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Pharmacy Technician Call Center

Location:
San Antonio, TX
Posted:
December 04, 2023

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Resume:

Sabrina Sancho

San Antonio, TX *****

ad1o5h@r.postjobfree.com

210-***-****

Objective: Dedicated Pharmacy Technician: Seeking position with a growing company with potential. for

advancement as well as challenging my pharmaceutical knowledge and skills as well collaboratively all

my experiences and qualifications. Over ten years of exceling and continuously seeks avenues for

growing professional expertise and actively pursues new learning opportunities.

Education/Certification

2010-S.A.C-Nursing Program 2007-Present San Antonio College –General Courses

2003-Registered Pharmacy Technician with the State of Texas # 124***-****-

Pharmacy Technician Board (PTCB)-# 2601-0103-0755-299 2003-

STERILE, NON STERILE, CHEMOTHERAPY -NPTA

Pharmacy Technician 2002-John Jay High School Graduate –General Studies

Work Experience:

06-12-2022-02/25/2023 -Shields Health -Pharmacy Liaison - -• Provide "legendary" care to hospital

patients by providing a full suite of custom medication management services • As a member of the clinic

team, work seamlessly alongside hospital clinicians to serve. patients both face-to-face and over the

phone • Educate prospective pharmacy patients on how hospital serves patients and improves their

overall care; •Answer, resolve and triage inbound inquiries; • Perform refill. reminder calls under the

supervision of a pharmacist; • Resolve insurance related issues, including prior authorizations (PAs), and

assist patients with various forms of financial assistance • Ensure appropriate documentation in all

required systems/tracking. mechanisms: • Information received through RightFax-Information received

through emailer any other methods. of receipt (phone calls, etc. Document and follow-ups on all assigned

inventory, utilizing on-line systems and procedures, according to established guidelines. knowledge of

various health plan partner benefits, networks, CMS regulations and health plan partner policies Utilize

experience. and judgment to plan, accomplish goals and effectively resolve each assigned task Receives

and responds to telephone calls through. the UM Phone Queue, as needed Performs all other related

duties as assigned Proficiently and adequately processing data. Information Review.

09/13/2021-05/24/2022 Humana Pharmacy Tech- Remote In bound Call Center -Answer, resolve and

triage inbound inquiries; • Perform refill. reminder calls under the supervision of a pharmacist; • Resolve

insurance related issues, including prior authorizations (PAs), and assist patients with various forms of

financial assistance • Ensure appropriate documentation in all required systems/tracking. mechanisms;

Benefit verification, benefit breakdowns. handle high call volume. inbound call from Provider, Patient's,

clinic staff ect. and ensuring the safety of HIPPA.Communicate through correspondence with members

and providers regarding claim payment or required information, using clear, simple language to ensure

understanding by all callers-assisting with speaking with customers (policy holders), assisting with

members, Provider and Third Party etc. Demonstrated the ability to manage relationships with both

internal and external customers. in a professional manner. Excellent verbal and written communication

skills, evaluates coverage and confirms benefit. account information and taking inbound calls from

customers who have questions about their health benefits.

10/26/2020 -05/13/2021-WEB TPA - Benefits Rep- Remote Inbound call center - Ensure appropriate

documentation in all required systems/tracking. mechanisms; Benefit verification, benefit breakdowns.

handle high call volume. inbound call from Provider, Patient's, clinic staff ect. and ensuring the safety of

HIPPA.Communicate through correspondence with members and providers regarding claim payment or

required information, using clear, simple language to ensure understanding by all callers-assisting with

speaking with customers (policy holders), assisting with members, Provider and Third Party etc.

Demonstrated the ability to manage and evaluate coverage and confirm benefits. account information and

taking inbound calls from customers who have questions about their health benefits. explain in detail

health policy plans.

11/29/2010-04/01/2019 Remote -Prior Authorization-Claims-Specialty Prior Authorization

Department/Pharmacy Technician CVS Caremark (Work from Home Agent) work from home) in bound

calls -Process prescription prior authorizations for all specialty drugs. Making outbound calls as well as

receiving calls properly authenticating the call to the HIPAA qualifications. Communicating and educating

the process and Representatives Etc. Acknowledgement and educated on ICD-10 codes and

acknowledgements and educated on diagnosis for all and Communicate through correspondence with

members and providers regarding claim payment or required information, using clear, simple language to

ensure understanding by all callers-assisting with speaking with customers (policy holders), assisting with

members, Provider and Third Party etc. Demonstrated the ability to manage relationships with both

internal and external customers. in a professional manner. Excellent verbal and written communication

skills, Confirms and evaluates coverage and confirms benefit. account information and taking inbound

calls from customers who have questions about their Pharmacy benefits, coverage, authorization, claims

etc. Inbound call with high volume.

03-17-2014-08/22/2016--Baptist Health Care Hospital Setting-Compounding Pharmacy

Tech-(Compounding) -Technicians demonstrate working knowledge of the policies and procedures

regarding procurement, storage, preparation and delivery of pharmaceuticals in hospitals and health

system settings. The successful candidate will process physician orders for orders supplies. and

medications. Receives and shelves medications ensure that standard drug supplies are in adequate

supply in all departments. -Prepares labels. Files and prepares billing. Thorough understanding of

department automation, data entry and report generation. Ordering of medication and supplies as

directed, assist with required cleaning and maintenance of the admix area and the pharmacy. department

in general to minimize particle counts and Prepare medication orders by compounding or admixing

medications under supervision of a physician. Check all orders for completeness of information. -Verified

patient information and proper physician authorization. Under a professional's supervision, ad mixes

drugs as ordered by physician in an accurate and timely manner as per department guidelines and

preparing all drugs within OSHA guidelines and interoffice guidelines. -Keeps accurate logs on all protocol

drugs and patient assistance drugs. Maintains proper control documentation of medications,preparing,

dispensing, reconciling.

06-01-2007--05-05-2013-American Specialty Pharmacy –Lead Pharmacy Compounding Tech- Accurately

and efficiently preparing. prescription orders, verifying prescription information and dosage, Entering

patient and order information into the pharmacy. system, Processing and submitting insurance claims,

Providing quality customer service to patients and other healthcare providers. Orders supplies and

medications. Receives and shelves medications. Receives and shelves medications, Maintains current

drug. information and MSDS sheets. -Properly disposes all materials used when mixing operate a cash

register including cash, checks, and charge transactions bagging merchandise, insurance signature logs

and offer/refer questions to Pharmacist. Checks all orders for insurance approval before admixing. -Under

a professional's supervision, administers drugs as ordered by physician in an accurate and timely manner

as per department guidelines and preparing all drugs within OSHA guidelines and interoffice guidelines.

Calculates correct dosage volumes, converting between metric and apothecary equivalents. Complete

inventory control of medications. -Maintains indigent patient drug programs as needed. Maintains current

drug information and MSDS sheets. -Properly dispose of all materials used when mixing. Prepares IVs as

assigned, utilizing aseptic technique, under the supervision of a pharmacist.

2004-2007-Q Pharmacy Lead Technician -Patient Advocate Customer Service Representative, customer

Service Representative is. responsible for assisting current and potential new customers with enrollment

processes and assisting existing customers with status updates. Please see below for responsibilities and

qualifications. Provides diverse customer service of highly skilled. enrollment and registration support for

personnel information Maintains good relationships with customer card members. Work

with members, medical providers, and others in the healthcare field to negotiate and mediate

out-of-pocket balances on healthcare.

bills. Patient Advocates have a professional phone presence, are patient, caring and dedicated to helping

a variety of members and

are adept at handling difficult and sensitive situations and cases. Patient Advocates are dedicated to

achieving established personal connection with our caller. as well as high inbound calls.

References

Ida Mares-512-***-**** - Event Manger 11 years

Letty Castor -210-***-**** -Health Insurance Customer Service Manager - 8 years

Roberta Gaitan 726-***-**** Business Manger 10 years



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