Candace Taylor
Philadelphia,United States
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
With my experience in long term care pharmacy, and in the healthcare field, I will be able to utilize my compassionate-care abilities and clerical skills to provide quality health services to residents or patients in any type of setting.
Overview
20
20
years of professional experience
Work History
Medicare Member Services/ Pharmacy Hub
Blue Shield
11.2021 - 11.2025
- Responsibilities: Advanced level representative assisting in 3 Medicare Departments, assisting company with all health insurance inquiries from billing to claim adjusting. Incoming and Outgoing calls, routine and complex. Communicated daily with health insurance members and Healthcare facilities/Medical Groups. Handled medical claims, provided detailed clarity to members on plan benefits and coverage. Assisted with member Initiated Rx Prior Authorizations, , their processed Rx claims, and Rx coverage. Assisted with Rx fills/ Emergency fills. Executed the highest quality customer service through research and quick critical thinking. Received over 95% Quality Assurance Approval during auditing yearly. Maintained accuracy and knowledge and followed CMS/ Medicare Guidelines.
Medical Technician Supervisor
Hayes Manor Retirement Residents
02.2021 - 06.2021
- Responsibilities included: Provided Patient care including assessments, administered medicine and wound care to residents. Provided medical treatment as directed by the physician. Supervised all staff and delegated duties directly related to resident care.
Pharmacy Technician
Pharm Pro / Pharmacy Agency
02.2019 - 09.2020
- Responsibilities include: Prepare prescription medication in a long term care setting for residents. Fill prescriptions through over the phone contact or electronically, mix and constitute medicines, count pills, measure medication, label and give instructions for medicine.
Certified Nursing Assistant
Delta T Group Agency / PRN Staffing Agency
01.2018 - 08.2019
- Responsibilities include: Home care and facility CNA. Developing daily patient care plans, vital signs check, resident monitoring, assisting patients with personal hygiene, activities and daily living activities, feeding, exercises, colostomy and catheter care, Assisted RN’s with wound and tracheostomy care, Hoyer lift/Chair lift, database entry.
Pharmacy Technician
Cigna Health
08.2018 - 02.2019
- Responsibilities Included: Process medication prescriptions within established guidelines, providing detailed documentation via internal and external systems, use of various computer applications both internal and commercial to perform item entry, verifying payment, address, eligibility, and all necessary information. I also work in various claims processing systems, Demonstrated good decision making skills and problem solving techniques. (contract- enrollment period)
Reservationist
Septa CCT Paratransit
11.2015 - 06.2017
- Responsibilities included: High call volume call center; duties included maintaining database, fulfill customer request, clarifying desired information and locations.
Certified Nursing Assistant
Genesis Healthcare
02.2011 - 05.2014
- Responsibilities included: Developed patient care plans, assigned employees to residents/patients; including assessments and evaluations, vital signs, resident monitoring, assisting patients with personal hygiene, activities and daily living activities, feeding, exercises, colostomy and catheter care, Assisted RN’s with wound and tracheostomy care, Hoyer lift/Chair lift expert/trainer and database entry.
Certified Nursing Assistant
Care First Nursing Agency
01.2010 - 01.2011
- Responsibilities included: Developed patient care plans, assisting patients with personal hygiene, activities and daily living activities, feeding, exercises, colostomy/catheter care, vital signs, companionship, light house cleaning, cooking/ meal preparation, laundry, hospice care, and database entry.
Jr Assistant Manager
Dominos Pizza
09.2005 - 08.2010
- Responsibilities Included: Monitored the daily activities of other employees, improved service quality and increased sales by developing a knowledge of company's products and services, inventory, handling,training new employees, cash/ safe box counting, opening and closing the store, preparation, and great customer service.
Education
Associate of Science Degree - Allied Health, Science
Harcum College
Bryn Mawr, Pa, United States01.2012
High School Diploma - CNA Certification, Basic Academics
Upper Darby High School
Drexel Hill, Pennsylvania, United States01.2008
Skills
- CNA/ CPR/ Venipuncture Certified
- 8 years dedicated hands on experience with patient/geriatric and hospice care
- Clinical skills in vital signs; temperature, blood pressure, pulse, and respiratory rate
- Complies with HIPPA standards
- Knowledge in infection control practices and procedures
- Knowledge of aseptic and sterile techniques
- Electronic Medical and Prescription Records
- Educated with Darwin Rx System
- Filling, packing and labeling drugs in fast past environment
- Verifying drugs, Inventory, non-sterile
- Compounding, Data entry experience
- Medical Terminology
- Compassion for helping others
- Fast learner
- Courteous/Patient demeanor
- Strong interpersonal and communication skills
- Attention to detail
- Excellent patient care and customer service
Timeline
Medicare Member Services/ Pharmacy Hub
Blue Shield
11.2021 - 11.2025
Medical Technician Supervisor
Hayes Manor Retirement Residents
02.2021 - 06.2021
Pharmacy Technician
Pharm Pro / Pharmacy Agency
02.2019 - 09.2020
Pharmacy Technician
Cigna Health
08.2018 - 02.2019
Certified Nursing Assistant
Delta T Group Agency / PRN Staffing Agency
01.2018 - 08.2019
Reservationist
Septa CCT Paratransit
11.2015 - 06.2017
Certified Nursing Assistant
Genesis Healthcare
02.2011 - 05.2014
Certified Nursing Assistant
Care First Nursing Agency
01.2010 - 01.2011
Jr Assistant Manager
Dominos Pizza
09.2005 - 08.2010
High School Diploma - CNA Certification, Basic Academics
Upper Darby High School
Associate of Science Degree - Allied Health, Science
Harcum College