LeKeta Blount
Ridgeland
Summary
Dynamic Certified Prior Authorization Pharmacy Technician with over 22 years of diverse pharmacy experience in retail and long-term care settings. Expertise includes Data entry, Medicare billing, comprehensive prior authorizations, IV preparations, and both sterile and non-sterile compounding. Proficient in various computer programs and operating systems, with a strong ability to collaborate effectively within team environments. A deep passion for pharmacy drives a commitment to excellence in patient care and healthcare service delivery.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Certified Prior Authorization Tech
CVS Specialty PA Department
San Antonio, TX
11.2023 - Current
- Coordinated prior authorization requests, ensuring compliance with insurance policies and guidelines.
- Analyzed patient information to determine eligibility for medication coverage and benefits.
- Communicated effectively with healthcare providers to gather necessary documentation for approvals.
- Processed urgent authorization requests efficiently, prioritizing patient needs and timely access to medications.
- Mentored team members in resolving complex authorization cases, fostering a collaborative work environment.
- Provided exceptional customer service, addressing inquiries from both patients and healthcare providers promptly and professionally.
- Ensured compliance with HIPAA regulations by maintaining strict confidentiality in handling sensitive patient information.
- Improved patient satisfaction by efficiently processing prior authorization requests and ensuring timely responses.
- Collaborated with healthcare providers to expedite the process of obtaining necessary medical documentation for approvals.
- Reduced claim denials by thoroughly reviewing and analyzing medical necessity documentation before submitting for approval, ensuring all criteria were met.
- Reduced errors in documentation by meticulously reviewing medical records and verifying information accuracy.
- Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
- Reviewed appeals for prior authorization requests and communicated with payers to resolve issues.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Achieved high customer satisfaction ratings by providing timely updates to patients and healthcare providers on the status of their requests.
- Maintained patient confidentiality and safeguarded medical records to avoid information breaches.
- Demonstrated adaptability by managing multiple priorities simultaneously, ensuring all tasks were completed accurately and on time.
- Delivered consistent high-quality work under pressure, effectively managing high caseloads while meeting deadlines set forth by payers or internal guidelines.
- Assisted management in implementing new processes and software systems, increasing overall efficiency within the department.
- Resolved patient billing inquiries and other issues efficiently.
- Contributed to departmental success by consistently meeting or exceeding performance metrics such as accuracy, productivity, and quality standards.
- Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
Lead Certified Pharmacy Technician
The Kroger Co
Madison, MS
01.2015 - 01.2023
- Supervised daily pharmacy operations, ensuring compliance with regulations and safety standards.
- Trained and mentored junior technicians in medication dispensing protocols and customer service excellence.
- Implemented inventory management practices to optimize stock levels and reduce waste.
- Coordinated prescription processing, enhancing accuracy and efficiency in filling orders.
- Evaluated workflow processes and introduced improvements to streamline pharmacy services.
- Collaborated with healthcare providers to resolve medication-related inquiries and enhance patient care.
- Ensured compliance with federal and state regulations regarding pharmaceutical practices, contributing to a successful inspection record.
- Expanded patient access to medications through effective insurance claim processing and resolution of billing issues.
- Reduced medication errors, implementing strict quality control measures and double-checking procedures.
- Enhanced customer experience with thorough medication counseling and personalized attention.
- Increased pharmacy productivity through effective delegation of tasks among technicians, maximizing team performance.
- Trained and mentored new pharmacy technicians, fostering a supportive learning environment.
- Maintained a clean, orderly work area in accordance with safety standards to promote a healthy work environment for employees and customers alike.
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Stocked, labeled, and inventoried medication to keep accurate records.
- Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
- Communicated with prescribers to verify medication dosages, refill authorizations, and patient information.
- Collected co-payments or full payments from customers.
- Helped pharmacist clear problematic prescriptions and address customer questions to keep pharmacy efficient.
- Reviewed and verified customer information and insurance provider information.
- Restocked pharmacy shelves with current merchandise to drive consistent peripheral sales.
- Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
- Resolved third-party billing, computer system and customer service issues.
- Managed opening and closing duties for pharmacy.
- Prepared packaging and labels for prescriptions, verifying accuracy of dosage, side effects, interactions, and refill instructions.
- Ordered medicines daily to replenish stock and increase inventory in anticipation of need.
- Liaised with other pharmacies to eliminate issues related to product expiration.
- Monitored ordering of pharmacy medication stock to maintain streamlined inventory and low overhead.
Certified Pharmacy Technician
CVS Caremark Corporation
Brandon, Mississippi
04.2014 - 01.2015
- Directed prescription processing to maintain compliance with pharmacy standards and guarantee accuracy.
- Trained and mentored new staff on pharmacy operations and customer service protocols.
- Ensured adherence to safety standards during the preparation and dispensing of medications.
- Utilized pharmacy software systems for prescription management and patient record maintenance.
- Counted, measured, and compounded medications following standard procedures.
- Assisted in preparation, distribution and storage of pharmaceuticals.
- Ordered medicines daily to replenish stock and increase inventory in anticipation of need.
- Prepared packaging and labels for prescriptions, verifying accuracy of dosage, side effects, interactions, and refill instructions.
- Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
CPhT
Pharmerica Corporation
Ridgeland, Mississippi
11.2007 - 09.2013
- Healthcare Services
CPhT
Walgreens Pharmacy
Ridgeland, Mississippi
10.2003 - 11.2007
- Healthcare Services
CSR
K Mart Pharmacies, Inc.
Yazoo City, Mississippi
06.1999 - 04.2003
- Retail
Education
Bachelor's Degree - Biology (Pre-Med, Pre-Pharmacy, Pre-Veterinary)
Jackson State University
Jackson, Mississippi12.2018
Some College Coursework Completed - Nursing, Biology
Holmes Community College
Goodman, MississippiHigh School or equivalent, Diploma -
Yazoo County High School
Yazoo City, Mississippi05.2001
Skills
- Prior authorization process
- Problem-solving skills
- Benefit coverage
- Teamwork orientation
- Pharmacy benefit management
- Data entry proficiency
- Aseptic techniques
- ICD-10 coding
- Conflict resolution
- Computer proficiency
- Adaptability and flexibility
- Multitasking Abilities
Affiliations
National Society of Leadership and Success
Certification
- Certified Pharmacy Technician
- July 2005
- PTCB
- Pharmacy Technician Certification Board
LANGUAGES
English Fluent
Interests
Family/Children, Helping others in need, Basketball, Volleyball
Timeline
Certified Prior Authorization Tech
CVS Specialty PA Department
11.2023 - Current
Lead Certified Pharmacy Technician
The Kroger Co
01.2015 - 01.2023
Certified Pharmacy Technician
CVS Caremark Corporation
04.2014 - 01.2015
CPhT
Pharmerica Corporation
11.2007 - 09.2013
CPhT
Walgreens Pharmacy
10.2003 - 11.2007
CSR
K Mart Pharmacies, Inc.
06.1999 - 04.2003
Bachelor's Degree - Biology (Pre-Med, Pre-Pharmacy, Pre-Veterinary)
Jackson State University
Some College Coursework Completed - Nursing, Biology
Holmes Community College
High School or equivalent, Diploma -
Yazoo County High School