Sr Clinical Specialty Third Party Billing Tech Resume Example

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Jessica Claire
  • , , 100 Montgomery St. 10th Floor
  • Home: (555) 432-1000
  • Cell:

A pharmacy business analyst, with over 16 years of experience working as a senior pharmacy technician delivering high-quality pharmaceutical care in retail and Specialty settings. Combine clinical skills with business acumen and a proven ability to work high volume environments. Research, prepare and dispense medications and other pharmaceuticals according to professional standards and legal requirements. Ambitious self-starter with keen ability to learn and adapt in ever changing work environments.

  • Retail & Specialty Pharmacy Operations
  • Exceptional Patient Care and Interaction
  • Detail oriented and meticulous
  • Compounding
  • Data Entry & Filling
  • Calculations for correct dosing
  • Project Owner
  • Certified Immunizing Technician
  • Excellent customer service
  • Data Entry
  • Detail oriented
  • Filing/Book Keeping
  • Insurance Billing & Resolves Third Party Rejects
  • Prior Authorizations & Copay Assistance
  • Inventory Control Efficient
  • Ledger Balancing, Cash & Safe Handling
  • Microsoft Word Efficient
  • Shipping & Packaging via FEDEX, CMS & UPS
  • Problem Solving & Solution Driven
  • Telephone
  • Troubleshooting
  • Written & Verbal communication skills
Sr Clinical Specialty Third Party Billing Tech , 02/2017 to Current
Community Specialty WalgreensCity, STATE,
  • Prepare labels and fill prescriptions accordingly.
  • Creates pill regimen packs resulting in increase of patients’ adherence.
  • Directly assist patients’ daily, responding to inquiries and problems.
  • Increases medication adherence by establishing rapport with providers and patients.
  • Research and resolve dosage conflicts, potentially harmful drug interactions, insurance issues and other matters to ensure patient safety/wellness and build customer loyalty.
  • Conducts prior authorizations for new Hep C patients as well as other medications
  • Works alongside licensed pharmacists to provide excellent patient care
  • Completed 3 Rite Aid Conversion projects in 3 different states in 2019-2020 which consisted of me training the entire pharmacy staff Walgreens system in it's entirety.
  • Lead Sr. Prior Authorization Billing tech for Hep C patients for 3 Health Clinics and 3 Hospitals.
  • Constructed work process and lab collection to ensure successful Hepatitis C treatment of the underserved community.
  • Serve as the main point of contact for third Party billing and troubleshooting.
Sr. Certified Pharmacy Technician, 12/2004 to 02/2017
Walgreen's PharmacyCity, STATE,
  • Swiftly and correctly calculate dosages, dispense medications, prepare prescription labels and fill prescriptions for approval by pharmacists.
  • Use the pharmacy’s proprietary computer program to access prescription information including patient and prescriber data, drug selection, prescription interpretation and insurance billing.
  • Efficiently communicated directly with doctors’ offices via telephone, fax and email.
  • Serve as the main point of contact for third Party billing and troubleshooting.
  • Prepared labels and filled prescriptions accordingly.
  • Directly assisted patients' daily responding to inquires and problems.
  • Managed inventory
  • Trained new technicians
  • Managed Scheduling
  • Enter and update patient's information and insurance in the database
  • Helped resolve third party rejects
  • Maintaining outdates, recalls, and inventory
  • Order Management for Pharmacy supplies and medicine
Education and Training
Trade: Pharmacy, Expected in 2003
Information Technical Institute - Chicago,
: Pharmacy (Pre-Pharmacy), Expected in
Chicago State University - Chicago, IL

Red Cross CPR Certified

Certified Immunizer for Covid 19 vaccines

PTCB Certified

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Resume Overview

School Attended
  • Information Technical Institute
  • Chicago State University
Job Titles Held:
  • Sr Clinical Specialty Third Party Billing Tech
  • Sr. Certified Pharmacy Technician
  • Trade
  • Some College (No Degree)

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