Kenneth Morgan

Pharmacy Technician

Oscar Health

Nov 2025 - Current (10 months)

• Managed high-volume prior authorization requests in a remote, queue-based system • Reviewed formulary coverage and clinical documentation for Medicare and Medicaid members • Collaborated with providers and pharmacies to resolve delays and denials • Maintained HIPAA-compliant documentation across multiple systems • Consistently met productivity and turnaround time benchmarks

Pharmacy Specialist

AmeriHealth Caritas

Jun 2025 - Aug 2025 (3 months)

- Process PA requests, applying clinical criteria and member history. - Communicate with prescribers, pharmacies, and members to collect necessary information. - Submit authorization decisions to claims processing systems. - Escalate complex cases and support appeals. - Respond to inbound inquiries regarding PA status. - Adhere to productivity and quality standards in a dynamic, fast-paced environment. - Complete annual training and comply with company policies.

Pharmacy Processing Associate

Capsule

Mar 2024 - Apr 2025 (1 year 2 months)

Prescription Order Processing - Accurately process 100+ prescriptions daily in a high-volume, remote pharmacy environment. - Verify prescription information, dosage accuracy, refill eligibility, and patient demographics. Insurance Coordination & Claims Support - Conduct real-time insurance verifications, including Medicare Part D and commercial plans. - Support prior authorization (PA) initiation and ensure documentation is submitted correctly. Patient Communication & Support - Communicate with patients regarding prescription status, coverage issues, copayments, and delivery timelines. - Escalate clinical or access issues to pharmacists for timely resolution. Collaboration with Clinical Team - Work directly with pharmacists and support staf

Clinical Infectious Disease Pharmacy Liaison

Shields Health Solutions

Aug 2022 - Mar 2024 (1 year 8 months)

Patient Onboarding & Education - Introduce patients to specialty pharmacy services and guide them through medication initiation. - Educate patients on drug usage, side effects, adherence strategies, and disease-specific therapies. Insurance Navigation & Prior Authorizations - Verify insurance coverage and facilitate prior authorization (PA) and appeal processes. - Coordinate with payers to resolve coverage issues, including Medicare and Medicaid. 340B Program Coordination - Ensure patients are qualified under 340B guidelines and document accordingly. - Collaborate with hospital finance teams and pharmacy leadership for 340B program compliance. Care Coordination & Communication - Serve as a bridge between physicians, nurses, case managers, a

Senior Certified Pharmacy Technician Inpatient

NYU Langone Health

Jul 2017 - Aug 2022 (5 years 2 months)

Medication Preparation and Dispensing - Prepared, labeled, and dispensed medications including IV admixtures and unit-dose packaging - Ensured 100% compliance with hospital protocols and state/federal regulations Sterile Compounding - Compounded sterile and non-sterile products according to USP and guidelines - Maintained aseptic technique and proper documentation of compounded items Inventory and Supply Chain Management - Managed stock levels of medications and supplies, reducing inventory shortages and waste - Coordinated medication restocking in automated dispensing cabinets such as Pyxis and Omnicell Medication Reconciliation and Verification Support - Assisted pharmacists in reviewing patient medication histories and orders for accurac

Certified Pharmacy Technician

Brookdale University Hospital and Medical Center

Jun 2015 - Jul 2017 (2 years 2 months)

- Accept prescriptions from patients and accurately process them for filling, adhering to regulatory guidelines and pharmacy policies. - Conduct a thorough review of prescriptions, verify information, and carefully count medications for packaging and labeling. - Process prescription orders through various insurance plans, handling claims, rejections, and inquiries professionally and efficiently. - Maintain inventory levels by monitoring stock, conducting regular audits, and coordinating orders with pharmacy vendors to ensure adequate supply. - Prepare suspensions as needed when patients come to pick up their prescriptions, ensuring precise mixing and labeling. - Assist in creating and dispensing blister packs specifically tailored for HIV p

Lead Pharmacy Technician

CVS Health

May 2014 - Jul 2017 (3 years 3 months)

- Accurately and efficiently prepare prescription orders, including counting, measuring, and packaging medications according to prescription instructions and regulatory standards. - Verify prescription information, dosage, and patient details to ensure accuracy and compliance with medical guidelines. - Enter patient and order information into the pharmacy system accurately and in a timely manner, maintaining confidentiality and data integrity. - Process and submit insurance claims, including verifying coverage, resolving claim rejections, and communicating with insurance providers to facilitate payment. - Provide quality customer service to patients and healthcare providers by answering inquiries, addressing concerns, and assisting with med

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