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Pharmacy Technician Prior Authorizations

Location:
Richmond, VA
Posted:
November 14, 2023

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Resume:

Cathy Martin

Midlothian, VA *****

ad04xl@r.postjobfree.com

+1-804-***-****

Insurance Specialist knowledgeable in prior authorizations, in addition to with over 20 years of certified Pharmacy Technician experience. Strong leadership and relationship builder skills. Assist with policy and procedure developments for better outcomes. Familiar with Joint Commission accreditation knowledge for Standard requirements of pharmacy services. Knowledge of acquiring information for root cause investigation acknowledgement and analysis for opportunities for better service outcomes. Authorized to work in the US for any employer

Work Experience

Insurance Specialist

Bon Secours Neurology Clinic - Midlothian, VA

October 2020 to November 2021

• Retrieved request for prior authorizations from Epic EMR application patient charts and office messages.

• Submitted for approval prior authorizations for multiple providers from a wide variety of insurance plans including government plans via electronic submission as well as phone and fax.

• Researched insurance plan criteria for medications.

• Communicated with drug representatives for knowledge of drug actions and prescribing information such as indications, interactions, dosage, cost and patient assistance programs for collaborative patient care.recommendations.

Certified Pharmacy Technician

Bon Secours St Mary's Hospital - Richmond, VA

October 2010 to October 2020

• Compounded non sterile medications for adult and pediatric hospital inpatient population using accurate calculations and 795 medication safety guidelines and recordkeeping.

• Repacked medications using Pak-Edge machine with barcode scanning management for inventory information and dispensing safety.

• Assisted in policy and procedure development and guidelines for implementation.

• Developed training procedures and conducted initial training for non-sterile compounding for department of over 60 pharmacist and technicians with recorded training reviews biannually..

• Utilized quality control methods by quantifying data analysis for quality assurance

• Held new employee mentoring sessions for peers and was chosen to be department Safety Leader Professional Development Achievement

• Decreased medication safety error reports from 50% to 33% in 2017

• Improved training outcomes and procedures resulting in employees being engaged resulting in increased retention.

Education

Bachelor's Degree in Healthcare Administration

American InterContinental University - Schaumburg, IL September 2017 to March 2020

Skills

• Quality Assurance

• Hospital Experience

• Pharmacy Technician Experience

• Medical Terminology

• Medical Records

• Insurance Verification

• Epic

• Leadership

• Microsoft Outlook

• EMR Systems

• Data Entry

• ICD-10

• Typing

• Medical office experience

• Windows

• Succession planning

• Pharmacy software

• Customer service

• Benefits administration

• Data collection

• Documentation review

Certifications and Licenses

Pharmacy Technician Certification

PTCB Certification

Pharmacy Technician License



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