Pharmacy Technician Prior Authorization

Keeta C.

Coleman

Location: Washington

Metropolitan Area

Citizenship: United States

Mobile: 240-***-****

E-mail: adn350@r.postjobfree.com

EDUCATION

The Honor’s College at UMBC

Master’s in Professional

Studies - I/O Psychology

December 2020

GPA 3.9/4.0

University of Maryland,

University College

Adelphi, MD

Bachelor of Science in

Psychology

December 2017

GPA 3.6/4.0

Montgomery College

Rockville, MD

Associates of Arts

January 2015

GPA 3.3/ 4.0

SOFTWARE / SKILLS

Written/Verbal

Communication

Customer Service

SPSS

RStudio

Time Management

Webex

Detail Orientation

Microsoft Office

HIPAA-Trained

Interpersonal skills

Training

Pharmacy

Volunteer Work

7-Cups of Tea-Trained Active

listener

2017-current

PROFESSIONAL EXPERIENCE

Department of Homeland Security/Transportation Security Administration, Washington, DC — October 2020 - April 2021 Unpaid Internship- Human Capital- Job Analysis & Testing

■ Managed and assisted in the development of innovative human capital research projects.

■ Collected and analyzed the data using qualitative and quantitative strategies to draw practical conclusions and make recommendations for changes to improve job descriptions, improve the selection process, and decrease employee turnover

■ Authored documentation, and technical reports on research findings and implications to contribute and suggest potential changes in job structures

■ Developed technical written assessment and reviews structured interview questions for various job positions

■ Maintained timeline and communication with the client regarding progress and status of innovative human capital research projects Caremetx, Bethesda, MD — July 2017 - July 2018

Reimbursement Case Manager

■ Worked with patients with chronic and life-threatening illnesses who requested assistance to identify financial resources to offset the medical cost and maintained patient confidentiality

■ Researched and resolved any electronic claim/Medicare claim denials, prior authorization/appeal and worked with payors and/or claims clearinghouse to ensure accurate and timely resolution

■ Tested the knowledge management system by clarifying errors and advising what should be implemented into the Standard Operational Procedures and Work instructions.

■ Assisted with implementing training modules for 50 new hires Amerisourcebergen, Gaithersburg, MD — October 2015 - December 2016

Senior Reimbursement Counselor

■ Provided exceptional customer service to internal and external customers; resolved any customer requests in a timely and accurate manner; escalated complaints accordingly.

■ Communicated effectively to payors and/or claims clearinghouse to ensure accurate and timely electronically filed claims and maintained patient confidentiality

CVS Pharmacy, Rockville, MD — May 2011 - October 2015 Lead Pharmacy Technician

■ Used the pharmacy’s proprietary computer program to access prescription information including patient and prescriber data, medication selection, prescription interpretation, and insurance billing

■ Researched and resolved any electronic claim/Medicare claim denials, prior authorization/appeal

■ Administered the schedule of all pharmacy technicians based on allotted hours of the company and employee’s availability

■ Researched and resolved dosage conflicts, potentially harmful drug interactions, insurance issues, and other matters to ensure patient safety/wellness to build customer loyalty.

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