Jasmine Pender
Duluth
Summary
Experienced Pharmacy Technician with 10+ years of expertise in retail, inpatient hospital, and insurance pharmacy settings. Proficient in medication preparation, inventory management, and prescription processing, ensuring accuracy and compliance with regulatory standards. Skilled in-patient support, insurance claims processing, and pharmacy automation systems such as EPIC and Pyxis. Strong background in training and mentoring pharmacy staff, optimizing workflow efficiency, and enhancing patient safety. Dedicated to delivering high-quality pharmaceutical care while collaborating with healthcare teams to improve medication management and patient outcomes.
Overview
18
18
years of professional experience
Work History
Verifications Specialist
NBC Studios
Atlanta
04.2020 - Current
- Spearheaded a weekly audit process of over 200 identification records, resulting in a 15% decrease in fraudulent claims, and enhanced compliance with stringent HIPAA security protocols within the organization.
- Analyzed and verified over 150 background screenings per week, reducing application errors by 30%.
- Audited and analyzed over 100 data records weekly, identifying discrepancies, and implementing corrective actions.
- Implemented strict confidentiality standards, achieving 95% accuracy in data handling and compliance adherence.
- Optimized verification workflows, increasing processing speed by 30%.
- Evaluated existing systems used for verifying customer accounts and recommended improvements as needed.
Medicare Claims Specialist
Centene
Atlanta
12.2018 - 02.2020
- Composed 250+ Medicare Part D member enrollment and billing inquiries monthly, ensuring timely and accurate resolution.
- Updated and coordinated pharmacy benefits for over 200 cases per month, improving claim accuracy and payment efficiency.
- Verified the credentials of providers for over 100 claims weekly to ensure compliance with Medicare regulations.
- Resolved 50+ pharmacy claim discrepancies per week, reducing payment errors, and improving provider satisfaction.
- Increased prescription claims processing accuracy by 25% through process enhancements and compliance monitoring.
- Researched pharmacy records to evaluate claim validity and verify the existence of pre-existing conditions.
- Ensured accurate prescription records of all claim activities, including notes about conversations with claimants or representatives.
- Monitored reports to identify claims issues and worked with adjusters to resolve problems.
Prior Authorization Analyst
HP Enterprise
Madison
09.2016 - 08.2018
- Prepared over 500 pharmacy authorization requests weekly, ensuring accuracy with Medicaid regulations.
- Resolved complicated drug authorization requests with 98% accuracy, leading to a reduction in approval delays.
- Protected confidential patient data while handling records for over 10,000 patients annually.
- Partnered with healthcare providers to correct authorization errors, decreasing returns by 65%.
- Advised physicians on cost-effective prescription alternatives, reducing patient expenses by 30%.
- Utilized document management system to organize company files, keeping up-to-date and easily accessible data.
- Created precise pharmaceutical records of all data gathered during analysis processes.
- Communicated drug authorization decisions, including approvals and denials, to healthcare providers and patients.
- Assisted healthcare providers with appeals for denied authorizations, including gathering additional information and documentation.
Inpatient Pharmacy Technician
Ascension Saint Joseph Hospital
Chicago
08.2014 - 08.2016
- Prepared and compounded an average of 50+ IV solutions and vaccines per shift, ensuring accurate unit dose preparations.
- Packaged and labeled 100+ drug orders daily for transport in compliance with safety regulations.
- Supervised the purchase and delivery of medications worth more than $10,000 per month to the facility.
- Consolidated and reassembled 200+ standard unit dose requests per week for distribution in Pyxis systems.
- Ensured 100% on-time delivery of pharmaceuticals to designated hospital floors and specialty divisions.
- Monitored and restocked the Pyxis system inventory to maintain proper medication levels and usage tracking.
- Independently handled pharmacy responsibilities, including sterile and non-sterile compounding.
- Used EPIC system to manage medication orders and workflow efficiently.
Certified Pharmacy Technician
Walgreens
Sun Prairie
10.2006 - 09.2010
- Assisted 85+ customers daily with prescription fulfillment, ensuring efficiency and compliance.
- Handled over 200 daily financial transactions, balancing cash, credit, and insurance payments with accuracy.
- Improved prescription dispensing efficiency by 42%, processing an average of 350 daily prescriptions.
- Organized accurate prescription records for over 500 customers monthly, ensuring compliance and audit readiness.
- Optimized inventory management, reducing medication shortages, and maintaining a 98% in-stock rate.
- Inspected medication storage locations to monitor drug expiration dates and supply adequate inventory.
- Audited medication storage practices weekly, identifying and rectifying discrepancies in temperature control and organization; audits resulted in maintaining 100% compliance with regulatory standards.
- Operated cash registers to accept payments from customers.
- Conducted third-party insurance claims for reimbursement of pharmaceuticals.
Education
Business Management -
Madison College
05.2024
Skills
- Medication Prescription Processing
- Pharmaceutical Dispensing
- Client Relationship Management
- Medical Claims & Authorization Management
- Compliance & Regulatory Knowledge
- Data Interpretation
- Process Optimization
- Inventory Management
- Customer Service
- Microsoft Office Suite
- Workflow Automation
- EPIC Module Expertise
- Claim Processing
- HIPAA Compliance
Timeline
Verifications Specialist
NBC Studios
04.2020 - Current
Medicare Claims Specialist
Centene
12.2018 - 02.2020
Prior Authorization Analyst
HP Enterprise
09.2016 - 08.2018
Inpatient Pharmacy Technician
Ascension Saint Joseph Hospital
08.2014 - 08.2016
Certified Pharmacy Technician
Walgreens
10.2006 - 09.2010
Business Management -
Madison College
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