Technician High School

Contact

Beatriz Rosado 407-***-****

******-*@*******.***

Address

**** *** ***** ****. #*** Orlando FL, 32822

Objective

To obtain a position where current skill-set and knowledge can be utilized, as well as, being exposed to new

environments, situations and people to further add growth, advancement and experience as an employee and an

individual.

Summary of Qualifications

Works well cross functionally while displaying great verbal and written communication skills.

Proficient in Microsoft Office systems.

Well organized and detail oriented; with the ability to evaluate business processes and/or present solutions.

Extremely organized while demonstrating an ability to meet multiple deadlines and manage an intense

workload.

Bilingual.

Work Experience

CuraScript (ESI) Orlando, FL 2006- Present

Senior Prior Authorization Associate

Point of contact, liaison and back up for supervisory duties, in charge of assigning & monitoring daily work for

the department as well as training new hires.

Assist in creating and implementing new procedures and systems for improvement of individual as well as

department performance.

Contacting physician’s offices to collect clinical data and/or obtain medical history, and previous treatment

summary to support clinician decision making while prioritizing activities to meet UM turnaround times as

required by URAC and NCQA.

Responsible for learning and comprehending multiple customized Clinical Drug Utilization criteria.

Responsible for obtaining prescriptions and/or prescription clarification based on specified criteria.

Claim adjudication.

Compilation of plan audits to meet individual client performance guarantees.

Administrative tasks.

Massachusetts General Hospital – Boston, MA 2005 - 2006

Certified Pharmacy Technician

Inventory management

- Identifying and reporting discrepancies

- Validation of systems vs. on-hand quantities

Prescription/Compound processing

- Order entry

- Prescription filling

- Payment transactions

Claim adjudication

Served as patient liaison to MDO and insurance companies

Education

High School Diploma 1997

Benito Cerezo High School – Aguadilla, PR

Pharmacy Technician Career Training 2004 – 2005

Career Education Institute - Summerville, MA

Certifications

Pharmacy Technician Certification 2005 – Present

Pharmacy Technician Certification Board

Compass System PA Certification 2008 – Present

Express Scripts

Microsoft Office 2007 Certification 2010

DeVry University Graduate School

Contact this candidate