Pharmacy Technician & Benefits Verification Specialist
Resume:
CR
CATINA ROBINSON
************@*****.*** 469-***-**** Irving, United States 75039
Customer-centric, dynamic, solutions oriented Pharmacy Technician/Benefits Verification Specialiist Offering 15 years of solid experience within a leading national drugstore chain and a small pharmaceutical community. Currently seeking the opportunity to leverage training, education and skill set into a rewarding leadership role within a progressive organization as a Pharmacy Technician or Benefits Verification Specialist Recognized for fostering an environment that enables customers to feel welcome, valued and appreciated by accurately answering questions. Giving prompt accurate service. Leading with a positive and productive attitude FDA Compliance
Customer Service / Client Relations
Medication Inventory
Management
Medicare, Medicaid & Insurance Claims Processing
Drug Classifications & Safety
Medical & Pharmaceutical Terminology
Best Business Practice
Critical Thinking
Working Collaboratively
Data Management
Microsoft Office
Organizational Skills
Cardinal Health Irving, TX
Benefits Verification Specialist
01/2022 - Current
Monitor system accounts for new Patient cases
Conduct customers to confirm approval/denials of coverage, co-pays, patient assistance programs and verification of specialty pharmacy that will dispensing their medication
Obtain and enter accurate benefit information to positively impact insurance processing and minimize rejections
Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate
Assess patients for eligibility for co-pay and financial assistance Answer requests from doctors and/or patients checking on status of case Maintain quality while providing an empathetic and supportive experience to the patients, doctors, and physician offices
Resolve patient's questions and concerns regarding status of their request for assistance
Enter detailed information into designated CRM while communicating with doctors or patients via multiple communication channels Steward patient accounts from initial contact through final approval/denial Process all patient applications in accordance to set policy, procedures, and PHI compliance
Support manufacturer field team members as required on case updates Works internally with team members regarding patients' cases
·Ability to identify, document and submit Adverse Events during customer contact or via received documentation
Summary
Skills
Experience
Conduct research associated with alternative funding or foundations to ensure patient has required information to receive product Effectively applies knowledge of job and company policies and procedures to complete a variety of assignment•
May modify process to resolve situations
AllianceRx Walgreens Prime Dallas, TX
Lead Patient Care Coordinator
11/2019 - 11/2021
Provide concierge and white-glove level service, removing burdens and providing end-to-end resolution for customers
Serve as a single point of contact for the customer and form a strong relationship to support them
Own problem through to resolution on behalf of the member in real time or through comprehensive and timely follow-up with the member Research complex issues across multiple databases and work with support resources to own the resolution of all customer issues and anticipate their future healthcare needs or potential opportunities to improve the experience
Respond to and own consumer inquiries and issues
Conduct proactive research on assigned member accounts to identify service issues
Identify gaps in processes and work closely with other departments for process improvement.
Provide education and status on previously submitted pre-authorizations or pre-determination requests
Meet the performance goals established for the position in the areas of: efficiency, call quality, customer satisfaction, first call resolution and attendance
Omnicare St. Louis, MO
Pharmacy Technician
11/2009 - 08/2018
Effectively and efficiently calculate dosages, dispense medications, prepare prescription labels, and fill prescriptions for Pharmacists' approval. Utilize the pharmacy's proprietary computer program to access prescription information including patient and prescriber data, drug selection, prescription interpretation and insurance billing. Analyze and resolve dosage conflicts, potentially harmful drug interactions, insurance issues and other related matters to ensure patient safety /optimal wellness while building customer loyalty and trust. Maintain knowledge of loss prevention techniques. Actively observe inventory for overstock or expired medications. Systematically restock inventory while verifying proper medications.
Ensured customer receive correct prescription(s) and consistently make
“offer of pharmacist counseling”. Execute special projects including monthly quality improvement, monitoring Narcotic discrepancy, and end of shift reports.
Reinforce safety programs by complying with safety procedures and report unsafe conditions to store management
Compounds sterile products under the direct supervision of pharmacist, refills,
loads and unloads automated dispensing machines.
George Spight Trucking St. Louis, MO
Office Manager
02/2006 - 11/2009
Oversaw receiving and organizing correspondence, answering and forwarding calls and creating business letters and records. Maintained impeccable office organization to support efficiency, professionalism and performance objectives.
Keyed in customer contacts and delivery dates to update details in company databases.
Trained and mentored administrative staff members in company policies, daily task execution and industry best practices.
Automated office operations for managing client correspondence, payment scheduling, record tracking and data communications. Albany Industries New Albany, MS
Production Supervisor
01/1998 - 02/2005
University of Phoenix Tempe, AZ
Bachelor of Science in Psychology
09/2016
Allied College Maryland Heights, MO
Associate of Applied Science in Pharmacy Technician 10/2008
Education and Training
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