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Data Entry Customer Service

Location:
Cherry Hill, New Jersey, United States
Salary:
49 to 51.50
Posted:
June 22, 2018

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Resume:

Ryan Ung, RPh, MTM

Cherry Hill, New Jersey *****

856-***-**** ac5y76@r.postjobfree.com LinkedIn

Senior Pharmacy Professional

Pharmacy Benefit Manager / Registered Pharmacist / Pharmacy Manager

Highly qualified pharmacist with over 20 years’ experience in Pharmacy Benefit Management services, direct customer care in Retail Pharmacies, and Retail Pharmacy Management. Clear and caring communicator for educating and advising pharmacy clientele. Deep knowledge of commercial health plans, self-ensured employer plans, Medicare Part D plans, Federal Employees Health Benefits Program, and State government employee plans. Proactively up-to-date on insurance regulations, rebate programs, and compliance requirements. Adept at managing formularies, clarifying drug coverage, and connecting customers to orphan drug suppliers.

Expertise Highlights

Pharmacy Management

Data Entry

Team Support and Mentoring

Medication Dispensing

Equipment Operations

Compassion and Empathy

Drug Interactions

Computer Literacy

Patience

Attention to Detail

Communication

Customer Service

Math and Science Skills

Organization

Order Review and Verification

Schedule II Controlled Substances Specialist

High Speed Robotic Filling Equipment Operations

Manage escalated insurance claims and all third party transactions

Dispensing and checking of blister pack and unit dose cards supplied to nursing homes

Professional Experience

Mail Order Pharmacist: Express Scripts Holding Company, Trevose, PA 2005–2017

The largest pharmacy benefit management organization in the United States providing claims processing, home delivery, specialty care and benefit management, benefit-design consultation, drug utilization reviews, formulary management, and medical and drug data analysis services.

Held substantial responsibility in a Mail Order Pharmacy setting including data entry, customer services, drug interaction reviews, order reviews, and order verifications. Provided quick-renew processing, retail-to-mail order conversion services, physician contact support, and Schedule II Controlled Substances support.

Mentored and assisted associated technicians with difficult claim processing, data entry, and shipping.

Resolved and / or escalated issues to upper management. Provided Schedule II Controlled Substances support especially regarding Pain Management Guidelines and Red Flag Combinations of medications involving opioid or the combination of opioids with high potential levels of toxicity, abuse, and diversion.

• Performing a 4 week job relating to Prior Authorizations for clients on Medicaid and Medicare programs in anticipating of works influxed from satellite site closure in Tampa, FL.

• Utilizing clinical criteria for evaluating requests to approve specialty medications,

diagnostic supplies, and enteral products.

• Communication with physicians and pharmacies for obtaining clinical data necessary for processing prior authorization requests.

• Train new hires on diabetic supplies to ensure effective quality and accuracy for inputting prescription

• Lead group meetings to discuss key audit finding and provide guidance to avoid similar failures to pharmacist and technicians

• Monitoring patient drug regimens for drug interactions, duplicate therapies, and disease state, and Senior's drug review in TMW

• Performing outreaches to physician's offices for quality issues and formulary limits also in TMW

Retail Pharmacist: Thrift Drug, Eckerd Corporation, Rite Aid Corp. PA 1989–2005 and I am currently working full time since April 2018 to present at Rite Aid Corporation)

Served as a pharmacist, an emergency fill-in pharmacist (floater) as well as Pharmacy manager in 12-hour and 24-hour pharmacy facilities offering free delivery and drive-through locations. Provided inventory control, ensured State and Federal regulation compliance, handled insurance formulary issues and resolve customer complaints.

Managed pharmacy operations including medication dispensing, regulation compliance, and customer service.

Trained and coached pharmacy interns and evaluated their performance.

Minimized excessive inventory backlog and overhead spending by identifying and returning expired medications for store credits.

Streamlined performance and improved speed and accuracy of caseload research and management by implementing information and resource management systems.

Education and Credentials

Bachelor of Pharmacy

Temple University School of Pharmacy – Philadelphia, Pennsylvania

Associate Degree

Delaware County Community College – Media, Pennsylvania

Credentials

Medication Therapy Management (MTM)

Cardiopulmonary Resuscitation (CPR)

Licensed Pharmacist in Pennsylvania and Delaware

Authorized to Administer Injectable Medicines in Pennsylvania

References

Mr. Michael Lazor, rph: former co-worker at Express Scripts Holding 215-***-****

Mr. Joe Paoline, rph: former co-worker at Express Scripts Holding 856-***-****

Mrs. Kimberly Kroll, rph: former co-worker at Express Scripts Holding 856-***-****

Mr. David Jaspan, Chief Pharmacy in Charge at Express Scripts Holding 609-***-****



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