Prior Authorization Clinical Services
Resume:
Haritha Tatavarthi
804-***-**** Houston, USA
Patient-oriented Pharmacist with 15 years of experience in pharmaceutical services. Strong background in clinical services, interpersonal skills, and medication therapy. Successful in increasing overall productivity by executing efficient processes that enhanced business workflow while reducing errors.
PROFESSIONAL EXPERIENCE
Clinical Pharmacist (PRN) at HCA Healthcare- Houston, TX Dec 2023- Present
Interpret orders and transcribe or verify them accurately and efficiently into the pharmacy computer system.
Monitor drug therapy regimens for contraindications, drug-drug interactions, drug-food interactions, allergies and appropriateness of drug and dose.
Suggest appropriate, cost-effective therapeutic medication alternatives to medical staff.
Assist with clinical services such as drug consults, nutrition support, pharmacokinetics, anticoagulant monitoring, pain management, IV to PO, renal dosing and other programs as defined by Pharmacy Leadership
Document all clinical activities and interventions accurately and completely.
Lead Suspension Pharmacist at Covetrus Veterinary Compounding Pharmacy- Houston, TX Jan 2017- Present
Formulate and compound suspensions, chews, capsules, and transdermal dosage forms tailored to meet client needs.
Ensure that all regulatory directives and good compounding practices are properly followed.
Set priorities to maximize contribution, executing daily tasks and supporting the team members.
Maintain prescription prioritization throughout prescription processing while constantly enhancing workflow, filling over 2000 prescriptions per week and maintaining a service level of over 98%.
Strictly adhere to safety and USP 795 and 800 guidelines for compounding medications.
Owner and Pharmacist-in-charge Mar 2013 – Apr 2014
Pharmacist-in-charge May 2014 – Mar 2016
Started Medworld Pharmacy in Houston, TX from the ground up and strictly adhered to local, state, and federal regulations.
Acquired contracts with wholesalers, buying groups and 3rd parties.
Managed a team of 5 professionals while directing work, appraising performance, and training employees.
Supervised, monitored, and evaluated the quality and effectiveness of patient care provided by the pharmacy staff while filling over 1500 prescriptions per week.
Managed daily activities with regards to effective operations and communications
Responsible for the appropriate budgeting, purchasing, control and security of all drug products and medical supplies.
Ensured the productivity and profitability of the pharmacy to its maximum.
Supervised, coordinated, and participated in the preparations of non-sterile compounds.
Created customized compound formulas for customers based on physician requests and under PCCA guidance.
Followed all safety and USP guidelines for preparation of compounded medications.
Maintained all compound and retail prescription logs.
Primarily focused on customer needs and satisfaction, ensuring customers were provided with the best customer service possible using best practices and prompt communication with physicians.
Coordinated and managed the prior authorization process for Medicare Part D and commercial insurance plans, ensuring timely access to medications for patients.
Served as a liaison between prescribers, insurance companies, and patients to expedite prior authorization approvals, enhancing patient satisfaction.
Reviewed and submitted prior authorization requests, including clinical documentation, to insurance providers.
Educated patients on the prior authorization process, alternative medication options, and potential out-of-pocket costs, leading to informed decision-making and increased adherence to prescribed therapies.
Maintained detailed records of prior authorization requests, approvals, and denials, ensuring compliance with regulatory requirements and audits.
Trained pharmacy staff on the prior authorization process and best practices, enhancing overall efficiency and patient care within the pharmacy.
Pharmacy Manager at Supreme Pharmacy- Houston, TX Apr 2011 - May 2012
Supervised and directed a team of 3 pharmacy professionals.
Dispensed and handled record-keeping of controlled substances.
Ensured that good customer service is provided to all patients and complaints are handled in an appropriate and professional manner.
Performed compete medication reviews with clients.
Staff Pharmacist at Target Pharmacy- Richmond, VA (Nov 2008 to Aug 2010) and Houston, TX (Sep 2010 to Nov 2010)
Performed all functions consistent with day-to-day operations of a retail pharmacy including processing, compounding, and preparing prescriptions, advising physicians, inventory control, counseling patients on prescriptions, OTC and health related items with necessary instruction and processing third party plans.
Maintained customer/patient confidentiality according to HIPAA and company standards.
Maintained prescription prioritization throughout prescription processing.
Resolved Third Party rejections and completed any manual claim forms.
Responded to public health emergencies by vaccinating patients.
Pharmacy Intern at Target Pharmacy- Richmond, VA Feb 2008 - Nov 2008
Dispensed and compounded prescribed medications or drugs for patients care in keeping with proper legal rules.
Reviewed and monitored medications and orders written by therapists and checked to see if they were safe and effective.
Pharmacy Technician at Target Pharmacy- Richmond, VA Sept 2007 - Feb 2008
Assisted all pharmacy and store customers with their questions and concerns.
Requested additional help when needed to maximize customer satisfaction.
SPECIALTY SKILLS
Data entry software systems: MEDITECH, RX Connect, PK software, PDX system, ABACUS and Pioneer Rx.
Working knowledge of computer including Microsoft office (PowerPoint, Excel, and Word)
EDUCATION
Pharm D in Clinical Pharmacy- Currently enrolled in CU Denver. Started in January 2021.
MS in Pharmacology and Toxicology- VCU, Richmond, VA. Graduated in August 2006.
Thesis: ‘Action of Tyrosyl DNA Phosphodiesterase on 3’-Phosphoglycolate terminated DNA strand breaks’
Bachelors in pharmacy- M.S. Ramaiah College of Pharmacy, Bangalore, Karnataka, INDIA. Graduated in October 2000
CERTIFICATIONS
CPR Certified
IV certified
Six-Sigma White Belt
Other
CMR, TMR and MTM experience through Aspen RxHealth.
REFERENCES
Available upon request
Contact this candidate