MARC CARVEY LIWANG
Pasig City
Summary
Dedicated Pharmacist offering 5 years of experience ensuring accurate review, processing, delivering and dispensing of medications in alignment with orders. Skilled in collaborating with team members to expedite urgent requests while maintaining impeccable focus on safety, accuracy and confidentiality. With a background in utilizing CPT / HCPCS / ICD 10 codes and handling of electronic medical records. Advanced communicator with all levels of staff, clients, management, and healthcare administrators.
Overview
6
6
years of professional experience
Work History
Clinical Pharmacy Reviewer
Gallagher Bassett (KMC)
2023.11 - Current
- Evaluate prescription history, current clinical information and pertinent claim details to determine if prescribed medication is medically appropriate based on Evidence Based Guidelines.
- Evaluate all prescribed medications to identify possible adverse drug interactions.
- Current clinical information will also need to be evaluated for any clinical contraindications to prescribed medications.
- Review or determine the correct CPT / ICD10 / HCPCS code of the provider's request.
Clinical Reviewer - Prior Authorization
ACCESS HEALTHCARE
2022.08 - 2023.08
- Determine prior authorization requirements by performing outbound calls, reviewing clinicals, and collaborating with payers.
- Navigate and utilise provider portals such as eviCore, Carelon, HealthHelp, Cohere, NIA, Humana and etc. in determining pre-authorization requirements, initiating cases, answering clinical pathways for the tasks created by ordering provider.
Warehouse Pharmacist (Supervisory Role)
SANNOVEX PHARMACEUTICAL DISTRIBUTOR
2019.10 - 2022.07
- Supervise daily activities of the entire warehouse operations which include warehouse personnel, quality assurance, inventory control, logistics, floor productivity, shipping, and customer service.
Branch Pharmacist
Mercury Drug Corporation
2018.09 - 2019.02
- Check prescriptions filled by pharmacy assistants to ensure correct dispensing is carried out.
- Counsel customers about the recommended use, dosage, and possible side-effects of medication.
- Compound and dispense medications, as prescribed by physicians.
Education
BS Pharmacy -
Far Eastern University - Nicanor Reyes Medical Foundation
HIM Training Institute - undefined
Comprehensive Medical Coding Training and Review Course
Skills
- Medical Coding
- Medicine Warehousing
- Clinical Review
- Inventory Management
- Procurement
- Prescription Filling
- Regulatory Compliance
- Drug utilization review
Languages
English
Tagalog
Age
27
Marital status
Single
Personal Information
Nationality: Filipino
References
Emma Rosa Aguilar / HelloRache / Medical Virtual Assistant - erjaguilar@gmail.com
Timeline
Clinical Pharmacy Reviewer
Gallagher Bassett (KMC)
2023.11 - Current
Clinical Reviewer - Prior Authorization
ACCESS HEALTHCARE
2022.08 - 2023.08
Warehouse Pharmacist (Supervisory Role)
SANNOVEX PHARMACEUTICAL DISTRIBUTOR
2019.10 - 2022.07
Branch Pharmacist
Mercury Drug Corporation
2018.09 - 2019.02
BS Pharmacy -
Far Eastern University - Nicanor Reyes Medical Foundation
HIM Training Institute - undefined
Comprehensive Medical Coding Training and Review Course
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