Adela Radoncic
Windsor,ON
Summary
Accomplished Pharmacy Technician with expertise in prior authorization at Specialty Pharmacies. Adept at processing insurance claims and enhancing customer relationships, ensuring optimal medication use. Proficient in regulatory compliance and inventory management, while demonstrating strong communication skills to foster collaboration with healthcare professionals and patients alike.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Prior Auth Specialist (remote)
First Health Specialty Pharmacy
01.2023 - 04.2025
- Provide excellent costumer service while addressing patient inquiries about authorization process
- Communicate with insurance companies to determine coverage and benefits eligibility
- Collaborated with healthcare providers to obtain required clinical information for approvals
- Reviewed medical records and gather necessary documentation for prior auth requests
- Submitted prior authorization requests through online portals, fax, or phone calls
- Monitor status of submitted authorizations and follow up accordingly
- Resolved issues related to denied authorizations by providing additional information or appealing decision
Patient Care Coordinator (remote)
Biometrix Pharmacy
03.2021 - 01.2023
- Maintained positive working relationship with fellow staff and management.
- Maintained accurate and up-to-date records of authorization requests and outcomes in electronic health record systems.
- Reviewed and processed prior authorization requests for medical procedures and medications according to established guidelines.
- Coordinated resolutions for issues and appealed denied authorizations.
- Followed up on pending prior authorization requests to ensure timely processing.
- Communicated authorization decisions, including approvals and denials, to healthcare providers and patients.
Pharmacy Technician
City Drugs Pharmacy
04.2019 - 03.2021
- Monitored inventory levels of commonly used drugs and placed orders when necessary.
- Assisted pharmacists in filling prescriptions accurately and efficiently.
- Managed filing of prescriptions, both electronically and manually.
- Performed data entry for patient profiles, billing information and prescription orders into the pharmacy software system.
- Ordered drugs from wholesalers as needed and maintained records of incoming shipments.
- Prepared medications for dispensing by counting, pouring, labeling, and verifying doses.
- Received payment from customers and processed credit card transactions when necessary.
Pharmacy Technician
Apthorp Pharmacy
06.2017 - 04.2019
- Prepared medications for dispensing by counting, pouring, labeling, and verifying doses.
- Performed administrative duties such as filing documents, faxing forms, answering phones.
- Processed payments from customers using cash registers and debit and credit card terminals.
- Assisted customers with prescription refills, requests for over-the-counter medications and other health care products.
- Processed pharmacy insurance claims to calculate copayments.
- Maintained daily inventory of pharmaceuticals and ensured proper storage conditions.
Pharmacy Technician
Shoppers Drug Mart
Windsor, Canada
07.2015 - 06.2017
- Provided customer service to patients by answering questions about medications and health-related topics.
- Prepared medications for dispensing by counting, pouring, labeling, and verifying doses.
- Monitored inventory levels of commonly used drugs and placed orders when necessary.
- Retrieved medication from shelves based on physician orders and delivered them to pharmacists for review.
- Assisted pharmacists in filling prescriptions accurately and efficiently.
- Managed filing of prescriptions, both electronically and manually.
- Collaborated with other healthcare professionals to ensure optimal patient care.
Education
Certified Pharmacy Technician -
St. Clair College
Windsor, Ontario, Canada01.2000
Skills
- Proficient in processing prescriptions and managing inventory in compliance with FDA and related Federal, State and Local regulatory dispensing, storage and product control standards
- Customer-focused professional who effectively builds and maintains customer relationships and delivers quality servicing, playing key role in fostering customer loyalty, generating repeat business and driving revenue growth; effectively counsel customers to ensure optimal use of prescription and OTC drugs
- Dynamic communication and interpersonal relation skills instrumental to effectively interfacing with customers, physicians/medical offices, insurers, management, and peers
- Solid administrative skills, with extensive experience in insurance claims processing, data entry, information systems maintenance, multi-line phone management, and cash handling/cashiering
- Strategically prioritize, coordinate and manage workflow to optimize productivity and efficiency
- Team player equally effective in independent and collaborative environments
Certification
Certified Pharmacy Technician
Timeline
Prior Auth Specialist (remote)
First Health Specialty Pharmacy
01.2023 - 04.2025
Patient Care Coordinator (remote)
Biometrix Pharmacy
03.2021 - 01.2023
Pharmacy Technician
City Drugs Pharmacy
04.2019 - 03.2021
Pharmacy Technician
Apthorp Pharmacy
06.2017 - 04.2019
Pharmacy Technician
Shoppers Drug Mart
07.2015 - 06.2017
Certified Pharmacy Technician -
St. Clair College
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