George Kamil Philip Michael
**** ****** **** ***** # ***, Oviedo, FL 32765
Phone: 407-***-****
Email: ********@*****.***
Professional Summary
Self-motivated, patient-oriented pharmacist with a positive attitude.
Strong background in clinical pharmacology and patient therapy management.
Excellent in creating and maintaining positive relationships with patients, medical professionals, and insurance providers.
My goal is to help customers by making the process of getting their medication as easy, understandable and smooth as possible.
Credentials include: team leadership and motivation, embrace diversity, and dedication to quality care.
Education
Bachelors Degree in Pharmaceutical Sciences from Faculty of Pharmacy, Alexandria, Egypt – 1997
Professional Licenses
Pharmacist – State of Florida
License # PS 60862
Pharmacist – Washington, DC
License # PH 100003397
Skills
CPR+ Software experience (4 years)
Excellent critical thinking and problem solving skills
Drug distribution
Extensive medical terminology knowledge
Exceptional patient care and interaction
Efficient and accurate
Hard working and a team player
Thorough understanding of prescription drug interactions
Excellent command over written and verbal communication
Familiar with major computer applications like MS Word, PowerPoint, Excel, and the Internet
Excellent patient counseling skills
Self-motivated to stay up to date on new medications
Detail-oriented
Exceptional social perception, facilitating the understanding of concerns and issues of both patients and prescribers as they arise.
Excellent teaching and training skills (to medical and non-medical staff)
Work History
Bio-Plus Specialty Pharmacy May 2016 – Current
Pharmacy Intern / Clinical Appeals Specialist
Clinical review of prescriptions for prior authorization
Reviewing chart notes, labs, and medication profile
Analyze and research cases, applying clinical rationale
Writing, submitting, and following up on medication appeals with the insurance providers
Request in writing or via phone for reconsideration of a previous denial issued by the insurance providers
Answered customer inquiries via phone
Received refill requests and written prescriptions and ensured that information was accurate and complete
Clinical and oprational training for new hires
Review insurance denial letters and draft responses using evidence-based results to implore
appeal reversals
Initiate and coordinate appeals with prescribers offices and discuss options with prescribers and
other healthcare professionals
Efficiently communicating with the prescribers and insurance providers
Communicate with the department managers about business requirements and process flows
for new and existing operational needs and providing suggestions for policies and procedures
Collaborate with the department manager to review performance reports used to evaluate the
PA denial appeal program and staff to meet client and compliance requirements
Periodically conduct data validation to ensure ongoing accuracy and potential improvements
Continuously review the Prior Authorization denial appeals processes and tools to identify
opportunities for improvement in efficiency, accuracy, and appropriateness of the program in
place
Medication Specialties include:
Hepatitis C (Harvoni, Epclusa, Mavyret, Vosevi, Zepatier, etc.)
Dermatology,
Rheumatology
HIV
GI
Pulmonary/Respiratory
All biologic therapies (Humira, Enbrel, Cosentyx, Dupixent, Remicade, Taltz, Siliq, etc.)
Awards and Honors
Employee of the Month, BioPlus Specialty Pharmacy – February 2018
Employee of the Month, BioPlus Specialty Pharmacy – January 2019
XEROX for Aetna/CVS October 2015 – May 2016
Pharmacy Technician
Processing Medicare prescription Prior Authorizations and coverage determinations
Answered customer questions
Contacted doctors for clarifications
GlaxoSmithKline, Egypt November 1998 – February 2015
Sr Medical Sales Representative
Clinical Liason between pharmaceutical company and doctors, pharmacists and hospital teams
Medical Presentations
Worked independently and as a team to generate professional meetings with healthcare professionals in order to sell medicinal products
Managed hospital and medical center accounts
Worked with team managers to create effective business plans for increasing sales in particular areas.
Arranged appointments with doctors, pharmacists and medical teams to raise awareness of latest medications launched
Launched a new products for health-care professionals
Awards and Honors
Sales best achiver award from GlaxoSmithKline for year 2002, 2005, 2009, 2013, and 2014
St. Mark Pharmacy, Egypt May 2001 – June 2015
Owner and Pharmacist
Worked as A pharmacist at my own private Pharmacy, prepare and dispense medications
Consult with customers about over-the-counter medicines and general healthcare issues.
Work with patients and their insurance companies to determine coverage or figure out substitutions.
Check patients' prescriptions for accuracy and safety, ensuring no drugs are contraindicated with one another.
keep track of the store’s stock of medications and other healthcare supplies
Training Courses
Selling Skills
Problem solving
Negotiation skills
Management Skills
References available upon request.