FATOUMATA BARRY
*** ***** **** ** ****** NJ ***** • 347-***-**** • **********@*****.***
EDUCATION
BMCC/CUNY, New York, NY
● Associate of Arts in Liberal
CERTIFICATE PTCB*30041804 EXP 05/01/2021
NJ LISENCE 28RW03572800 EXP 08/31/2022
EXPERIENCE
Metro plus Health Insurance, Manhattan, NY 12/2019-Present
Strong customer services skills Scan, file and electronically over 10 years experiences working in a pharmacy benefit, Management company
Receives and processes Prior Authorization request sent by Providers and Medications not covered by the health’s plan, based on health plan criteria and guidelines. Answers phone calls inquiries regarding pharmacy benefits of the member.
Verify insurance eligibility and coverage; recognized as processing the highest number of insurance claims within team
Assist customers by answering simple questions, locating items, or referring them to the pharmacist for medication information. Fax and electronically Triage all incoming phone calls and faxes
store all prior authorizations and other related documentation
Cognizant/Emblem health, Manhattan, NY
Senior data processor 09/2017 -11/2019
store all prior authorizations and other related documentation.
Initiate Prior Authorizations as directed by doctors or Clinical Specialist.
Assist customers by answering simple questions, locating items, or referring them to the pharmacist for medication information. Fax and electronically Triage all incoming phone calls and faxes.
Scan, file and electronically submit completed prior authorizations form to doctor for review.
Call doctors to follow-up on submitted prior authorizations.
Communicate to the Supervisor staff and then escalate to the Claims Manager any changes in prior authorization criteria or issues related with various copay and alternatives and processors.
Work backlog of rejects as appropriate.
Follow all applicable government regulations including HIPAA.
Display behavior which exemplifies employee code of conduct guidelines.
Flatbush Pharmacy, Brooklyn, NY
Pharmacy Technician June 2008 – 08/2017
Post journal entries to the general ledger and perform monthly GL accounts analysis to ensure proper internal control and assist with month end closing
Receive written prescription or refill requests and verify that information is complete and accurate
Maintain proper storage and security conditions for drugs. Answer telephones, responding to questions or requests.
Prepare bulk medicines, fill bottles with prescribed medications, and type and affix labels.
Clean and help maintain equipment or work areas and sterilize glassware, according to prescribed methods.
Assist customers by answering simple questions, locating items, or referring them to the pharmacist for medication information.
Receive and store incoming supplies, verify quantities against invoices, check for outdated medications in current inventory, and inform supervisors of stock needs and shortages.
Duane Reade Pharmacy, New York, NY
Pharmacy Technician May 2006 – June 2008
Prepared Journal Entries and maintained the GL and subsidiary journals; Performed bank reconciliation for cash accounts and managed Accounts Payable, Accounts Receivable and Expense and Daily Cash Reports.
Received written prescription or refilled requests and verified that information is complete and accurate
Answered telephones, responded to questions or requests, and mixed pharmaceutical preparations, according to written prescriptions
Prepared bulk medicines, filled bottles with prescribed medications, and typed and affixed labels
Cleaned and helped maintained equipment, work area and sterilized glassware according to prescribed methods
LEADERSHIP & ACTIVITIES
BMCC/ CUNY Weekend and Evening Student Club – Activity Coordinator
SKILLS AND LANGUAGES
Skills and Languages: Data entry of prescription orders and payments, French (Fluent), Fulani