Patricia Huey, CPhT, MBA

Phoenix, AZ *****

adlpxc@r.postjobfree.com

+1-480-***-****

As an experienced nationally certified pharmacy technician looking for remote opportunities that will provide continuous growth. Various areas of responsibilities included data-entry, prior authorizations, resolving third-party issues, and appeals/grievances. Other industries included healthcare, finances, and education through the provision of superior service and attention. At this time, I am searching for a remote position that will assist me in continuing that growth within a company that provides opportunities for advancement and provides stability. Willing to relocate: Anywhere

Authorized to work in the US for any employer

Work Experience

Adjunct Pharmacy Technician Instructor

Penn Foster - Remote

October 2020 to Present

Preparation of future pharmacy technicians to succeed in the industry which leads to national certification. Classes taught include:

Pharmacology Part 1 and 2

Pharmacy Practice Law and Regulations

Math Calculations for Pharmacy Technicians

Pharmacy Sterile and Nonsterile Compounding

Pharmacy Management and Operations

Pharmacy Billing and Reimbursement

Pharmacy Management Software

Pharmacy Technician Certification Review

Certified Pharmacy Technician (CPhT) Level 3 Mail Order Alliance RX - Tempe, AZ

September 2020 to Present

• Using prescription data entry procedures and guidelines processes new patient registration by entering data into the appropriate system. Handles patient prescription requests within HIPAA guidelines and enters refill orders for processing. Troubleshoots to obtain missing prescription information and interprets medical abbreviations (SIG codes). Resolves all data entry related exceptions.

• Handles correspondence to patients (inbound calls, chats, emails) and makes outbound calls to prescribers and patients as needed.

• Resolves Third Party Rejects by reviewing, gathering information, making corrections, and resubmitting for processing according to individual plan requirements. Makes telephone calls to insurers and others to obtain information, gain override approval, or otherwise resolve the Third Party Rejects.

• Provides assistance to Pharmacists, both those in the facility and those at other locations. Identifies and communicates issues to senior-level staff as appropriate.

• Process appeals and denials according to individual plan requirements. Places all prior authorizations into the system.

Provides support to other team members through resolution and research. Online Instructor

Education Insight Corporation - Remote

January 2015 to Present

Health Sciences, English, Business, Management courses Certified Pharmacy Technician (CPhT)

Broad Path - Tucson, AZ

November 2019 to September 2020

• Using prescription data entry procedures and guidelines, processes new patient registration by entering data into appropriate system. Handles patient prescription requests within HIPAA guidelines and enters refill orders for processing. Troubleshoots to obtain missing prescription information, and interprets medical abbreviations (SIG codes). Resolves all data entry related exceptions.

• Handles correspondence to patients (inbound calls, chats, emails) and makes outbound calls to prescribers and patients as needed.

• Resolves Third Party Rejects by reviewing, gathering information, making corrections and resubmitting for processing according to individual plan requirements. Makes telephone calls to insurers and others to obtain information, gain override approval or otherwise resolve the Third Party Rejects.

• Provides assistance to Pharmacists, both those in the facility and those at other locations. Identifies and communicates issues to senior level staff as appropriate.

• Process appeals and denials according to individual plan requirements. Places all prior authorizations into system.

E-commerce Pharmacy Technician

Walgreens Boots Alliance - Chandler, AZ

March 2019 to October 2019

• Using prescription data entry procedures and guidelines, processes new patient registration by entering data into appropriate system. Handles patient prescription requests within HIPAA guidelines and enters refill orders for processing. Troubleshoots to obtain missing prescription information, and interprets medical abbreviations (SIG codes). Resolves all data entry related exceptions.

• Handles correspondence to patients (inbound calls, chats, emails) and makes outbound calls to prescribers and patients as needed.

• Resolves Third Party Rejects by reviewing, gathering information, making corrections and resubmitting for processing according to individual plan requirements. Makes telephone calls to insurers and others to obtain information, gain override approval or otherwise resolve the Third Party Rejects.

• Provides assistance to Pharmacists, both those in the facility and those at other locations. Identifies and communicates issues to senior level staff as appropriate. Pharmacy Tech

ALine Staffing -- CVS Health - Scottsdale, AZ

July 2018 to February 2019

Handle all Member, Pharmacy and Prescriber inquiries including Enrollment, Payments, Mail Order inquiries, Claim and pharmacy reject inquiries, Coverage Determinations, Appeals and Grievances High-volume contact center and Forms of contact include inbound calls, outbound calls, faxes and any other projects as assigned

Determine appropriateness for medications and communicate decision to physicians, physician's office staff, medical management staff and/or pharmacists Prior Authorization Specialist

Alorica - Phoenix, AZ

December 2017 to July 2018

Handle all Member, Pharmacy and Prescriber inquiries including Enrollment, Payments, Mail Order inquiries, Claim and pharmacy reject inquiries, Coverage Determinations, Appeals and Grievances High-volume contact center and Forms of contact include inbound calls, outbound calls, faxes and any other projects as assigned

Determine appropriateness for medications and communicate decision to physicians, physician's office staff, medical management staff and/or pharmacists Adjunct Instructor

Arizona College - Glendale, AZ

February 2016 to January 2018

Responsibilities

Preparation of materials regarding curriculum

Teaching various classes: Health Information Systems, Health Information Technology, Management, English, Social Sciences.

Substitute Teacher K-12

Frontline Educator - Various Locations

March 2016 to October 2017

Accounts Receivable Specialist

Coram CVS Health Specialty Infusion - Phoenix, AZ

May 2017 to August 2017

Maintain and release all-ship-verified claims for all third party claim accounts within established time frame as assigned Resolve errors and make claim edits assigned in work queues Follow work list prioritization of accounts for resolving accounts and/or submitting claims Contact payers and patients when necessary for PFS processes Request relevant information from appropriate

Revenue Cycle and clinical departments as required through the course of the PFS processes Make necessary adjustments to patient demographic, insurance, and account balance information Complete A/R adjustments and request other adjustments where permitted and appropriate Adhere to all regulatory compliance areas, policies and procedures (including HIPAA and PCI compliance requirements), and "leading practices"

Substitute Teacher K-12

Legacy Traditional Schools - Laveen, AZ

August 2016 to January 2017

Provides general education for grades K-8th grades; follows prepared lesson plans using approved curriculum. Spaulding trained

RTA Coordinator

Perfect Placement -- McKesson - Scottsdale, AZ

April 2015 to March 2016

Responsibilities

• Proactively manage service levels to meet company goals in the most cost effective manner

• Monitor real time adherence of the entire call center phone personnel

• Troubleshoot RTA issues in real time

• Ad hoc reporting/logging as needed to support department goals Data Analyst

Inovalon Inc

November 2012 to April 2015

Conducting accurate research and literature review, performing quantitative and statistical analysis, and drafting reports for assigned projects. Validating results, input and update medical data, produce graphs or charts, maintaining data sources and databases, and mapping diagnosis within the medical chart.

Data Coordinator

Summit Health - Novi, MI

October 2013 to January 2014

Clean and analyze participant data files for wellness events.

•Maintain insurance company and customer eligibility/enrollment files.

•Utilize problem solving skills to identify and resolve issues pertaining to non-matching participant records.

•Use proprietary company software (APEX) to manage patient records for multiple accounts.

•Maintain the physical and electronic security of protected health information (PHI) in accordance with the Health Insurance Portability and Accountability Act (HIPAA) and Summit Health standards. Corporate Home Scheduler

Comforcare Senior Services - Bloomfield Hills, MI

August 2012 to March 2013

Health Manager 4

• Scheduling

• Data entry/record keeping

• Intakes for new clients

Office Manager

Eagle Financial Corporation - Southfield, MI

September 1987 to June 2000

Account Payable/Receivables

• Tax preparation

• Composing professional communications to customers

• Answering phones

• Greeting customers and business alliances

Medical Records Clerk

South Macomb Internist - Warren, MI

August 1996 to February 1997

Medical Record Clerk

• Copying medical records

• Retrieval of medical records for physicians

• Answering phone calls

• Filing

Education

Doctorate in Education in Leadership and Learning with a specialization in Health Care Administration and Leadership

Aspen University - Denver, CO

April 2019 to June 2026

Masters of Educational in Curriculum Development

Keller Graduate School of Management, DeVry University 2014 to 2015

Masters of Business Administration in Health Services Keller Graduate School of Management, DeVry University 2013 to 2014

Bachelor of Science in Business Administration

DeVry University - Southfield, MI

June 2011

Associate of Applied Science in Medical Billing and Coding Anthem College - Phoenix, AZ

August 2008

Skills

• Microsoft Office (10+ years)

• Teaching (2 years)

• Billing (3 years)

• Customer Service (6 years)

• Database Management (4 years)

• Human Resources (2 years)

• Prior Authorization

• Utilization Review

• Insurance Verification

• Data Entry

• Time Management

• Team Building

• Typing

• Word

• Microsoft Word

• Pharmacy

• Inventory

• Outlook

• Cash Handling

• Medical Management

• Pharmacy Technician Experience

• Medical Coding

• EMR Systems

• HIPAA

• Medical Billing

• Medical Records

• Medical Terminology

• Quantitative Analysis

• Curriculum Development

• ICD-10

Certifications and Licenses

Level One Fingerprint Clearance Card

February 2016 to February 2022

2A50296951

IVP0636411

AZ Structured English Immersion

March 2016 to Present

Substitute Teacher

March 2016 to June 2022

Public Educator ID 4864798

Elementary Education Subtest 1

July 2016 to Present

Passing score 220

First Aid CPR AED

July 2016 to July 2018

Assessment of Knowledge Elementary

October 2016 to Present

Score: 241

Food Handler Certification

April 2017 to April 2020

AZ-596828

04/05/2017 – 04/05/2020

Caregiver Certificate

April 2017 to April 2018

TESOL/TEFL

August 2017 to Present

Pharmacy Technician T069573

June 2018 to October 2021

License T069573

Level One Fingerprint Clearance Card

April 2020 to April 2026

2020K05040

National Pharmacy Technician Certification (PTCB) CPhT - 30133598 June 2020 to June 2022

CPhT - 30133598

Appeals Management

June 2020 to Present

Assessments

Customer Support Specialist - Remote — Proficient

September 2019

Responding to customer situations with sensitivity. Full results: Proficient

Teaching Skills: Elementary Classroom Management — Expert April 2019

Promoting learning in an elementary school environment by maintaining classroom order. Full results: Expert

Supervisory Skills: Directing Others — Highly Proficient April 2019

Measures a candidate's ability to motivate the performance of others through feedback to identify improvements or corrective actions.

Full results: Highly Proficient

Cognitive Ability — Proficient

April 2019

Measures a candidate's ability to combine pieces of information to form general rules or conclusions. Full results: Proficient

Attention to Detail — Familiar

February 2019

Identifying differences in materials, following instructions, and detecting details among distracting information.

Full results: Familiar

Teamwork: Interpersonal Skills — Expert

October 2019

Resolving disputes, solving team problems, and understanding nonverbal cues. Full results: Expert

Teaching Skills: Elementary Lesson Planning — Proficient October 2019

Developing lesson plans for elementary-level classrooms that promote learning. Full results: Proficient

Elementary School Classroom Management — Proficient September 2019

Promoting learning in an elementary school environment by maintaining classroom order. Full results: Proficient

Work Style: Reliability — Highly Proficient

February 2020

Tendency to be dependable and come to work.

Full results: Highly Proficient

Project Timeline Management — Proficient

March 2020

Prioritizing and allocating time to effectively achieve project deliverables. Full results: Proficient

Work Motivation — Proficient

August 2020

Level of motivation and discipline applied toward work Full results: Proficient

Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.

Additional Information

QUALIFICATIONS

Knowledge of: Experience with: Software used: Professional Skills: HIPAA Regulations Medisoft Word Multi-tasking

JCAHO Medical billing Excel Teamwork

AHIMA Tax preparation Access Communication

Medicare/Medicaid Accounts Payable PowerPoint Reliable Accounts Receivables Visio

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