Pharmacy Technician Prior Authorization

Michelle Anthony

***********@*****.*** 337-***-**** Spring, TX

SUMMARY

Seeking OR Pharmacy Tech role with 15 years of diverse pharmacy experience. Proven expertise in medication management, patient communication, and clinical support, with a strong background in pharmacy systems and insurance verification. Adept at enhancing patient satisfaction and safety through effective problem-solving and critical thinking skills.

WORK EXPERIENCE

Gainwell Technologies Conway, AR

Prior Authorization Representative Aug 2022 - Jul 2023

• Processed authorizations and benefit exceptions for Medicaid clients, ensuring efficient handling to improve patient satisfaction.

• Responded to healthcare provider inquiries, providing timely information regarding prior authorization requests.

• Evaluated clinical criteria to determine the approval or denial of services requiring pre-authorization. Empower Pharmacy Houston, Texas

Pharmacy Technician- Clinical Support Jun 2021 - Apr 2022

• Provided front-line support to clinic customers, ensuring timely resolution of inquiries and effective communication of product information.

• Assisted in prescription clarification and facilitated order-related queries, enhancing the overall customer experience.

• Addressed customer and healthcare provider questions via phone and in-person, offering solutions for system navigation and order placement.

Walgreens Houston, TX

Designated Hitter Feb 2020 - Jul 2021

• Assisted pharmacists by utilizing pharmacy systems to accurately process prescriptions and retrieve patient and drug information.

• Delivered courteous and efficient customer service, effectively resolving complaints and transforming negative interactions into positive outcomes.

• Trained new employees on store procedures and protocols, promoting a work culture focused on teamwork and collaboration.

Acaria Health Houston, TX

Insurance Verification Coordinator Nov 2016 - Mar 2019

• Managed high-volume insurance verifications, ensuring compliance with updated regulations and policies to support efficient medical operations.

• Enhanced patient satisfaction by providing clear explanations of benefits, coverage, and billing procedures, and maintaining accurate patient records.

• Expedited claim approvals through thorough pre-authorization submissions and diligent follow-ups. Lafayette General Medical Center Lafayette, LA

Medical Reconciliation Technician (ED) / (ER) Jan 2013 - Jan 2016

• Identified potential drug interactions or contraindications during the reconciliation process to ensure optimal patient outcomes.

• Enhanced communication between patients, ER physicians, and healthcare providers by providing regular updates on medication changes and adjustments.

• Educated patients on medication administration techniques and storage considerations, reinforcing adherence to therapy.

Walmart Pharmacy Lafayette, LA

Certified Pharmacy Technician Jan 2012 - Jan 2013

• Improved medication management by accurately updating electronic medical records and providing patients with detailed guidance on dosage, frequency, side effects, and interactions.

• Streamlined prescription fulfillment using pharmacy software systems, leading to reduced customer wait times. Walgreens Pharmacy Lafayette, LA

Pharmacy Technician Jan 2006 - Jan 2012

• Verified medication dosages and refill authorizations by communicating effectively with prescribers, ensuring patient safety and accurate dispensing.

• Conducted regular inventory audits to identify discrepancies, reducing stockouts and minimizing expired medications on shelves.

• Mentored junior pharmacy technicians through training and performance evaluations, enhancing team effectiveness and service quality.

EDUCATION

Remington College

Diploma, Healthcare And Insurance

Houston, TX

Jan 2016

CERTIFICATIONS

TXBP, Texas State Board of Pharmacy

Certified Pharmacy Technician, PTCB

SKILLS

Ms Office Suite • Time Management • Authorizations • Provider Relations • Patient Referrals • Effective Communication Skills • Medicaid Knowledge • Critical Thinking Abilities • Claim Research • Customer Service

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