Years of experience: 18

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Megan's Career Path
Clinical SpecialistJun. 2024 -
Present
Pharmacy Benefit ManagerClinical Specialist
• Provide comprehensive account support to internal EmpiRx Health teams, overseeing adjudication, clinical review, and claims-related matters while fostering strong communication and collaboration across all departments to ensure a unified approach. • Manage claims overrides and prior authorization support, delivering exceptional white-glove service to clients and members, with a commitment t...
Pharmacy Technician IIISep. 2021 -
May. 2024
Health FirstPharmacy Technician III
Melbourne, Florida, United States• Tasked with efficiently assessing and resolving billing issues in coordination with insurance companies, ensuring timely and accurate payments. • Initiated and investigated pending prior authorization approvals through calls to insurance companies or the Cover My Meds portal. • Collaborated directly with health plans to coordinate medication rejects/authorization approvals, prioritizing the...
Lead Certified Hospital Pharmacy TechnicianMar. 2007 -
Sep. 2021
Publix Super MarketsLead Certified Hospital Pharmacy Technician
Orlando, Florida, United States• Recognized for assessing and resolving billing issues through effective coordination with insurance companies. • Carried out thorough investigation prior authorization approvals and payments via calls to insurance companies or through the Cover My Meds portal. • Secured authorization for the procurement of specialty medications from drug companies. • Assumed responsibility for counting and ...