Pharmacy Operations Specialist and Navigator

PBM Navigator

Right way Healthcare

Nov **** - Present

Remote

Experience

Developed and maintained strong relationships with healthcare providers to facilitate effective care coordination and ensure optimal patient outcomes. Collaborated with cross-functional teams to streamline operations and enhance service delivery to members.

Evaluated and resolved complex patient inquiries, ensuring timely follow-up to enhance member satisfaction.

Assisted in the development of educational materials to improve understanding of the pharmacy benefits process.

Senior Certified Pharmacy Technician

Walgreens

Nov 2023 - Present

Crossett, AR

Managed medication dispensing processes to ensure accuracy and compliance with pharmacy regulations. Provided exceptional customer service by addressing patient inquiries and resolving issues promptly. Monitored medication storage conditions to ensure safety and efficacy of pharmaceuticals. Answered incoming phone calls and addressed questions from customers and healthcare providers. Collected co-payments or full payments from customers. Stocked, labeled, and inventoried medication to keep accurate records. Conducted regular inventory audits to identify discrepancies and reduce instances of stockouts or expired medications on pharmacy shelves. Maintained a clean, organized work environment to uphold quality standards and minimize risk of contamination or error during medication preparation. Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments. Improved patient satisfaction scores by delivering exceptional customer service in a fast-paced, high-volume pharmacy setting.

Pharmacy Technician

Brookshires Pharmacy

Sep 2022 - Nov 2023

Crossett, AR

Processed prescription orders accurately and efficiently to ensure timely service. Monitored medication storage conditions to comply with safety regulations and maintain product efficacy. Enhanced pharmacy workflow by assisting pharmacists with medication dispensing, labeling, and packaging. Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy. Promoted patient confidentiality by adhering to HIPAA regulations when handling personal information during transactions. Counted and labeled prescriptions with correct item and quantity. Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality. Provided exceptional customer service, fostering positive relationships with both new and returning patients at the pharmacy counter. Summary

Dynamic Senior Certified

Pharmacy Technician with

extensive experience at Walgreens,

excelling in medication therapy

management and insurance billing.

Proven problem-solver, enhancing

patient satisfaction through

exceptional service and compliance

with HIPAA regulations. Skilled in

pharmacy software, ensuring

accuracy in dispensing and

inventory management while

advocating for optimal patient care.

Immunization administration

Skills

Insurance billing

HIPAA compliance

Medication therapy management

Drug utilization review

Problem-solving skills

Insurance verification

Pharmacy software proficiency

Certifications

Arkansas Pharmacy Technician

License PT83729, PTCB Certified

Pharmacy Technician License

30301811

Karen McGilton

PBM Navigator

870-***-**** **********@*****.*** Crossett, AR 71635 Library Assistant

Crossett Public Library

Mar 2011 - Oct 2014

Crossett, AR

Assisted patrons in locating resources and navigating library systems. Managed circulation desk operations, ensuring efficient check-in and check-out processes. Developed and maintained organized cataloging systems for library materials. Conducted outreach programs to promote literacy and community engagement initiatives. Trained new staff on library policies, procedures, and best practices for customer service.

Pharmacy Clerk

Walgreens

Aug 2000 - Oct 2001

Lake Havasu City, AZ

Assisted pharmacists in preparing medication, adhering to safety protocols and regulatory guidelines. Provided exceptional customer service, addressing inquiries and resolving issues promptly to enhance patient satisfaction. Verified prescription information prior to entry in pharmacy computer system. Established and maintained patient profiles, updating organizational database with current information. Streamlined pharmacy operations by maintaining a clean and organized work environment.

Pharmacy Clerk- Technician

Spikes Drug Store

Feb 1997 - Aug 2000

Crossett, AR

Assisted pharmacists in preparing medication doses, maintaining safety compliance protocols. Educated customers on medication usage and provided support for over-the-counter products. Trained new staff on operational procedures and customer service best practices. Safeguarded patient privacy by maintaining strict adherence to HIPAA regulations during all customer interactions. Stocked shelves with medications and other pharmacy items for consistent availability.

Pharmacy Technician

Bakers Pharmacy

May 1995 - Feb 1997

Crossett, AR

Operated pharmacy software for prescription management and billing, ensuring data integrity. Maintained inventory levels, conducting regular audits to prevent stock shortages or expirations. Assisted in maintaining a clean and organized work environment, ensuring compliance with safety regulations. Collaborated with healthcare providers to clarify medication orders, ensuring optimal patient care outcomes. Increased overall pharmacy productivity by restocking supplies, organizing shelves, and maintaining cleanliness according to standards.

Accomplishments

Proficient in Intercom Plus,

Tredium Prod,Advocate Production,

Grammerly, CXONE NICE

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