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Professional Summary
Qualified Candidate that can provide the customer with business analysis expertise and project support. Willing to be responsible for gathering, analyzing and documenting business and functional requirements.
Work History
Current Reimbursement Analyst | Occam Health Services | Sterling, VA
  • Continually maintained and improved the company's reputation and positive image in the markets served.
  • Strategically planned methods to achieve operational goals and targets.
  • Encouraged creative thinking, problem solving, and empowerment as part of the facility management group to improve morale and teamwork.
  • Investigated, provided and submitted information to Quality Department about special incidents, events and complaints.
May 2017-January 2018 VIP Cocktail Waitress | Kabana Rooftop | Richmond, VA


  • Built close relationships with my client base through enthusiastic communication, excellent service, phone calls, emails and other communication channels.
  • Received frequent customer compliments and positive Yelp reviews for going above and beyond normal duties.
  • Resolved all customer complaints, requests, and inquiries from assigned clientele base; handled difficult clients and situations in a calm and professional manner.
March 2015-August 2016 Pharmacy Supervisor and Care Coordinator | Akina Pharmacy | South Riding, VA
  • Experience with administrative, clerical, record-keeping and computing skills with specific software. 
  • Improved overall satisfaction for our patients within a year.
  • Provided support in developing customized quotes with our vendors for chemicals and shipping arrangements.
  • Worked with upper management to arrange meetings to obtain quotes from partners and outside vendors to lower cost of production.
  • Developed training materials and conduct end-user training sessions
May 2012-March 2015 Lead Pharmacy Technician | CVS | South Riding, VA
  • Resolved non-routine issues like third-party billing, computer system and customer service issues.
  • Maintained proper drug storage procedures, registries, and records for controlled drugs.
  • Counted, measured, and compounded medications following standard procedures.
  • Communicated with doctors to verify medication dosages, refill authorizations and patient information.
  • Supervised 4 pharmacy technicians and coordinated day-to-day assignments.
  • Completed new and updated patient profiles, including lists of patient medications.
June 2010-August 2011 Teacher | Discovery Station Learning Center | South Riding, VA


  • Worked on a team to lead, encourage and minister to children from ages 3 months up to 12 years of age.
  • Met regularly with parents and guardians to discuss children's progress.
  • Planned and implemented creative lessons in accordance with district, county, state and federal guidelines.
  • Completed and filed all necessary paperwork for classroom activities, including meal count sheets and attendance logs.
Education
2017 Bachelor of Science: Interdisciplinary Studies Virginia Commonwealth University, Richmond, VA
  • Concentration in Professional Science
  • Minor in Psychology
  • Coursework in Speech, Communication, Sociology, and Professional Prospecting Skills.
Skills
  • Microsoft Word
  • Microsoft PowerPoint
  • Microsoft Excel
  • Microsoft Publisher
  • Customer-focused
  • Effective problem solver
  • Exceptional telephone etiquette
  • Exceptional interpersonal communication
Certifications
  • Life, Health and Annuities Licensed in Virginia
  • Pharmacy Technician (CPhT)
  • PCCA Comprehending Compounding Course (C3)
Affiliations
Mu Alpha Theta - Mathematics Honor Society 

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Professional Summary

Pharmacy technician who is highly energetic, outgoing and detail-oriented. Handles multiple responsibilities simultaneously while providing exceptional customer service.

Experience
Shift Manager - Subway (Granbury, Texas) July 2014 - September 2014

Opened and closed the store, which included counting cash drawers and making bank deposits.Balanced the needs of multiple customers simultaneously in a fast-paced environment.Offered direction and gave constructive feedback to motivate team members. Hired and trained all employees.

Lead Pharmacy Technician - Wal-Mart (Fort Worth, Texas) October 2010 - November 2011

Entered new patient profiles and prescriptions into medication input software system.Communicated directly with doctors' offices via telephone, fax and email.Verified accuracy and completeness of information on prescription and refill requests.Maintained proper storage and security conditions for all drugs.Regularly ordered medication and pharmacy, office and restroom supplies.

Pharmacy Technician Trainee - Heritage Pharmacy (Keller, Texas) July 2010 - October 2010

(Externship from Remington College)Communicated with all customers and staff in a pleasant and professional manner.Labeled all products appropriately, including cautionary and auxiliary labels.Maintained updated records such as pharmacy files, patient profiles, charge system files, inventories and poison or controlled drug registries.Consistently upheld proper pharmacy and general safety procedures and standards.

Cashier/Stocker - Dollar Tree (Fort Worth, Texas) December 2009 - October 2010

Maintained visually appealing and effective displays for the entire store.Kept the showroom clean and maintained neat, orderly product displays.Processed all sales transactions accurately and in a timely fashion.

Education
Pharmacy Technician in Pharmacy Technician 2010 Remington College, Fort Worth, Texas

I am I.V. Certified and have been trained in Compounding

High School Diploma in General 1997 Azle High School, Azle , Texas
In progress in Associates of Arts Tarrant County College, Fort Worth, Texas
References

Ramu Gunda PHT

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Professional Summary

Highly motivated, 14 years national & state certified pharmacy technician with extensive retail and specialty pharmaceutical knowledge. Experience is combined background in medical billing. insurance verification and clinical knowledge used to complete medical prior authorization for both Ambulatory Infusion Clinics and home healthcare.

Skills
  • Proficient with QS1, CPR+, Excel, Outlook, Access and Microsoft Word.
  • Experienced in training new employees in both retail pharmacy and as an Intake Coordinator 
  • Knowledge of HCPCS Coding Guidelines
  • Familiar with commercial and private insurance carriers
  • HIPPA Compliant
  • Experienced with coordinating patient care between Specialty Pharmacy and Home Healthcare
  • Extensive knowledge of both retail pharmacy and specialty pharmacy drugs and their uses.
  • Skilled at clinical chart review for prior authorizations / precertifications 
  • Adept multi-tasker
Education
Bachelor of Science: 2010
Middle Tennessee State University - Murfreesboro TN
Certifications

Nationally Certified Pharmacy Technician CPhT 2003 - Current

TN State Certified Pharmacy Technician 2003- current

Work History
Intake Coordinator, 10/2015 to Current
Precision Healthcare
  • Intake physician referrals both for 7 Ambulatory infusion clinics and home infusion referrals.
  • Examine patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.
  • Actively maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third party requirements regarding billing.
  • Ensure all needed clinicals and labs are obtained to show medical necessity based on diagnosis, drug therapy and insurance guidelines.
  • Examine each referral to ensure drug therapies and insurance payer have positive profitability.
  • Review medical necessity and previously tried therapies then pre-certify all therapies through insurance prior to service.
  • Determine if patient assistance or grant money is available for referred infusion services, based on drug therapy, and diagnosis codes.
  • Evaluate patients' financial status and established appropriate payment plans.

​​

Lead Pharmacy Technician / Inventory Specialist, 12/2003 to Current
CVS Pharmacy
  • Manage technicians in the Nashville districts highest volume CVS Pharmacy 
  • Bi-weekly complex scheduling of 9 pharmacy employees.
  • Train new employees on pharmacy technician procedures and duties.
  • Complete weekly and monthly recalls, returns, and related bookkeeping entries.
  • Manage inventory, ensuring inventory is accurate and medications are in date.
  • Order medication and supplies from multiple vendors.
  • Input patient information, insurance, and patient prescriptions into computer.
  • Resolve wide variety of insurance rejections.
  • Initiate/follow up on prior authorizations with both doctors' offices and insurance companies.
  • Pull and count medications then send completed prescriptions for pharmacist verification.
  • Cashier duties, Resolve/diffuse customer complaints before referring to the pharmacist or management.
Administrative Assistant, 10/2014 to 10/2015
CHA Consulting, Inc
  • Structural, Aviation & Transportation Engineering Firm Triage all in-office phone calls.
  • Coordinate new hire start-ups including, workstation setup and new hire paperwork.
  • Assist Project Managers with proposal formatting, stacking, binding and disc making.
  • Complete expense reports for office credit card and individual employees.
  • Book flights, hotels and car rentals for work travel.
  • Conference room equipment set up for office meetings, provide catering for staff.
  • Event booking, booth planning and set-up, and conference attendance when needed.
  • Complete time sheets for field office employees.
  • Coordination Company parties and holiday event planning.
  • Manage office mail and packages using both FED EX and USPS.
  • Assist Corporate Office IT and Communications staff via phone with trouble shooting technical issues.
  • Manage, maintain and order all office equipment, supplies, amenities and other miscellaneous purchases.

Automated Cabinet Support/ Prescription Data Entry Technician, 05/2012 to 10/2014
Clinical Solutions Pharmacy
  • Power user for MDG automated cabinet facilities.
  • Maintain and refill medication for all automated MDG cabinet facilities daily.
  • First point of contact for technical support needs; troubleshoot, correct or diagnose problems before contacting IT support.
  • Provide reports on drug usage, patient history and nurse access.
  • Complete Drug Utilization Reviews for all non-formulary medications faxed in.
  • Customer support; incoming and outgoing calls, error reconciliation, formulary inquiries, pricing information and verbal medication orders.
  • Adjudicate rejected insurance claims, starting prior authorization processes between facilities and insurance companies.
  • Track Fed Ex packages; ensure all medications are delivered on time, notifying facilities when exceptions occur.

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Professional Summary
Confident Pharmacy Technician flexible in quickly mastering new technologies and information systems. Empathetic and intuitive during client interactions and adept at building trust and strong customer relations
Certifications

In good standing with the Maryland Board of Pharmacy and Pharmacy Technician Certification Board (PTCB)

License #: T00307 Expiration Date: 11/30/2017

Certification #: 41150684 Expiration Date: 11/30/2018

Skills
  • Specialty and retail pharmacy professional
  • HIPAA trained 
  • Extensive medical terminology knowledge
  • Exceptional patient care and interaction
  • Excellent telephone etiquette
  • Efficient and accurate
  • Data entry specialist
  • Committed to quality assurance
  • Conflict resolution ability
  • Problem Solving
  • Strong decision-making ability
  • Maintaining Records
Work History
Pharmacy Claims Coordinator, 04/2016 to Current
John Hopkins HealthCare, LLC Glen Burnie, MD
  • Receive and screen non-formulary/prior-authorization requests from providers and update requests with required information for review
  • Develop, implement and maintain departmental records and files
  • Proficiently and accurately document information regarding pharmacy requests
  • Respond to provider and member inquiries regarding pharmacy benefit administration
  • Demonstrate knowledge of pharmacy benefit designs, pharmacy policies and procedures
Lead Coordinator, 02/2013 to 03/2016
Cardinal Health Specialty Pharmacy Columbia, MD
  • Coordinated the pharmacy staff schedule and assisted with personnel monitoring and performance evaluations
  • Worked closely with pharmacists and used medication input software to safely and accurately dispense medication
  • Efficiently answered multi-line phone and processed high volume of order requests from nurses, doctors and pharmacists
  • Verified patient data and billing information
  • Verified accuracy and completeness of information on prescription and refill requests
  • Promptly referred all doctors' calls and customers' medical questions to the pharmacist on duty
  • Interpreted and evaluated the validity and safety of specialty medication orders and prescriptions
  • Consistently upheld proper pharmacy and general safety procedures and standards
  • Extended patient engagement with both start of care and refill assessments
  • Contacted patients proactively to schedule deliveries of specialty medications
  • Initiated and tracked prior authorization requests
  • Coordinated the pharmacy staff schedule and assisted with personnel monitoring and performance evaluations.
Senior Pharmacy Technician, Pharmacy Liaison, 09/2012 to 02/2013
Walgreens Pharmacy Frederick, MD
  • Responsible for all pharmacy tasks related to bedside delivery program at Frederick Memorial Hospital
  • Acted as pharmacy liaison between patients and physicians, social workers, nurses, and pharmacy staff
  • Facilitated patient participation
  • Coordinated payment and deliveries
  • Delivered discharge medications to patients throughout the hospital
Lead Pharmacy Technician, 08/2003 to 09/2012
CVS Pharmacy Frederick, MD
  • Entered new patient profiles and prescriptions into medication input software system
  • Provided friendly customer service at prescription drop-off and pick-up counters
  • Worked closely with pharmacists and used medication input software to safely and accurately dispense medication
  • Regularly completed paperwork and entered prescription and insurance billing information into patient profiles
  • Retrieved, counted and measured drugs and capped and uncapped vials and bottles
  • Labeled all products appropriately, including cautionary and auxiliary labels
  • Precisely processed third party prescriptions and managed adjudication review
  • Consistently upheld proper pharmacy and general safety procedures and standards
  • Maintained proper pharmacy and general safety procedures and standards, including department cleanliness
  • Maintained proper inventory levels, rotated stock and immediately complied with prescription drug recalls
  • Managed pharmacy inventory through proper medication ordering, returns and inter-store transfers
  • Appropriately resolved customer issues, complaints and questions

Education
Bachelor of Arts: Biological Sciences, Current
University of Maryland - Baltimore County - Baltimore, MD
In Progress