Tenesia M. Leadbetter
***********@*****.***
OBJECTIVE
Seeking an opportunity with advancement potential within an organization. Also, looking to contribute by putting my superior customer service skills to good use in the service of a company.
EXPERIENCE
09/08 — Present Certified Pharmacy Technician
Walmart 03/2021-Present
Veterans Affairs Hospitals 07/2022- 12/2022
Exact Care 06/2016-05/2017, 10/2021- 07/2022
MetroHealth Hospital 07/2018-10/2019
Pharmerica 05/2017-07/2018
Aerotek Healthcare 10/2012-02/2020
AllianceHealthcare 04/2015- 03/2020
CVS Pharmacy08/2008-09/2011
SKILLS INCLUDE
Serves as a primary contact for Specialty Pharmacy benefits verifications and prior authorization, and acts as a liaison between patients and representatives of medication assistant programs. Follows up with and resolves issues related to authorizations. Implements denial management protocols as directed.
Prepare medications including emulsions, liquids, powders and ointments.
Sanitizes IV room, equipment and hood.
Ability to use multiple software programs to fulfill medication orders.
Trained to use TCG machine.
Working with a dedicated team in production to ensure patient medication is filled efficiently and correctly.
Answer phone inquiries
Utilize McKesson Pharmacy Software
Process Medicare Part D or commercial appeal requests, ensuring that requests are correctly categorized as appeals and all deadlines are met.
Create explanations of coverage for providers and generate an appeal entry in clinical processing system. Identify when company is and is not delegated to process commercial appeals, and communicate appropriate course of action to providers.
Prepare prior authorizations for denied and appeals sent in from doctor office's and pharmacies'.
Inform members of appeal determinations via both verbal communication and appropriate written notification
Assists in processing returned drugs and recycle/dispose per procedure
Assists in monthly fills by delivering and exchanging medications to scheduled nursing home
Applies labels, and stack boxes according to directions
Entered translated prescription information into computer system
Took inventory of over-the-counter medications.
Daily data entry for insurance billing.
Completing cash register transactions.
Works directly with foundations, grants, and manufacturers to ensure all necessary documentation for submission is provided, including but not limited to medical records, demographic information, and recovery paperwork.
Education
Cuyahoga Community College
Certified Nurse Assistant, CMHA Job Match II Program
Work Enhancement Training East High School
Larock Healthcare Academy
Clinical Laboratory Assistant
Cardiac Monitor Technician