Roebuck, South Carolina, United States
I am continually seeking new opportunities that allow me to leverage my skills and expertise while also embracing fresh challenges that foster growth and learning. My foundational years as a Pharmacy Technician honed critical skills in medication management, prior authorizations and other complex pharmacy duties. These experiences underscore my dedication to optimizing healthcare access and embodying excellence in patient support.
Scripted enables pharmacies to add new lines of business while providing easy access to healthcare. Our company's technology-enabled platform allows pharmacists to prescribe tests and treatments. In my role, I am the face of the customer to our development and product team. I communicate between our customers and our company employees on any issues. requests or needs.
Performed pharmacy technician duties including machine maintenance and deliveries as well as record keeping, insurance processing, cashiering and extraordinary customer care duties in retail, clinic and hospital environments as well as on an on call basis. Other duties included stocking, inventory management, ordering and record keeping. I performed special duties including bubble packing medications for home bound and institutionalized patients after communication with facility staff and doctors. I also repackaged and prepackaged medication for distribution. Communication, flexibility, efficiency and accuracy were daily factors as well. 2019 - 2025 Advocate Aurora Health 2016 - 2019 Good Value / Evergreen Specialty 2010 - 2015 Walgreens, Inc 2009 – 2011 United Pharmacy Staffing 2008 – 2009 Family Health/La Clinica 2005 – 2009 Waupaca Woods Pharmacy/Riverside Clinic Pharmacy 2001 – 2004 Aurora Pharmacy 1993 – 2000 Riverbend Serv-u Pharmacy
At Advocate Aurora Health, my role as an Insurance Clearance Specialist II fuses my PTCB certification with a deep commitment to patient care. Our team adeptly navigates insurance intricacies, ensuring patients gain access to vital Cardiology medications like Camzyos. The workflows I've developed are pivotal in managing REMS medications efficiently, significantly enhancing our department's service delivery. Handling complex authorization requests and coordinating between physicians and patients requiring a blend of problem-solving and critical thinking.
Major Responsibilities: Greets and checks in patients arriving for their appointments. Ensures patient information is complete and accurate. Collects patient responsibility as identified in the pre-registration process. Completes the registration process on walk-in patients, verifies and/or updates patient demographic and insurance information if changes or additions have occurred. Verifies insurance benefits, obtains/calculates patient responsibility and request payment. Communicates to patient the organization expectation of payment at time of service. Identifies patients in need of financial assistance and refers patients to Financial Advocate when necessary. Collaborates with Financial Advocate to coordinate patient’s financial resources and responsibilities including requesting patient to sign a Financial Obligation Form (FOF) or Advanced Beneficiary Notice (ABN) as needed. Monitors patient flow to ensure patients are cared for in the most efficient and courteous manner. Performs visit closure, including checking out patients, collecting additional patient responsibility (when applicable) and providing patient with appropriate documents. Schedules patient visits using guidelines established within scheduling system. Assists with new caregiver onboarding. Works assigned EPIC work queues, following the department’s work flow process. Maintains excellent public relations with patients, families, and clinical staff as well as demonstrates a willingness and ability to work collaboratively with others for concise and timely flow of information. Proactively communicates issues involving customer service and process improvement opportunities to management. Maintains knowledge of and reference materials for Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization/referral and a list of current accepted insurance plans. I also worked in urgent care and lab when needed.
I provided high level patient care services at a remote dispensary location. I acted as a system resource for physicians, nurses, pharmacists and support staff. Company Job Description: Offer quality or process improvement ideas and techniques based on specialized skills to provide the best and accurate care for patients, providers, and in support of the pharmacist and clinical staff. Providing input on enhancements, workflow changes, operational advancement opportunities and system wide standardization programs. Review and adhere to policies/processes and local, state and federal regulations for complete documentation of receipt, preparation, dispensing, return and destruction of controlled substances. Keeps abreast of new regulations and impact to the organization and/or caregiver training and education. Maintain inventory control including the ordering of products and supplies at the appropriate level. Communicates with providers and patients regarding ordering and receiving of products. Oversee non-pharmaceutical product merchandising and front of store inventory, including ordering, merchandising, and pricing of non-pharmaceutical products. Act as a system resource for physicians, nurses, pharmacists and support staff inquiring about the feasibility and possibilities associated with prescribing, pricing and dispensing medication. Perform data entry and/or third party billing functions including: data entry of customer demographics and third-party information, obtaining prior authorizations from appropriate third-party carriers, maintaining files of prior authorization, investigating and correcting errors in submission to third parties and handling private insurance, workers compensation, and third-party insurance coverage and prescription-related issues. Bank deposits, day end reports, prescription billing for physicians, general housekeeping and ensure efficient operations and appropriate overall appearance of the pharmacy dispensing site.