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staff field pharmacy auditor resume example with 20+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
Professional Summary

Experienced Pharmacy Technician knowledgeable in all facets of pharmacy operations, eager to bring talent and expertise as a Qualified Field Auditor with fantastic mathematical skills with proven history of accuracy. Trained in several areas, quick learning and highly professional.

Skills
  • Data management
  • Team leadership
  • Strong verbal communication
  • Self-motivated
  • Extremely organized
  • Conflict resolution
  • Pharmacy and customer records management
  • HIPAA
  • Retail pharmacy procedure knowledge
  • Accurate pharmaceutical calculations
  • Medication Inventory Management
  • Data entry specialist
  • Pharmacy law knowledge
  • Prescription drug labeling
  • HIPAA Regulations
  • QS1 Prescription Computer System
  • Prescription drug interaction assessment
  • Motivated self-starter
  • Insurance billing expert
  • American Pharmacist Association member
  • In good standing with the California Board of Pharmacy
  • Adaptability
  • Training & Development
  • Detail-oriented
  • Cultural awareness
Work History
Staff Field Pharmacy Auditor, 06/2018 - Current
Shields Health Solutions Minneapolis, MN,

- Conduct on site visits to pharmacies.

- Analyzing and appraising evidentiary data on which to base objective assessment of the accuracy and legitimacy of the practice site.

- Personally manage rigorous travel schedule; including timely submission of all expenses and inform management of upcoming plans.

- Utilize knowledge of pharmacy practice.

- Standards to educate and coach Network Providers at the highest level of professionalism and partnership.

- Educated pharmacies on specialty drug; compounding and drug utilization under moderate level of guidance.

- Prepare for and participate in communications, including conference calls and on site meetings.

- Developed and produced reports as required to meet the needs of Network Strategy and Contracting; department management, pharmacies and other stake holders.

  • Managed and responded to all correspondence and inquiries from customers and vendors.
  • Managed projects under direction of senior management to meet deadlines.
  • Applied mathematical abilities on daily basis to calculate while reviewing audits
  • Checked audit documents for errors and accuracy while updating in audit software.
  • Submitted audit findings to Post Audit after reviewing results and paperwork.
  • Gathered, evaluated and summarized audit data in detailed reports.
  • Assessed data and information to verify entry, calculation and billing code accuracy.
Filling Pharmacy Technician, 09/2017 - 01/2018
City Center Pharmacy Brentwood City, STATE,
  • Filling prescriptions (vials, bubble packs, dispill system, E-kit).
  • Processing prescriptions on TCG machine.
  • Data entry.
  • Restocked automated medication dispensing equipment.
  • Answered incoming phone calls and addressed questions from customers and healthcare providers.
  • Properly cleaned and maintained department equipment 
  • Regularly stocked shelves, rotated stock and checked for expired medications.
  • Hand counted control medications, measured liquids and reconstituted antibiotics.
LTC Specialty Pharmacy Technician, 05/2016 - 04/2017
Mission Wellness Pharmacy City, STATE,
  • Data entry, processing, insurance billing and contacting providers as necessary.
  • LTC weekly cycle billing and filling.
  • Dispill System Processing and Prior Authorization Requests.
  • Translating Per Diem.
  • Resolved non-routine issues like third-party billing, computer system and customer service issues.
  • Maintained proper drug storage procedures, registries, and records for controlled drugs.
  • Counted, measured, and compounded medications following standard procedures.
  • Collected co-payments or full payments from customers.
  • Answered incoming phone calls and addressed questions from customers and healthcare providers.
  • Effectively resolved insurance rejections and other billing issues.
Senior Pharmacy Technician, 01/1999 - 05/2016
St Mary Prescription Pharmacy City, STATE,
  • Enters data in computer system, recording all the prescriptions, purchase orders and requisition.
  • Makes requisitions for drugs and supplies with professional guidance from the pharmacists.
  • Verifies that information on the prescription is complete and accurate.
  • Prepares insurance forms for various insurances including Medi-cal and Medi-care part D.
  • Respond to phone calls by doctors, nurses and patients.
  • Performs other position-related duties as assigned, depending on assignment setting.
  • Specializing in LTC/Closed Door pharmacy setting.
  • Inventory Management within policies and procedures for Pharmacy Technician.
  • Answered incoming phone calls and addressed questions from customers and healthcare providers.
  • Resolved non-routine issues like third party billing, computer system and customer service issues.
  • Effectively resolved insurance rejections and other billing issues.
  • Managed drug and supply inventories.
  • Assisted other pharmacy staff with drug inventory, purchasing, and receiving.
  • Completed new and updated patient profiles, including lists of patient medications.
  • Assisted the pharmacists with checking in and pricing drug orders, third party transactions and relevant paperwork.
  • Correctly completed pharmacy paperwork, including daily and weekly reports.
  • Checked prescriptions for appropriate dosage, drug interactions, allergies and contra-indications before dispensing medications.
  • Effectively prioritized tasks and organized workflow to increase efficiency.
  • Communicated regularly with physicians, nurses, insurance companies and managed care organizations.
  • Properly instructed pharmacy students and residents on introductory and advanced pharmacy practice rotations.
Education
Pharmacy Technician Program: , Expected in 1995
-
Silicon Valley College - ,
GPA:
Status -
: General Education, Expected in
-
Chabot College - Hayward,
GPA:
Status -
High School Diploma: , Expected in 1991
-
Valley High School - Sacramento, CA
GPA:
Status -
Certifications
  • Certified by the Pharmacy Technician Certification Board (PTCB)
  • Pharmacy Technician License (California)

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Resume Overview

School Attended

  • Silicon Valley College
  • Chabot College
  • Valley High School

Job Titles Held:

  • Staff Field Pharmacy Auditor
  • Filling Pharmacy Technician
  • LTC Specialty Pharmacy Technician
  • Senior Pharmacy Technician

Degrees

  • Pharmacy Technician Program
  • High School Diploma

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