R
Robert Hathcock
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Pharmacy Insurance Professional
Texarkana, Texas, United States
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Résumé
Jobs
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Pharmacy TechnicianCentene CorporationFeb 2024 - Current (2 years 9 months)Using established company guidelines, the Pharmacy Technician reviews requests made by physicians, medical groups, pharmacies and members for the use of prescription drugs and pharmacy benefits. The technician researches and resolves questions, problems or issues. May consult with Clinical Pharmacists or Regional Medical Director on related issues.
• Prior Authorization Medicare Part D
• Tracks and triage coverage determination and/or prior authorization requests submitted from providers and determine if a pharmacist review is required
• Obtains verbal authorizations and request detailed clinical information from prescribers
• Approves coverage determination and/or prior authorization requests based on defined criteria- Pharmacy Technician I (Prior Authorization) - ContractorApex SystemsAug 2023 - Jan 2024 (6 months)Triage coverage determination requests submitted from providers through prior authorization system. Review coverage determinations forms submitted by providers for accuracy and completeness. Assist team in researching and resolving problems involving coverage determinations. Contact providers for additional information to facilitate the coverage determination review. Perform other duties as assigned.
- Prior Authorization Tech I (contractor)IconmaJan 2023 - May 2023 (5 months)contracted to CVS Health Processed fax and electronic Prior Authorizations Communicated and delegates specialty medication cases to Specialty Case Review department Made outbound calls to prescriber offices for additional information and claim criteria Maintained thorough and accurate claim documentation Completed other duties as assigned
- Pharmacy TechnicianThe Pill ClubJun 2021 - Dec 2022 (1 year 7 months)Joined before the company changed its name from The Pill Club to Favor. Assists with navigating third-party exceptions to prescriptions and fulfilling prescription orders. Encourages increased team engagement through various events and activities in conjunction with the company-approved committee(s).
- GCertified Pharmacy TechnicianGreenbriar PharmacyDec 2020 - Mar 2022 (1 year 4 months)Assisted in retail point-of-sale and compound medication delivery among regular retail technician duties. Continued to work PRN after accepting another opportunity.
- Pharmacy TechnicianPharmaca Integrative PharmacySep 2019 - Oct 2020 (1 year 2 months)Facilitated changes in inventory management, including compound medication recording and modified inventory tags to include drug NDC, name, and image. Encouraged a spirit of compassion and cooperation among team members and the public.
- Pharmacy TechnicianKing Soopers/City MarketNov 2018 - May 2019 (7 months)Engaged with the local community in accessing and adhering to safe medication practices. Assisted pharmacist by identifying patients in need of additional education and resources. Pointed patients to affordable healthcare benefits and resources that were available locally.
- Deli ClerkKing Soopers/City MarketJul 2018 - Nov 2018 (5 months)Learned to engage with the community at a grassroots level. Learned to provide excellent and safe service to shoppers following strict FDA regulations and regulations of other federal, state, and municipal agencies.
- BAdministrative AssistantBaroness WinesApr 2014 - Jun 2018 (4 years 3 months)Completed a range of administrative tasks ranging from filing to depositing cash receipts to logistic route planning. Remained flexible in work assignments and administrative support through the corporate transition from Baroness Wines Ltd. to Empire Distributors of Colorado, Inc.
- Inventory Management SpecialistWalmartJul 2011 - Apr 2014 (2 years 10 months)Responsible for third picking and stocking of products for store's inventory. Organized storage by department and maintained accurate product counts.
Education
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- Eaglecrest High School — High School DiplomaEaglecrest High School