Pharmacy Technician Certified
Resume:
Tiffanie Chambliss
Clifton Heights, PA *****
************@*****.***
Professional Summary
Seasoned Certified Pharmacy Technician with 25 years of experience, skilled in prior authorization, patient profile maintenance, and triage. Expertise in inventory management, medical billing, and customer service. Seeking to leverage extensive industry knowledge and technical skills as a Certified Pharmacy Technician.
Authorized to work in the US for any employer
Work Experience
Certified Pharmacy Technician
The Cigna Group-Remote
March 2025 to Present
• nbound calls and outbound calls welcoming and gathering patient demographics and arranging 1st shipment.
• Creating requests and making Outbound calls to providers and doctors office for prescription requests.
• Data Entry focused functions.
• Ensure prescriptions are accurately entered into system.
• Investigate issues with pharmacist, doctors & other healthcare providers.
• Provide guidance to our patients about medication coverage.
• Juggle multiple tasks without sacrificing attention to detail. Certified Pharmacy Technician
Capital-Rx-New York, NY
October 2021 to October 2024
• Updated and managed patient profiles, including medical histories, allergies, and medication lists, ensuring accuracy and compliance.
• Delivered high-quality customer service by efficiently addressing inquiries, resolving concerns, and offering detailed medication information.
• Engaged in ongoing education to maintain knowledge of pharmaceutical advancements, regulatory changes, and industry developments
• Prior Authorization Tech
Certified Pharmacy Technician
Optum
October 2018 to October 2021
• Reviewed and approved physician inquiries for prior authorization and medical necessity, ensuring adherence to established pharmacy guidelines and contract criteria.
• Entered and managed application information, prior authorizations, and relevant data, maintaining accuracy and confidentiality.
• Coordinated with providers and pharmacies in a call center setting to address prior authorization requests, claims processing, and advised on best practices when deviations from standard guidelines were observed.
Certified Pharmacy Technician
Amerihealth Caritas
June 2016 to September 2017
• Assisted members and providers with pharmacy-related inquiries, facilitating prior authorizations and ensuring adherence to established guidelines and contractual criteria.
• Processed claims and managed data entry for applications and authorizations, maintaining accurate and up-to-date database information for staff access.
• Evaluated provider practices, recommending actions for cases deviating from established pharmacy standards and guidelines.
Lead Pharmacy Technician
Alpine Group-Philadelphia, PA
July 2004 to June 2015
• Managed inventory control, ensuring accurate dispensation of 200 prescriptions daily and maintaining drug inventory processes.
• Negotiated with vendors to streamline wholesale billing and optimize marketing strategies, enhancing office efficiency.
• Conducted comprehensive training for new staff on medical billing programs and data entry systems, improving team competencies.
• Maintained meticulous records of prescription refills for physicians and executed systematic stocking and rotation of medications.
Education
High School Diploma
West Philadelphia High School - Philadelphia, PA
Skills
• Medical Billing
• Prior authorization
• Icd-10
• Prior Authorization
• PTCB
• Hipaa
• Insurance Verification
• Typing
• Pharmacy Technician Experience
• Cash Handling
• Inventory
• Customer Service
• Triage
• Medical Terminology
• Purchasing
• EMR Systems
Certifications and Licenses
PTCB Certification
Pharmacy Technician Certification
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