Pharmacy Technician Insurance

Shakira Pipkin

******.*******@*****.***

Simpsonville, Sc – 470-***-****

Experience

Pharmacy Technician, Priority Health October 2018- Present

Provide customer service to members and providers

Process prior authorizations requests

Send approval and denial faxes

Explain member insurance plans to members and providers

Assist with pharmacy claims and solve claim errors and rejections

Pharmacy Technician, Anthem Blue Cross Blue Shield April 2015 to January 2017

October 2017- October 2018

A CMS Stars rating outbound member outreach position responsible for consulting and educating members on medication adherence and available preventative care services.

Place outbound calls to consult and educate members while compiling and documenting accurate outreach information from members

Assist members with scheduling appointments for screenings that are covered as a preventative health service

Provide information to adults and caregivers of children under 18 who are noncompliant to asthma controller medications

Advise members of available resources and assistance programs

Case managing

Train and mentor new associates

Recognized for having lowest ACW percentage on my team

Exceeds daily production goal of over 70+ calls daily

Maintains expected production goals monthly

Certified Pharmacy Technician, Absolute Care, Atlanta, GA February 2017 to April 2017

Input prescriptions for new fills and process refills

Patient billing and insurance processing

Process insurance claims, AR management, delivery & mail orders, phone call reminders

POS management and reporting

Answering phones and/or returning phone calls to patients promptly

Advising providers when corrections are required prior to processing prescriptions

Requesting prior authorizations to be completed by doctors

Fill and refill 340B medications

Deliver upstanding customer service

RX30 Software experience

Certified Pharmacy Technician, Walmart Pharmacy, Morrow, GA July 2008 to March 2016

Filled over 300 prescriptions daily

Billed Medicare and Medicaid prescriptions electronically

Data entry of more than 300 prescriptions daily received through fax, electronically, or brought in

Processed and troubleshoot insurance claims and rejections

Responsible for submitting and sending back out of date drugs through the Genco system

Keep track of hazardous waste storage and dates each month

Assist the Pharmacist with immunizations

Assist with inventory of drugs

Order medications for stocking and customers

Top performer in all areas of the pharmacy.

Employee of the month within first six months

Trained new employees

Education

Brown Mackie College Atlanta, GA February 2010

Associates of Applied Science in Pharmacy Technology

Skills

HIPAA/OSHA Regulating

Staff development and training

Connexus

Microsoft Office

Microsoft Excel

Multitasking through several programs

Reports and records member and patient information

Customer Service

Pharmacy calculations

Medication Therapy Management

Certifications/ Licenses

Certified Pharmacy Technician (CPhT)

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