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Pharmacy Technician Prior Authorization

Location:
Chicago, IL
Posted:
April 05, 2023

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Resume:

Shavon Nelson

773-***-**** • adwc5u@r.postjobfree.com • Chicago, Illinois 60653

Patient-oriented Pharmacy Technician with extensive experience preparing, filling and labeling medications. Highly skilled at processing prescriptions and managing pharmacy inventory. Well-versed in interacting with patients to answer questions and provide status updates on prescription fills.

Summary

Skills • Drug inventory control

• Proper labeling procedures

• Project Coordination

• Microsoft Word

• Microsoft Excel

• 60+ WPM

• Epic System

• WAM System

03/2016 - Current

Pharmacy Technician Specialist, Northwestern Medicine Hospital, CHICAGO, ILLINOIS

08/2011 - 03/2016

Certified Pharmacy Technician, The University Of Chicago Hospital, CHICAGO, ILLINOIS

Experience

Submit Prior Authorizations for Transplant, Cardiology, HepC, Rheumatology, Dermatology, Gastrointestinal patients.

• Maintains adequate inventory and accurate records for all drug studies

• Assists in the development and training of new technicians Identifies areas of improvement in the work flow or inventory control and communicates to the practice coordinator or manager.

• Requested scripts from doctors and verified insurance and coding. Assisted pharmacist with clearing high volume of prescriptions and responded to customer questions.

Contacted insurance companies to obtain necessary preauthorizations needed for upcoming tests and procedures.

Provided accurate information to all parties, including patients, insurance providers, healthcare staff and office personnel by using effective written and verbal communication skills.

• Notified ordering providers of denied authorizations.

• Coordinated resolutions for issues and appealed denied authorizations. Applied knowledge of Medicare, Medicaid and third-party payer requirements utilizing on-line eligibility systems to verify patient coverage and policy limitations.

Identified reasons behind denied claims and worked closely with insurance carriers to promote resolutions.

• Used Epic to input claim, prior authorization and other important medical data into system. Preparing, compounding, and dispensing medications under the direct supervision of the Pharmacist-on-duty

Maintaining pharmacy inventory by checking pharmaceutical stock to determine inventory level; anticipating needed medications and supplies; placing and expediting orders; verifying

04/2004 - 03/2016

Sr. Certified Pharmacy Technician, Walgreens Co, CHICAGO, ILLINOIS receipt; removing outdated drugs

Organizes medications for pharmacists to dispense by reading medication orders and prescriptions; preparing labels; calculating quantities; assembling investigational studies and other pharmaceutical therapies

• Compounding oral solutions, ointments, and creams, preparing

• Chemotherapeutic agents.

Assisted pharmacist(s) with filling prescriptions, retrieving, counting and pouring drugs, verification, and checking for possible interactions

• Processing claims for third-party program prescription services in a timely, efficient manner Developing and maintaining contact with local healthcare providers – physicians, other providers through outreach to clinics, retirement homes etc

• Working with insurance carriers to obtain payments and refilling authority 05/2007

Associates, in Science

City Colleges Of Chicago, Malcolm X College

03/2004

Licensed Certified Pharmacy Technician, CHICAGO, ILLINOIS Education And

Training



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