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Customer Service Prior Authorization

Location:
Princeton, NJ
Salary:
140,000
Posted:
October 05, 2023

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Resume:

TRUPTI TRIPATHI, RPh

Princeton, NJ ***** • adz6gd@r.postjobfree.com • 732-***-**** • linkedin.com/in/truptitripathi

PROFILE

Highly skilled and passionate Pharmacist experienced in delivering high-quality pharmaceutical services and achieving excellence in managed care pharmacy. Proven expertise in producing, utilizing, and controlling medications, supported by extensive experience in immunization, Medication Therapy Management (MTM), and Diabetes Care Specialist (DCS) programs. Proven track record in managing pharmacy functions, maintaining metrics, driving efficiency, and improving performance through effective leadership and training. Committed to ensuring the proper compounding, dispensation, and review of prescribed medications. Recognized for implementing a patient minded approach and for promptly resolving health-related issues, delivering high client satisfaction, and achieving performance metrics in fast-paced pharmacy environments. Performing Prior Authorization to provide exceptional patient care and optimize medication management.

CORE COMPETENCIES

●Pharmaceutical Services Management

●Medical Therapy Management

●Patient Counseling & Education

●Regulatory Compliance

●Compounding & Dispensing

●Customer Service Excellence

●Prescription Filling & Verification

●Drug Utilization Review

●Collaborative Relationship Building

●Immunization

●Inventory Management

●Staff Leadership & Training

Prior Authorization Outcomes

PROFESSIONAL EXPERIENCE

Shoprite Pharmacy (Village Supermarkets), Hillsborough, NJ February 2022 - Present

Staff Pharmacist

•Manage and monitor the activities of pharmacy technicians and support staff, providing guidance and ensuring the timely completion of tasks while prioritizing key functions such as cycle counts, inventory management, and customer will-calls.

•Utilize clinical expertise to administer immunizations and maintain a clean and organized environment within the department.

•Collaborated with healthcare providers, insurance companies and CoverMyMeds to streamline Prior Authorization procedures. Collaborated with physicians to find suitable alternatives when prior authorizations were denied.

•Provided comprehensive medication review services and compliance calls to assist patients in overcoming adherence barriers.

•Communicated with prescribers to establish therapy goals, modify therapies, and simplify medication regimens for patients.

•Documented beneficiary outcomes and provided counseling to Medicare beneficiaries on medication use & disease management.

•Supported customers by providing excellent customer service and effective counseling on health solutions, delivering awareness on drug interactions and appropriate pharmaceutical ingestion, resolving prescription issues, and identifying and addressing medical-related concerns.

•Demonstrated leadership skills by effectively supervising pharmacy associates to improve overall performance and productivity.

•Actively engage in health promotion and disease prevention activities, providing valuable information and counseling to patients regarding drug use and preventive therapy to enhance their overall well-being.

Shoprite Pharmacy (Village Supermarkets), Washington, NJ December 2020 - February 2022

Pharmacist In-Charge

•Steered leadership direction across all pharmacy operations and processes while simultaneously performing multiple pharmaceutical functions such as prescription filling and medication therapy management.

•Established effective communication channels with physicians, nurses, and agents to facilitate collaborative decision-making.

•Evaluated controlled prescriptions and oversaw the disposal of hazardous waste drugs in accordance with regulatory guidelines.

•Consistently delivered exceptional customer service by addressing inquiries, providing expert guidance on dosage, over-the-counter options, and non-pharmacological alternatives, and promptly identifying and resolving customer service issues.

•Collaborated with healthcare providers, insurance companies and CoverMyMeds to streamline Prior Authorization procedures. Collaborated with physicians to find suitable alternatives when prior authorizations were denied.

•Efficiently provided point-of-care services for diabetic patients and administered a wide range of immunizations, including Covid, Shingles, and Influenza vaccines, ensuring optimal patient care, safety, and health outcomes.

•Ensured quality assurance, maintained the security of controlled substances, and upheld compliance with licensure requirements.

•Streamlined activities associated with the acquisition of pharmaceutical drugs, ensuring efficient coordination and organization of inventory, including the return of outdated and recalled medications.

•Established positively driven environment by embracing diversity, positive attitude and energy.

•Helped and supported talent growth and effective communications among the peers for establishing a stress free and friendly work environment.

Shoprite Pharmacy (Village Supermarkets), Somerset & Bernardsville, NJ December 2012 - November 2020

Staff Pharmacist

•Oversaw and managed the activities of pharmacy technicians and support staff, providing guidance and ensuring timely completion of duties while prioritizing critical functions such as inventory management, cycle counts, and customer service.

•Applied clinical expertise to administer immunizations and maintain a clean and organized environment within the department.

•Delivered medication review services and conducted proactive compliance calls to empower patients in overcoming barriers.

•Worked with prescribers in formulating therapy goals, adapting medication regimens, and streamlining treatment plans.

•Collaborated with healthcare providers, insurance companies and CoverMyMeds to streamline Prior Authorization procedures. Collaborated with physicians to find suitable alternatives when prior authorizations were denied.

•Exercised leadership skills in supervising and mentoring pharmacy associates, driving enhanced performance and productivity.

Shoprite Pharmacy (Village Supermarkets), Old Bridge, NJ March 2007 - November 2012

Pharmacist In-Charge

•Optimized prescription fulfillment, labeling, storage, ordering, and manufacturing while ensuring accuracy in processing and verifying prescriptions, managing order entry, and assessing the appropriateness of medication details for patients.

•Demonstrated communication skills and highly professional demeanor in effectively addressing customer inquiries and providing expert consultation on dosage, over-the-counter (OTC) products, and non-pharmacological alternatives.

•Conducted thorough screening for potential drug interactions to minimize the risk of adverse reactions, collaborating closely with healthcare professionals to ensure appropriate medication selection tailored to the patient's specific disease state and condition.

•Collaborated with healthcare providers, insurance companies and CoverMyMeds to streamline Prior Authorization procedures. Collaborated with physicians to find suitable alternatives when prior authorizations were denied.

•Established high-performing operations by directing processes, monitoring staff, and evaluating employee performance.

•Offered detailed information and advice to patients regarding medication, allergies, adverse drug interactions, and side effects.

•Maintained optimal inventory level by promptly procuring materials and ensuring the proper disposal of expired medications.

•Utilized computer tools to establish accurate records of dosage levels, rates, treatment duration, and administration times.

EARLY PROFESSIONAL EXPERIENCE

CVS Pharmacy, Matawan, NJ November 2004 - February 2007

Floater Pharmacist & Pharmacy Technician-Intern

•Performed prescription verification, managed customer inquiries, facilitated order entry, and provided comprehensive information on both prescription and non-prescription medications in a retail pharmacy setting.

B.M. Shah College of Pharmaceutical Education & Research, Modasa, India December 1998 - January 2004

Lecturer

•Facilitated lectures and laboratory sessions and conducted theory and practical exams to enhance student skillset and contribute to the development of practical laboratory requirements and the college library.

EDUCATION

Master of Pharmacy, Pharmacy Department, M.S. University – Gujarat, India

Bachelor of Pharmacy, B.K. Mody Government Pharmacy College – Gujarat, India

LICENSURE & CERTIFICATIONS

Pharmacist License: State of New Jersey

Immunization Approval: State of New Jersey

CPR AED certification: American Safety and Health Institute

Immunization Certificate: American Pharmacists Association

PROFESSIONAL AFFILIATIONS

APhA

TECHNICAL SKILLS

Microsoft Office Suite (Excel, Word, PowerPoint), PDX, Enterprise Rx

LANGUAGE PROFICIENCIES

English (Fluent), Hindi (Fluent), Gujarati (Fluent)



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