Jessica Donnelly

*Pick and prepare prescriptions for patients with complex treatment needs by labeling, organizing and attaching all required paperwork to ensure proper dispensing and compliance.

*Manage pharmacy inventory and process daily drug order to maintain optimal stock levels and prevent medication shortages.

*Process drug returns to the appropriate wholesalers, ensuring compliance with inventory control policies and proper documentation.

*Assist in resolving submission issues and follow up on outstanding payments to support timely processing and reimbursement.

*Assist in preparing pharmacy documentation for audits, ensuring all prescription records are complete and compliant with regulatory standards.

*Communicated via inbound/outbound calls with physician and pharmacy network providers to ensure that the needs of the provider and plan member were addressed in a courteous, helpful and timely manner.

*Prioritized requests for drug authorizations and denials.

*Reviewed prior authorization criteria for medications.

*Ensured adherence to call center turn around time requirements and regulations.

*Took necessary steps to perform a complete and accurate evaluation of all non-formulary drug exception requests prior to approval, authorization or claim override.

*Contacted physician network providers to obtain necessary and/or additional information.

*Entered all authorizations into the CVSPOS information system to allow for claim adjudication.

*Collaborated with pharmacists and senior management to help increase efficiencies and streamline processes.

*Carried out instructions, orders and directions of pharmacist.

*Entered prescriptions into the RX30 computer system.

*Counted pills at front main counter as well as pain management area.

*Provided customer service via front counter and phones.

*EZ-Fill prescription set up which consisted of coordinating, packing and assembling med packs for delivery/mail/UPS.

*Bubble packed prescriptions for patients with challenges or difficulties.

*Called physicians for prescription verification.

*Called insurance companies to obtain coverage and/or prior authorization information.

*Provided hands-on training to pharmacy technicians in prescription processing and customer service.

*Developed and implemented training materials to support consistent workflow and enhance technician performance.

*Completed daily register reconciliation.

*Assisted pharmacists by accurately following instructions to prepare and dispense prescriptions.

*Performed prescription filling, labeling, filing and verification support.

*Delivered excellent customer service at the front counter, drive-thru and over the phone.

*Operated and balanced cash register and managed daily cash reconciliation.

*Sorted, organized and filed incoming and outgoing mail.

*Processed and managed daily drug orders and inventory coordination.

*Scheduled and coordinated patient medication deliveries.

*Handled monthly billing tasks and insurance claims processing.

*Operated lottery terminal in compliance with regulations.