Sharonda Gilliam

Pharmacy Technician

Baylor Scott & White Health

Sep 2024 - Current (1 year 11 months)

Pharmacy Technician

UT Southwestern Medical Center

May 2022 - Sep 2024 (2 years 5 months)

• Assists the Pharmacist in reviewing, processing, preparing, filling, labeling and dispensing of medications and supplies as allowable by law. Answers telephones responding to questions or requests • Ensures necessary communications are provided to the customer, Arranges customer consultations with Pharmacist, when requested • While completing fulfillment functions, checks medication and administration supply inventory for out-of-date products, removes products from inventory and works with the appropriate resource to record out-of-date products • Checks items for appropriate ‘shelf life’ remaining before expiration • Affixes price stickers to the items ordered and places on stock shelves or in refrigerator, when required • Assists with fu

Lead Pharmacy Technician

Alto Pharmacy

May 2020 - May 2022 (2 years 1 month)

• Receiving inbound calls and placing outbound call to patient and providers office. • Troubleshooting complex cases will billing insurance • Handling patient escalations via phone, text, chat, and email • Troubleshoot prescription issues by calling insurance companies, doctors offices, and patients • Work closely with doctors offices to manage refill requests, prior authorizations, and coverage determinations

Data entry Pharmacy Technician

The Pill Club

Jan 2020 - May 2020 (5 months)

Maintains patient profiles accurately in computer dispensing system and in Company Patient Portal, including responding to customer support team requests, resolving patient issues with logistics team • Interacts with patients to answer questions and provide prescription status • Handles telephone calls that including those to physicians • Processes manual claims for third party program prescription services

Revenue Cycle

Therapy and Beyond - ABA Therapy

Jun 2019 - Oct 2019 (5 months)

• Thorough knowledge and understanding of DME practices, medical EOB's, insurance or third party correspondence, contractual payments and adjustments, denials management • Ensure proper documentation is on file • Responsible for ensuring all claims processed through EMR are correct and compliant • Ensure all assigned charts are audited and billed; ensure that all billable charges are entered into billing system • Identify and resolve patient billing issues • Obtain authorization from insurance company to ensure that claim will be paid, Called insurance companies, Verified insurance online, Called insurance companies to gather authorizations for services as needed • Filter in CR by clinic location/date to pull all patients you will bill for

Prior authorization tech

CVS Health

Oct 2016 - Jan 2019 (2 years 4 months)

Worked with pharmaceutical and insurance representatives to obtain information necessary for medication coverage • Provided necessary forms to patients for completion and signature • Verified patient's pharmacy insurance eligibility • Communicated clearly in person and on the phone to establish/maintain cooperative relationships with patients, families physicians, staff and management • Utilized the EMR and online authorization sites for medication programs • Copied, faxed and mailed documents/information as requested by insurance carrier • Reviewed forms for completeness and accuracy • Respected/promoted patient's rights by responding appropriately to emergency situations and shared issues related to patients and/or with Care Center in a t

B

Benefits Specialist

Feb 2016 - May 2017 (1 year 4 months)

• Reviewed patient insurance information need to complete billing and collections • Completed and submitted necessary insurance forms and electronic claims to be processed in a timely manner as required by all third party payers • Maintained frequent phone contact with provider representatives, third party customer service representatives, pharmacy staff and case managers • Coordinated with internal departmental associates to obtain appropriate medical records as related to the appeal process • Maintained confidentiality in regards to patient account status and the financial affairs of clinical

Data Entry Specialist

Humana

Nov 2013 - Oct 2015 (2 years)

Prescription order entry • Verified information was complete on the prescription and updated patient profiles • Ensured that prescriber information was updated regularly in patient profile history, including patient's allergies, therapies and current medication • Performed order entry tasks and the related activities in support of the medication dispensing process • Calculated and verified the correct dosage based on the prescription • Entered new/refill orders and processed orders in a timely and accurate manner • Complied with a process that addressed all state and federal guidelines regarding medication labeling • Provided dispensing pharmacists with information regarding allergies, drug interactions, therapeutic duplications, and other

C

Clinical intake coordinator

Aug 2004 - Feb 2006 (1 year 7 months)

August 2004 to February 2006 • Entered new patient information and created new patient profiles • Updated current patient profile emergence contacts, referred healthcare providers and clinic information • Handled or directed callers to appropriate individuals • Scheduled clinical appointments and notations into designated systems • Assisted residents, interns and clinical staff • Organized and assisted in planning of program's non-clinic related events • Verified insurance benefits and patient insurance • Placed outbound calls, sent letters and emails to prospective patients • Monitored clinic compliance with quality assurance, HIPAA arrangement for implementation • Assisted resident with copies of images for patients of record

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