T’Ara Johnson
Norcross,GA
Summary
Certified Pharmacy Technician with 14+ years of experience, including extensive work in pharmacy benefit management and prior authorization. Skilled in initial case review, claims processing, and evaluating medication requests against clinical criteria and plan guidelines. Experienced in Medicare and Medicaid processes with a strong ability to manage high-volume workloads while maintaining accuracy, compliance, and turnaround times. Proven ability to collaborate with healthcare providers and internal teams to support timely and appropriate medication access.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Prior Authorization Technician
SmithRx
Remote
05.2023 - 03.2025
- Verified eligibility and drug coverage under plan benefit design to ensure accurate claims processing.
- Triaged and managed clinical review workflows for prior authorization requests based on established protocols.
- Reviewed authorization requests using clinical criteria, claims history, and plan guidelines.
- Coordinated outreach with prescribers and pharmacies to obtain required documentation.
- Managed approximately 20 cases daily while maintaining accuracy and meeting turnaround requirements.
- Built and adjusted authorizations within claims adjudication systems.
- Evaluated member clinical scenarios and escalated cases to pharmacists when appropriate.
- Assessed cases for internal and external review based on multiple protocols.
- Collaborated across teams to resolve escalations and ensure timely medication access.
Prior Authorization Subject Matter Expert
A-Line Staffing (Priority Health)
Remote
02.2020 - 07.2022
- Processed benefit verifications and prior authorizations for new and existing patients.
- Provided training and mentorship to new hires to improve workflow efficiency.
- Oversaw daily operations of authorization staff and supported quality assurance efforts.
- Assisted leadership with troubleshooting, reporting, and performance monitoring.
- Conducted quality audits measuring accuracy, productivity, and timeliness.
- Served as a point of contact for complex or escalated authorization cases.
- Supported implementation of best practices across authorization workflows.
Pharmacy Technician
HGS
09.2017 - 01.2020
- Reviewed prescription drug requests including prior authorizations, non-formulary medications, and quantity limit exceptions.
- Processed and documented requests in compliance with Medicare and Medicaid regulations.
- Delivered patient-focused pharmacy support while maintaining accuracy and efficiency.
- Prioritized workload to improve turnaround times in a high-volume environment.
- Communicated with physicians, nurses, pharmacies, and facilities to coordinate care.
Senior Pharmacy Technician
Walgreens Pharmacy
10.2012 - 02.2017
- Assisted in managing daily pharmacy operations and workflow.
- Trained and supervised pharmacy technicians and support staff.
- Processed prescriptions, verified insurance coverage, and resolved claim issues.
- Assisted pharmacists with medication preparation, labeling, and compounding.
- Performed dosage calculations and ensured proper storage and handling of medications.
Education
Coursework Toward Bachelor’s - Healthcare Administration (Transfer Track)
Gwinnett Technical College
Lawrenceville, GA08.2026
High School Equivalency Diploma -
Virginia Department of Education
Richmond, VA04.2006
Skills
- Pharmacy Benefit Management (PBM)
- Prior Authorization
- Medicare Part B & D
- Claims Processing
- Clinical Case Review
- HIPAA Compliance
- Attention to Detail
- Communication Skills
- Organizational Skills
- Microsoft Office Suite
- Medical terminology
- Drug inventory control
- Audit preparation
Certification
- Certified Pharmacy Technician (CPhT) – Active
- Registered Pharmacy Technician – State of Georgia – Active
Timeline
Prior Authorization Technician
SmithRx
05.2023 - 03.2025
Prior Authorization Subject Matter Expert
A-Line Staffing (Priority Health)
02.2020 - 07.2022
Pharmacy Technician
HGS
09.2017 - 01.2020
Senior Pharmacy Technician
Walgreens Pharmacy
10.2012 - 02.2017
Coursework Toward Bachelor’s - Healthcare Administration (Transfer Track)
Gwinnett Technical College
High School Equivalency Diploma -
Virginia Department of Education