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Program Specialist Pharmacy Technician

Location:
Silver Spring, MD
Posted:
October 28, 2021

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Resume:

• Result oriented team player seeking a position in the capacity of a business development and project management learning skill in health care sector that will utilize my skills and offer advancement opportunities.

• Science background with technical experience in the field of electrical and electronics as well as software.

• Proficient in MS Windows, MS Office (Word, Excel, Power Point), AutoCAD and database application software

• Manufacturing and documentation experience with quality systems ISO, Six Sigma, Continuous Improvement and Lean manufacturing.

Authorized to work in the US for any employer, US Citizen.

Work Experience

Patient Access Advocate

Covance – LabCorp

Gaithersburg, MD

August 2021 to Present

• Responsible for preparing daily, weekly, and monthly report for the client with accurate data entry and performing data check for the team as required for call capture rate and sending it to client in appropriate time.

• Responsible and familiar with scheduling appointments for clinical trial subjects and make sure that the lab kit reached the facility in times.

•Responsible for obtaining lab result and update data base with the confirmation of lab result. Troubleshoot when Lab result is not updated in a timely manner by contacting designated department,

• Responsibility includes providing training to large group of new hires for accurate documentation and following programs specific rules.

• Responsibly includes for quick and accurate Data check for the new hires with constructive feedback and retrain if required.

• Conducting insurance verification to determine the coverage eligibility for prescribed therapies. Coordinating prior authorization and investigating alternative insurance coverage or funding sources for the patient per program specification

• Processing patients’ application which includes determining the eligibility per program specification. Making follow up calls and responding the inquiries from the patient’s and the health care providers.

• Coordinating the order and transferring the prescriptions based on their urgencies to the appropriate specialty pharmacy

• Responsibility includes familiarizing with market place and patients insurance option and educate them as needed

• Ready to take new challenges and learning new skills as needed

Program specialist

Covance – LabCorp

Gaithersburg, MD

April 2019 to July 2021

• Responsible for preparing daily, weekly, and monthly report for the client with accurate data entry and performing data check for the team as required for call capture rate and sending it to client in appropriate time.

• Responsible and familiar with scheduling appointments for clinical trial subjects and make sure that the lab kit reached the facility in times.

• Daily routine involves managing high volume customer interaction activities, quickly and efficiently responding the incoming call and faxes and identifying how to assist the patient/ doctors’ office in best possible manner

• Responsibly includes for quick and accurate Datta entry in the program’s tracking system and handle/ escalate calls per established protocol

• Conducting insurance verification to determine the coverage eligibility for prescribed therapies. Coordinating prior authorization and investigating alternative insurance coverage or funding sources for the patient per program specification

• Processing patients’ application which includes determining the eligibility per program specification. Making follow up calls and responding the inquiries from the patient’s and the health care providers.

• Coordinating the order and transferring the prescriptions based on their urgencies to the appropriate specialty pharmacy

• Responsibility includes familiarizing with market place and patients insurance option and educate them as needed

• Ready to take new challenges and learning new skills as needed

• Train new hires for proper documentation and following programs specific rules.

Reimbursement case manager

CareMetx, LLC -

Bethesda, MD

December 2018 to February 2019

Coordinate access and follow up to facilitate enrollment into relevant co-pay

assistance support services

Provide quality customer service while managing high call volumes; closely adhering

to approved call scripting.

Collect and reviews all patient information, to the degree authorized by the SOP of the

program

Validate completeness of all required information providing assistance and guidance

to providers and/or patient as needed

Provide detailed billing and claim support patients and healthcare providers

Determine patient’s eligibility and conducts enrollment activities

Provide exceptional customer service to internal and external customers closely

adhering to program call scripts and other approved documentation

Resolve any customer requests in a timely and accurate manner; escalates service

issues accordingly

Maintain frequent phone contact with patients, provider representatives, third party

customer service representatives and pharmacy staff

Provide enrollment information to providers and/or patients

Coordinate with inter-departmental associates as necessary

Exercise judgment within defined standard operating procedures to determine

Patient Care Coordinator

Alliance Rx Walgreens Prime (contract through Aerotek) -

Bethesda, MD

April 2018 to December 2018

Attained multi lined phone calls at least 60- 100 per days

enroll new patient with proper HIPPA information, allergy information, medical history, insurance information, and medicine history

Set up delivery on phone with the patient

Update insurance information, review, communicate with finance and insurance team to make ensure patient get medicine delivered on time.

Complete health survey every time after scheduling deliveries

Warm transfer using multi line phone calls to the designated department for further assistance.

Consult Pharmacist if patient has questions regarding medication and transferred to Pharmacists when needed.

Use language line help for non-English spoken patients,

Track deliveries with Fed Ex or UPS if patient has questions about deliveries.

Trains new hires.

Send e mail to dedicated team to ensure delivery is done in time and any issue get resolved.

Enter adverse event report in case patient is hospitalized, skipped, or missed doses, got reaction or side effect from medicine.

Pharmacy Technician

CVS Pharmacy -

Silver Spring, MD

March 2016 to April 2018

• Lead responsibility for pursuing the customers for text option when there is any issue with their prescriptions.

• Greeting each customer, helping, assisting with their questions and issues on the phone and in person, obtaining information for new prescriptions, maintaining customer/patient confidentiality

• Reaching the insurance and the doctors to ensure that patient gets medication in time if there is need for Prior authorization.

• Operating a cash register including cash, checks, and charge transactions; bagging merchandise, insurance signature logs and offer/refer questions to Pharmacist

• Maintaining inventory levels, Cycle count, pulling outdated/recalled merchandise

• Maintaining store cardinal, updating inventories and completing pending inventory data after updating orders regularly

Production Associate

Celestica -

Toronto, ON

September 2007 to November 2008

(Moved to USA for husband's job)

• Received quarterly award for best performance from the management.

• Trained new hires on a regular basis

• Responsibility included determining assembly procedures, through the interpretation of engineering drawings and schematics

• Assemble, fit and install pre-fabricated parts and sub-assemblies to form completed systems

• Ensured productivity and quality standards are met

• Implemented continuous improvement initiatives

• Worked effectively in post fabrication quality inspections by checking final assembly for finish, labelling and packaging methods and identify and marking acceptable and defective assemblies Effectively communicate any supply chain issues that are affecting production.

• Familiarity with ESD and ISO 9001 standards

• Effectively communicated with engineers for Maintaining 6 sigma standard

Administrator and Instructor

Park Street Kinder care

January 1993 to April 1998

• Created a new database for all the students of the school, when the Computer system was being introduced for the first time in school.

• Introduce the concept and use of computer to the students and other staff members of the school.

• Updated all information in automated databases

• Planned and implemented daily lessons in synchronization with the concepts to be imparted as per as given school curriculum

• Created and maintained an engaging classroom environment which facilitated learning

• Established and achieved learning objectives consistent with students' needs based on individual evaluation

• Monitored the children during play and work activities

• Maintained a portfolio for each child and kept it updated with new worksheets and progress charts

• Meeting Parents on a regular basis to give the feedback of their child's development.

• One on one parent teacher conversation during parent teacher meeting

• Taken care of the School Library by sorting, arranging all library materials and books

• Keeping a log of all the library materials including responsibility of lending and receiving books from the students

Laboratory Assistant

Solid State Physics and Electronics Lab Calcutta

February 1989 to December 1993

• Responsibilities included scheduling experiments per availabilities of the equipment

• Coordinating PM and commissioning new equipment according to the process instructions

• Day to day activities included record keeping the usage of supplies and proper replenishments, helping students following process instructions as well as implementing ESD and safety norms for the laboratory.

• Administrative works included data management, dealing with suppliers and responding to mails and enquiries

DIPLOMA / CERTIFICATES

• License holder as a Pharmacy Technician from Maryland board of Pharmacy (2016-2019)

• Post graduate diploma in Science Journalism and media practice (Govt. of India)

• Volunteering recognitions from elementary schools for helping manage classrooms, helping students making crafts and murals, grading Math papers for mathematical development implemented by the school board

Education

Bachelor of Science in Physics

Calcutta University -

Kolkata, West Bengal



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