Pharmacy Technician Prior Authorization

Professional Summary

Highly experienced and Certified pharmacy Technician with over 19 years of expertise in retail, manager care, and prior authorization, Patient support services. Skilled in accurately counting

and dispensing prescriptions while providing essential support to pharmacist.

Proficient in managing inventory and conducting precise cycle counts. Fully vaccinated against COVID-19 and available for interviews on short notice, ready to start immediately.

Pharmacy Tec. Linces# 28RW03298100(New Jersey State Board of Pharmacy)

Technical experience

*MS Office * Prescription Process *Pharmacy calculations

*Customer services *Drug Classification & Safety *Compounding medication

*Medicine Inventory *Aseptic Techniques * FDA Compliance

*Sterile Preparation *Care Manger *Patient Support Services

*Pharmacy Support Representative

Professional Experience

IQVIA-Remote December 2024 to Present

Acss Care Manager, Patient Support Services-Remote

Responsibilities will vary by program and its lifecycle.

Care Manager’s may be responsible for contacting insurance companies to obtain correct eligibility information.

Perform benefit investigations, copay assistance and check prior authorization and/or appeal status.

Care Managers may also be responsible for directly contacting patients and/or providers to evaluate eligibility for assistance programs and/or varied adherence support. This is a remote position.

The information contained herein is intended to be an accurate reflection of the duties and responsibilities of the individuals assigned to this position.

They are not intended to be an exhaustive list of the skills and abilities required to do the job.

AllCare Plus Pharmacy reserves the right to revise the job or to require that other or different tasks be performed as assigned.

Perform outbound calls to obtain appropriate information and document accurately

Responsible for answering in-bound calls and assisting customers with pharmacy related services

Maintain strict professionalism in all communication methods while providing efficient, courteous, and friendly service

Contact insurance companies for benefit investigation and coverage eligibility

Provide prior authorizations and appeals support

Assist patients with the enrollment process for manufacturer and non-profit organization copay assistance programs

Update job knowledge by participating in educational opportunities and training activities. Work efficiently both individually and within a team to accomplish required tasks

Maintain and improve quality results by adhering to standards and guidelines by meeting quality standards set forth by program KPI’s

Report ADE’s according to program policy and guidelines Adhere to all HIPAA guidelines May assist with onboarding new employees

Excellent follow through This is a remote position.

Ability to work 40 hours and Plus per week under moderate supervision.

IQVIA – Remote April 2024 to November 2024

Pharmacy support call center representative(Affordability)

In this position payment assistance solutions such as copay card or vouchers.

Primarily responsible for fielding requests such as Card activation, program eligibility, debit card issue, explanation of program benefit and explanation/troubleshooting of submission rejection.

Primary call center contact for patients, pharmacies and medical professionals utilization on Opus Health Program.

Responsible for fielding request such as: Debit Card activation, program eligibility, explanation of program benefit and explanation Complete Rebate program and escalation rejections

Provide initial support for customer request Via telephone, e-mail, fax or other available means of contact to the Support Center.

Quickly assess the user's issue and provide first level support for problem resolution.

document information specific to the resolution and escalate unresolved issues expeditiously to the appropriate area.

Recognize operational challenges and suggest recommendations to management, as necessary.

Ability to work 40 hours and Plus per week under moderate supervision.

Excellent follow through This is a remote position.

Multiple shifts available:

Perform outbound calls to obtain appropriate information and document accurately

Responsible for answering in-bound calls and assisting customers with pharmacy related services

Maintain strict professionalism in all communication methods while providing efficient, courteous, and friendly service.

Contact insurance companies for benefit investigation and coverage eligibility

CVS CAREMAK Remote - November 2023 to February 2024 Pharmacy Support Representative

Aided registered pharmacist and pharmacy customers, managing prescriptions daily.

Manage both inbound and outbound calls.

Handled multiline calls of 25-50 per day.

Attending phone calls, approving prior authorizations, Approve details.

Open PA Prior Authorizations, claim processor, reverse the claim. Attend multiline phone calls.

Give the best service for patients and doctors and pharmacy. conduct intervention with physician & pharmacy office staff to facilitate formulary Work with team to complete prescription orders. Entered prescription into computer system's patient profiles and checked for drug allergies and health condition.

Collaborate with pharmacy staff to ensure timely processing of the prior authorization and facilitate coordinate of care for the patient.

compliance.

Walgreen NJ Oct. 2017-Aug 2023

Pharmacy Tech. (Responsibilities Program IC+)

Work with team to complete prescription orders.

Greet and assist customers with drug-related questions,and collaborate with insurance companies to resolve medication coverage issues.

Aided registered Pharmacist and pharmacy customers, Managing up to 450-900 prescriptions daily.

Answered multiple phone for order and refills; answered question on pricing.

Call insurance company to find out regarding about rejection claims.

Prior Authorization.

Contacted physicians to verify prescription/ refills and address third party.

Filled prescription under guidance of registered pharmacist; prepare labels using intercom Plus system, worked with customer at Drop off window.

Entered prescriptions into computer system's patient profiles and check for drug allergies and health conditions.

Verified Patient Data and billing information.

Perform cash register operation

Give best service for patients.

Duane Reade – Queens NY September 2011 to September 2017 Pharmacy Tech. (Responsibilites) Program IC+

Work with team to complete prescription orders.

Greet and assist customers with drug-related questions, and collaborate with insurance companies to resolve medication coverage issues.

Aided registered Pharmacist and pharmacy customers, Managing up to 450-900 prescriptions daily.

Answered multiple phone for order and refills; answered question on pricing.

Call insurance company to find out regarding about rejection claims.

Prior Authorization.

Contacted physicians to verify prescription/ refills and address third party.

Filled prescription under guidance of registered pharmacist; prepare labels using intercom Plus system, worked with customer at Drop off window.

Entered prescriptions into computer system's patient profiles and check for drug allergies and health conditions.

Verified Patient Data and billing information.

Perform cash register operation

Give best service for patients

Shankar Pharmacy - Queens, NY March 2004 t-Oct 2016

Responsibilities Program Best Rx

Perform administrative tasks

Entry data of prescription by computer, Manage drug database and records, Make good cooperation with other staffs.

Ensure that medicine taken by patients is appropriate with prescription.

Assist senior pharmacist to manage pharmacy,.

Give best service for patients.

Perform cash register operation.

Queens Hospital Center, Queens, NY Jan 2003- Dec 2003

Medical Record Clerk(PRN)

Answered multiline phone, operated fax and copy machine.

Utilize PC to enter and retrieve patient data.

Prioritized patient daily care according to acuity and scheduled procedures and exit the patient.

Acted as translator for Hindi, Punjabi, and Urdu patients in exchanges with medical Clinic, Eye clinic, ENT clinic and subspecialty department personnel.

Career Education International Group, New York NY Jan 2001- Feb 2004

Instructor

Taught basic computer technology to children and adults.

All Nation Realty, Queens, NY Feb 2000-Jan 2001

Sales Associate (Florida Real Estate)

Assisted clients with purchase or sale of Florida Real Estate and or Florida Properties.

Taj Music Grocery Store, Queens, NY Mar 1998-Apr 2002

Sales Assistant (PRN)

Perform cash register operation.

Give best service for patients.

99-Cent Store, Queens, NY June 1996-1998

Sales Assistant

Perform cash register operation.

Give best service for patients

Education

Pharmacy Technician June 1996-Feb 1998

New York Medical School, Flushing, NY

Bachelor of Professional Studies in Computer Information System Aug 2006

DeVry Institute of Technology, Long Island City, NY

Accounting Course Mar 2001

Career Education International Group, New York, NY

Basic Computer Training April 1998

The Beacon Program, J.H.S 226Q, Queens, NY

Secretarial Diploma Jul 1995

New Delhi Professional College (India)

Contact this candidate