Experience

PHILRX LLC (PHIL PHARMACY SOLUTIONS LLC)

• United States
• 1 - 100 Employee

• Certified Pharmacy Prior Authorization Specialist

  • Jul 2021 - Present



Aerotek

• United States
• Staffing and Recruiting
• 700 & Above Employee

• Certified Pharmacy Technician in Prior Authorizations

  • Nov 2020 - Feb 2021



Jackson County Memorial Hospital

• Altus, OK

• Account Resolution Rep I

  • Sep 2018 - Sep 2020



Molina Healthcare

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Certified Pharmacy Technician in Prior Authorizations

  • Dec 2014 - Oct 2016

  • Performed initial receipt and review of non-formulary or prior authorization requests against plan approved criteria. Requested additional information from providers as needed in order to properly evaluate the request • Accurately enters on-line approvals or denials. Authorized to make and carry out simple prior authorization requests within established policies and procedures. • Participates in the development/administration of programs designed to enhance the utilization of targeted drugs and the identification of cost saving pharmacy practices. • Identifies and reports departmental operational issues and resource needs to appropriate management. • Assists Molina Member Services, pharmacies, and health plan providers in resolving member prescription claim, prior authorization, or pharmacy services access issues • Articulates Pharmacy Management policies and procedures to pharmacy/health plan providers, other Molina staff and others as needed. Show less



Maryville Pharmacy

• Maryville, Illinois

• Certified Pharmacy Technician

  • Apr 2014 - Aug 2014

  *Assist health care providers and patients by greeting them in person and by phone; answering questions and requests; referring inquiries to the pharmacist. *Receive written prescription or refill requests and verify that information is complete and accurate. *Responsible in receiving and dispensing of prescriptions along with client/patient contact. *Fill bottles with prescribed medications and type and affix labels. *Assist health care providers and patients by greeting them in person and by phone; answering questions and requests; referring inquiries to the pharmacist. *Receive written prescription or refill requests and verify that information is complete and accurate. *Responsible in receiving and dispensing of prescriptions along with client/patient contact. *Fill bottles with prescribed medications and type and affix labels.



Medicine Express

• Certified Pharmacy Technician

  • Jul 2012 - Jan 2013

  *Answering the phones *Fill pillboxes along with pill cards for assisted living facilities *Completed prescription refill requests/new prescription requests *Assisted with ordering supplies *Completing cash register transactions *Performed general technician duties *Answering the phones *Fill pillboxes along with pill cards for assisted living facilities *Completed prescription refill requests/new prescription requests *Assisted with ordering supplies *Completing cash register transactions *Performed general technician duties



Express Scripts Inc

• Certified Pharmacy Technician

  • Apr 2012 - Jul 2012

  *Replenish medication for the High Volume Fillers (HVF) * Prepare and verify new prescription orders, refill orders and distribution orders while maintaining productivity and quality standards. *Select and retrieve appropriate medications, verify quantities, and prepare labels for bottles. * Send prescription based orders to Pharmacist for completion and verification. *Replenish medication for the High Volume Fillers (HVF) * Prepare and verify new prescription orders, refill orders and distribution orders while maintaining productivity and quality standards. *Select and retrieve appropriate medications, verify quantities, and prepare labels for bottles. * Send prescription based orders to Pharmacist for completion and verification.



Army & Air Force Exchange Service

• Human Resource Assistant

  • Aug 2002 - Nov 2005

  *Managed personnel/payroll transactions, employee benefits and leave, new hire orientation, along with employee training and development *Maintained applicant’s Official Personnel Folders (OPFs), correspondence files, along with PER’s, etc. *Prepared referral listings for managers/supervisors. *Performed a series of general office duties such as receiving telephone calls and visitors, routing and filing correspondence, distributing the mail, and providing routine support tasks within the HR office. *Submitted background checks on new employees *Prepared any travel arrangements needed for managers/supervisors Show less