Specialty Pharmacy Technician at Dartmouth Hitchcock Resume Example

• Adhered to company standards, quality agreements, statutory requirements, risk and safety, other quality standards.
• Reviewed and verified Medical Disability Examination reports and Disability Benefits Questionnaires conducted by medical providers on behalf of the VA to ensure that reports are completed according to VA's stringent quality and timeliness requirements.
• Collaborated across departments and with medical providers to troubleshoot and resolve any issues located on DBQ's that were not in compliance with VA standards.
• Acted as liaison for the Medical Advisory Board for any cases that needed an additional review to resolve any issues between the QA and the assigned medical provider.
• Consistently exceeded the monthly quality goal of less than 2% errors and continuously fulfilled the monthly quantitative goal of 400 Disability Benefits Questionnaires.

• Executed conflict resolution abilities regarding customer complaints in accordance with customer satisfaction while maintaining company standards. 
• Conducted phone triage of incoming calls from patients and providers to resolve issues or redirect the call to the proper department for assistance with non-pharmacy-related issues.
• Processed prescriptions for Medicare/Medicaid claims in compliance with rules and regulations and utilizing COB between the patient's third-party insurance and any applicable secondary insurance or manufacturer's coupon.
• Researched and documented prior authorization outcomes and third party rejections in pharmacy system
• Resolved and recorded physician or client inquiries and grievances and provided verbal or written results to patient, prescriber, provider and/or management.

• Effectively functioned in a team dynamic to preserve an outstanding customer service environment.
• Maintained customer confidence by keeping information confidential in accordance with HIPPA laws and regulations.
• Accurately entered patient demographics and insurance data for correct invoicing into EHR.
• Performed the entry, filling, and selling of incoming/outgoing prescriptions.
• Communicated with providers, patients, and insurance companies to ensure medication adherence.
• Assisted in maintaining inventory by placing orders for out-of-stock medications, removing outdated drugs, and reviewing purchase orders from vendors for accuracy.
• Demonstrated a strong ability to work independently with advanced organization and prioritization skills to meet strict deadlines with minimal supervision.

Chemistry & Mathematics minors

Cum Laude

Expiration Date: 08/31/2022

Status: Active and in good standing 

Expiration Date: 06/30/2022

Status: Active and in good standing