Tarnesha Fields, CphT
***** ********** ** #*** *******, TX 77070 480-***-**** ************@*****.***
Professional Summary
Honest and hard-working technician capable of working in a variety of areas seeking a position that will challenge and push me to succeed.
Relevant Skills
Prescription Processing
Pharmaceutical Calculations
Medical & Pharmaceutical Terminology
Drug Classifications & Safety
Medication Inventory Management
FDA Compliance
Medicare, Medicaid & Insurance Claims Processing
Customer Service/Customer Relations
Proficiency in Microsoft office
Verbal and written communication
Experience
Cigna Specialty Pharmacy June 2016 – Present Phoenix, AZ
Customer Service Representative Senior Associate
Specialty Pharmacy order from all workstations & know all the various department procedures.
Walk orders through the system as needed for STAT delivery.
Answer all incoming calls in a timely & professional manner.
Work with the Lead and Supervisor to suggest system enhancements, new business procedures & good customer service processes.
Assist the pharmacist by filling physician orders
Assisted with lead duties, including training new technicians and assistants, and delegating assignments to other team members.
Subject Matter Expert(SME) in Fertility and Multiple Sclerosis
Assist with claim processing, billing and A/R
Research, analyze and track customer call/claim inquiries brought to Service implementation Executive from employers/brokers. Communicate outcome and next steps with Client Service Executive as needed.
Service customers across all medical platforms and products (as well as pharmacy, dental and behavior health as needed).
Navigate multiple Cigna systems including client self-service portals, claim systems and tracking systems
Handle transactional tasks(customer/provider outreach calls, create out of pocket ledgers, etc.)
Abrazo West Campus June 2016- March 2018 Goodyear, AZ
Pharmacy Technician
in charge of compounding medication when commercial products were not available from manufacturers.
Analyzed patient profiles to review drug history in order to determine drug allergies and to prevent drug interactions with new medication.
Gathered information in order to prepare and deliver medication carts to patients and nursing units.
Received narcotic orders and maintained records of all scheduled drugs distributed throughout the hospital.
Filled the Omnicell drug dispensing machines throughout the hospital and supervised the distribution compliance between nurses and patients
HONORHEALTH MEDICAL CENTER July 2015 –June 2016 Scottsdale, AZ
Pharmacy Technician II
Created metrics tracking how many medicines were required by different units in the hospital & responsible for returning any incorrect or defected products.
Responsible for submitting medication credits to insurance companies as well as managing and tracking volumes of returned medication and updating pharmacy manager accordingly.
Coordinated and collaborated with physicians and nurses.
Received and prepared prescriptions and IVs for patients.
Responsible for delivering patient medications to designated hospital floors.
Responsible for restocking medications in Pyxis machine.
HEALTH CHOICE ARIZONA APRIL 2014 – JULY 2015 PHOENIX, AZ
Prior Authorization Technician
Log into phone queue to service providers
Answer inbound calls regarding Medicaid & Medicare authorizations within established time frame
Document contact information in electronic medical record system
Maintain productivity
Handle calls professionally
Provide accurate prior authorization information to provider offices
Review and approve requests based on Health Choice established guidelines
If determination is not made, forward prior authorization request to Supervisor/Manager
Contact referring provider to obtain additional information needed to make
Handle Appeals for Medicare and Medicaid prior authorizations
Prepare member Medicaid & Medicare D denial letters following final decision of Medical Director
HUMANA PHARMACY AUGUST 2007- APRIL 2014 GLENDALE, AZ
Pharmacy Technician
Formulate faxes to clarify missing, illegible, or unclear information on a prescription.
Formulate faxes to request refills on expired prescriptions or prescriptions out of refills.
Make outbound calls to prescribers to clarify missing, illegible, or unclear information on a prescription. Make outbound calls to patients to clarify diabetic supplies, patient information, prescriber information, or to discuss a Manufacturer Back Order Issue.
Take inbound calls from prescribers and patients calling back to clarify information.
Update prescription and forward to pharmacist for final verification once response has been received. Work with other departments to resolve any pending issues on an order to provide perfect service.
Education
INTELLI SCHOOL-METRO CENTER
HIGH SCHOOL DIPLOMA
ARIZONA COLLEGE OF ALLIED HEALTH
PHARMACY TECHNICIAN PROGRAM
GRAND CANYON UNIVESITY
BACHELOR OF SCIENCE IN HEALTH SCIENCE IN PROFESSIONAL DEVELOPMENT AND ADVANCED PATIENT CARE
References will be provided upon request.