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Pharmacy Technician Prior Authorization

Location:
Dallas, TX
Posted:
May 19, 2022

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Resume:

Joe Jessie Gonzales

Certified Pharmacy Technician / Physical Therapy Technician

Farmers Branch, TX 75234

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

+1-972-***-****

To accept new challenges that would enable me to share my abilities in communication, customer

service and organization within a company that can offer growth and development

Authorized to work in the US for any employer

Work Experience

Clinical Management Pharmacy Technician

Davita RX - Coppell, TX

September 2007 to November 2021

* Make outbound calls to patients

* Obtain current medication list from patient for pharmacist medication review

* Documentation: faxing interventions to appropriate MD, update medication information

Customer Experience FFCC Tech

* Take inbound calls from facilities.

* Resolve issues, give updates on patients meds and or transfer calls to correct lane

* Resolve escalated issues

Pod Tier 2 Technician

* Clinical operations- input of new Rx's and renewals, calling doctor offices or dialysis facilities

for clarification on prescriptions, request Rx renewals and new Rx's

* Insurance- work to fix rejected claims, insurance verification

* Prior authorization- initiating the prior authorization process, completing the prior authorization form

for doctors and following up with facilities and offices

* Insurance (ARE) - fix rejected claims and move orders to appropriate work queue

Symphony Operations Lead

Product

* Monitor productivity to drive completion of contract deliverables

* Summarize and communicate daily operational metrics to management

* Communicate effectively to leadership team on team's progress and any areas of risk

* Ensure quality and accuracy of team's work upstream

* Lead quality management of data and call monitoring

* Manage phones queues

* Perform other duties as assigned or required

Symphony Frontline

* Conducting monthly calls to Kidney Failure & CARD patients

* Collecting data for adherence purposes

* Answering calls in a Courteous and professional manner

* Assist in orientation, training, and mentoring of new hire and or tenure teammates as needed.

Physician/Patient Services (CAL)

* Receive inbound calls from dialysis facilities and/or physician offices and initiate outbound calls to obtain new and/or existing prescription orders

* Initiate outbound calls to prescribing physician's office to validate authenticity of prescriptions received via fax from non-prescribing facility or physician's office

* Forward prescriptions to Imaging Department in timely manner to initiate the prescription fulfillment process

Physical Therapy Technician

Medway Health - Dallas, TX

May 2004 to October 2005

• Assist guests to reach their maximum performance and level of functioning

• Perform clerical duties, assist with posting of guest charges, participate in all infection control,

departmental equipment training, and all safety programs

• Promote the mission, vision, and values of the organization

• Responsible for providing specific treatment only as directed by the staff physical therapist

• Ability to monitor vital signs

• Communicate any changes in condition to staff physical therapist or other facility personnel as

• Manage and operate equipment safely and correctly

• Interact professionally with guests/family and involves them in the formation of the plan of care

• Prepare and clean treatment area for guest use

• Perform final cleaning at close of day

• Record treatment/service revisions in accordance with department policy

• Demonstrate ability to be flexible, organized and function under stressful situation

• Perform other duties as assigned

Physical Therapy Technician

PALO PINTO GENERAL HOSPITAL OUTPATIENT - Mineral Wells, TX

January 2000 to April 2002

• Assist PT's with patient care

• Administer heat/cold packs

• Maintain therapy equipment

• Ensure clean, neat clinic environment

• Ability to monitor vital signs

• Communicate any changes in condition to staff physical therapist or other facility personnel as

• Manage and operate equipment safely and correctly

• Interact professionally with guests/family and involves them in the formation of the plan of care

• Prepare and clean treatment area for guest use

• Perform final cleaning at close of day

• Record treatment/service revisions in accordance with department policy

• Demonstrate ability to be flexible, organized and function under stressful situation

• Perform other duties as assigned

Education

Diploma

Littlefield High School - Littlefield, TX

1989

Skills

• EMR Systems

• Pharmacy Technician Experience

• Medical Terminology

• Hospital Experience

• Medical Office Experience

• Vital Signs

Languages

• Spanish - Fluent

Certifications and Licenses

Certified Pharmacy Technician (CPhT)



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