards.
- Investigate and resolves any insurance pharmacy claims issues including reimbursement, benefit explanation, and complaint/ problem resolution.
- Works to provide additional support for the prior authorization of medication.
- Assists Medicare member with the insurgence grievance, coverage determination (including exceptions), and appeals process.
03/2015 to 10/2015
Sales Associate/Cashier/ StockerWalmart － City , STATE
- Providing excellent customer service to costumers along with cash handling.
- Continuously provide outstanding customer assistance in a professional, friendly, and courteous manner.
- Stock department and assisting with sales of products and location identification at costumer's request.
- Meet company daily stocking and sales quota; meanwhile, maintaining safety protocols.
Education
2014
Pharmacy Technician DiplomaEverest Institute, － City, State
2012
High School DiplomaRoseville Area High School － City, State
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Resume Overview
School Attended
- Everest Institute,
- Roseville Area High School
Job Titles Held:
- Pharmacy Technician Prior Authorization
- Sales Associate/Cashier/ Stocker
Degrees
- Pharmacy Technician Diploma
High School Diploma
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