Pharmacy Technician with Prior Authorization Expertise
Resume:
Che-Von Charleston
**** ******** ***, ******** ** 77583
**********@*****.***
SUMMARY
Certified Pharmacy Technician responsible for prescription order entry, answering incoming calls, completing outbound calls to/from patients, physicians and pharmacists while ensuring a high level of customer service and maximizing productivity.
EXPERIENCE
11/17-present OptumRx, Houston, TX
Pharmacy Technician
Process member prescriptions or prior authorizations through various computer systems ensuring the accuracy of all data and updating as necessary Navigate across multiple computer systems to respond to questions or to provide specific medication details/clinical information
Receive incoming calls from members or providers; conduct outgoing calls as needed to provide follow-up or consultation such as prior authorization requirements, appeals, etc. Apply benefit plan criteria in making decisions(approvals/denials) or recommendations; clarify and explain pharmaceutical benefits and procedures 8/16-6/17 Aetna, Houston, TX
Pharmacy Technician
Process member prescriptions or prior authorizations through various computer systems ensuring the accuracy of all data and updating as necessary Navigate across multiple computer systems to respond to questions or to provide specific medication details/clinical information
Receive incoming calls from members or providers; conduct outgoing calls as needed to provide follow-up or consultation such as prior authorization requirements, appeals, etc. Apply benefit plan criteria in making decisions(approvals/denials) or recommendations; clarify and explain pharmaceutical benefits and procedures 10/15-4/16 Xerox, Houston, TX
Pharmacy Technician
Process member prescriptions or prior authorizations through various computer systems ensuring the accuracy of all data and updating as necessary Navigate across multiple computer systems to respond to questions or to provide specific medication details/clinical information
Receive incoming calls from members or providers; conduct outgoing calls as needed to provide follow-up or consultation such as prior authorization requirements, appeals, etc. Apply benefit plan criteria in making decisions(approvals/denials) or recommendations; clarify and explain pharmaceutical benefits and procedures 12/14-6/16 CVS Caremark, Houston, TX
Pharmacy Technician
Accurately and efficiently preparing prescription orders Verifying prescription information and dosage
Entering patient and order information into the pharmacy system Processing and submitting insurance claims
EDUCATIION
1999 Medical Assistant- Diploma
Southern Education Alliance, Houston, TX
2007 Pharmacy Technician
Pharmacy Technician Certification Board
2008 Aseptic Compounding
Valiteq, Houston, TX
2013 Pharmacy Technician
Texas State Board of Pharmacy
Contact this candidate