Pharmacy Claims Auditor Resume
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Resume:
Objective To obtain a position as a pharmacy technician in a retail, hospital or specialty pharmacy setting, of which my extensive experience in these areas, can help ensure that our patients receive quality health care.
Certifications PTCB Certified Pharmacy Technician
Texas State Board of Pharmacy Registered Pharmacy Technician
ACPE Accredited IV Certification
NPTA Licensed Sterile Products Trainer
BLS/CPR Certification
Experience Pharmacy Claims Auditor
Packer Avenue July - August
Philadelphia, Pennsylvania
• Conducted in-store audits and desk reviews to increase compliance and reduce fraud and abuse
• Utilized paid RX data to perform a series of Reviews ranging from the Dr. who wrote the RX, to the Pharmacy who filled the RX to the PBM who processed the RX, to the Patient who used the RX.
• Uploaded and downloaded audited scripts using complex software
• Prepared detailed reports at the end of each audit and uploaded them for further review.
• Identified areas of weakness in pharmacies and surveyed Pharmacists
• Preparing Claims Data that is essential for Rebate Reviews and prospective Rebate Consulting
Pharmacy Technician Instructor
Sanford-Brown Institute July – November
Houston, Texas
• Present well prepared, organized, and clear lectures in accordance with Institute policy.
• Prepare, develop and administer course work such as daily assignments, tests, quizzes and projects to enhance comprehension of subjects being taught.
• Track and record student grades and attendance
• Attend faculty/staff training meetings.
• Provided instruction in the following courses:
--Advanced Pharmaceutical Calculations
--Pharmacy Law and Ethics
--Microsoft Applications and Keyboarding
--Extemporaneous and Sterile IV Admixture Compounding
--Pharmacology
--Career Development
Allied Health Instructor, Pharmacy Technician Program
Remington College July – July
Houston, Texas
• Instruct and evaluate students in accordance with approved curriculum as well as develop College approved syllabi.
• Work with faculty in reviewing and updating curriculum materials and develop additional strategies to ensure students would have a classroom atmosphere contributing retention and maximum learning
• Track and record student grades and attendance.
• Prepare, develop and administer course work such as daily assignments, tests, quizzes and projects to enhance comprehension of subjects being taught.
• Establishing and maintaining effective professional relationships with students, colleagues, and supervisors.
• Facilitating and Managing Pharmacy Lab atmosphere, ensuring a safe environment for our students working with lab equipment.
Certified Pharmacy Technician, CPhT, RPhT (Per Diem)
Memorial Hermann Fort Bend December – July
• Prepare large and small volume I.V. admixtures as well as PO orders.
• Maintain crash carts and anesthesia trays.
• Maintain PYXIS machines by restocking, loading and unloading medications, and outdating expired medications.
• Deliver medications hourly to the units.
• Repackage bulk items into unit doses.
• Charge and credit patients
• Order and maintain perpetual inventory
Certified Pharmacy Technician, CPhT, RPhT (Per Diem)
Kelsey-Seybold Clinic Pharmacy July – March
• Enter and fill prescription orders
• Process insurance claims online
• Enter and send refill requests using software that send requests directly to doctor’s email
• Handle and solve prescription problems with insurance, dosage or medication charge
• Maintain daily cash reports
Certified Pharmacy Technician, CPhT, RPhT
Methodist Hospital November – April
Houston, Texas
• Prepared I.V. admixtures and filled PO orders
• Specialized in preparing Chemotherapy following specific guidelines
• Trained to work in both the laminar flow hood and the vertical flow hood using proper aseptic technique in accordance with maintaining a sterile preparation area
• Worked in both the Bone Marrow Transplant Unit satellite pharmacy and the Central Pharmacy
• Delivered medications hourly to other units and restocked their PYXIS
• Charged and credited patient medications to patients profile
Certified Pharmacy Technician, CPhT, RPhT
Walgreens Pharmacy October – October
Missouri City, Texas
• Processed insurance claims online, as well as handled and solved problem claims by speaking with insurance companies
• Entered and filled prescription and refill orders
• Communicated with doctors as well as their staff regarding patients prescriptions
• Maintained and restocked inventory
• Assisted customers with OTC products
Education University of Houston –
Completed years of course work related to Bachelors degree in Psychology
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