Pharmacy Technician Medical Assistant

SARAH VIQUEZ

*** ******* **** **. **********, NJ 08534 908-***-**** *********@*****.***

PROFESSIONAL SUMMARY

Organized, experienced and focused medical professional. Seeking full time employment that will utilize my specialized skills gained through my certificate program in medical coding and billing, work experience and externship experience.

EDUCATION

Mercer County Community College, Lawrenceville, NJ

Associate in Science. September 2024

GPA:3.8

Bucks County Community College, Newtown, PA

Certification in Medical Coding and Billing, May 2020

GPA: 3.8; Dean’s List, Spring 2019

Raritan Valley Community College, Somerville, NJ

Medical Assistant, 24 Credits Completed, 2010-2011

Certified Pharmacy Tech 2012

CERTIFICATIONS AND SKILLS

Knowledge of Procedural and Diagnostic Coding

PTCB Certification

Registered Pharmacy Technician

Medical assisting and phlebotomy experience

CPR/AED Certification

Made extensive progress on A/R and medical billing claims

Prepared authorizations for in office procedures and out of office

EXPERIENCE

Doyalstown Hospital Physician Billing, Doyalstown, PA

Extern, 120 hrs

Princeton Medical Group, Princeton, NJ

Pre-Authorization Specialist July 22-Oct 23

Completed authorizations for high costing oncology pre-meds and chemo drugs, as well as hematology, rheumatology, and gynecology medications.

Informed doctors on medications and treatments that were not covered by insurance and aided with finding solutions.

Improved the department on better ways to communicate with insurance companies.

Spearheaded medication denials, appeals and reconsideration.

Prioritized medication authorizations for patients with upcoming appointments by communicating closely with the nurses and doctors.

Hunterdon Otolaryngology & Associates, Flemington, NJ

AR/ Authorizations Sept 21- June 22

Set up authorizations for in and out of office procedures

Put together AR reports and worked on medical billing

Worked closely with insurance companies to get claims paid

Reception, administration and scheduling

Explained statements, claim issues, and insurance problems to patients

Mercer Bucks Hematology Oncology, Pennington, NJ

Billing/AR Oct 19-April 21

Prior Authorization for high-cost medications for cancer and/or blood diseases

Processed insurance and verified benefits for patients

Answered and explained insurance questions to patients

Followed up with insurance for outstanding balances for claims

Reception, administration, and scheduling

Cleveland Clinic Hospital, Weston, FL

Discharge Medication Specialist, March 2014-July 2017

Proactively identified high-cost, high-risk patient populations and resolved prescription benefit plan issues for provision of required medications. Documented a plan of action for clinical staff to resolve problems.

Reviewed patients’ pharmacy of choice for discharge medication per information collected by Admissions. Reviewed the ability of the pharmacy chosen to provide medications needed at discharge considering common availability of drug and reimbursement issues.

Verified take home medication insurance for patients prior to discharge and assisted with medication reimbursement/billing issues of discharge patients.

CVS Pharmacy, Hollywood, FL and Hillsboro, NJ

Registered Pharmacy Technician, 2007-2014

Participated in re-certification modules.

Entered prescription information and insurance coverage.

Filled all medication in a timely manner.

Counseled patients with insurance questions.

Purchased necessary medications and durable medical equipment through the cardinal system.

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