Certified Pharmacy Technician
• Initiated Prior Authorization claims when they come through to get the process started for the customerand help get their meds sorted in a timely order.• Used Zendesk ticket queues for patient and internal workflows as well as Jira tickets for internal ITissues.• Helped create a pilot program to clarify Drug Utilization Review (DUR) concerns by calling insurancecompanies, pharmacies, and medical offices to determine the proper medication the patient shouldcontinue taking to maintain patient safety and adherence.• Trained other pharmacy technicians on the DUR workflows to expand from the pilot program into anofficial sub-team with company supported procedures and management.• Processed and resolved billing rejection issues for Pillpack and Amazon Pharmacy customers.• Recognized the day to day billing rejections as well as differences that can appear in solving them(such as Refill Too Soon) and Prior Authorization through packets, bulk, and Amazon Pharmacy.• Processed Clinical Concern DUR claims for pharmacists so they are able to decide whether or not toprocess DUR overrides for patients.• Reached out to customers when needed to ask about high copays, cash costs, and other billing relatedconcerns• Called insurance companies and pharmacies to verify medications for both refill too soon as well asDUR claims.