Summary
Overview
Work History
Education
Skills
Certification
Assessments
Timeline
Generic

Candice Kegler

Easton,PA

Summary

To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.

Overview

10
10
years of professional experience
1
1
Certification

Work History

Rx Refill Specialist / Medication Management

  • Processes incoming phone and electronic patient medication refills requests using electronic health record, patient engagement tools and prescription refill platforms
  • Engages patients in a polite, prompt and compassionate manner during all patient interactions
  • Reviews medical records and specialty-specific prescription refill protocols to support filling of prescription when a refill requests flags for review
  • Utilizes defined escalatory workflows to notify prescribing providers of medication requests that have not met protocol criteria
  • Facilitates correspondence with patients, providers, insurance companies and pharmacies as necessary to address medical refill requests
  • Documents pertinent information in medical records and may notify patients of overdue visits and/or necessary screenings based on defined protocol
  • Escalates medication questions or concerns to Supervisor, Rx Refill as necessary

Vaccine Coordinator

St. Luke's Easton Area Family Medicine
  • Documenting vaccine inventory information and organizing vaccines within storage units
  • Ensuring appropriate handling of vaccines during disaster or power outage
  • Ensuring staff is properly trained
  • Maintaining all documentation, such as vaccine inventory and temperature logs
  • Ordering vaccines
  • Overseeing emergency preparations, including plans for ensuring safety of vaccine during emergencies, including adverse weather conditions
  • Overseeing proper vaccine transport (when necessary)
  • Responding to out-of-range temperatures (temp excursion)
  • Setting up temperature monitoring devices.

Medical Prior Authorization Specialist/Medication Management

08.2023 - Current
  • Monitors prior authorization work queues WQ(s) and promptly obtains and/or reviews patient insurance information and eligibility verification required to secure medication prior authorizations
  • Utilizes online, fax, and telephony pathways to obtain prior authorizations from insurance companies for prescribed medications and documents medication prior authorizations in the medical record as necessary
  • Seeks additional information and/or communicates updates to patients and providers as appropriate throughout the prior authorization process
  • Engages insurance company representatives and provides required clinical information to secure prior authorization, when necessary
  • Engages practice operations and incorporates a clinical care team when prior authorization attempt is unsuccessful and/or a peer-to-peer and/or alternative medication is required
  • Escalates complex prior authorization issues to Supervisor, Medication Prior Authorization for assistance/guidance
  • Maintains working knowledge of St
  • Luke’s electronic medical record system, internal systems and tools, and other online insurance websites
  • Maintains solution-oriented/creative mindset to effectively anticipate and tend to patient needs by partnering with other organizational team members/departments
  • Actively participates in performance improvement and continuous quality improvement activities
  • Other related duties as assigned.

Certified Medical Assistant (NCMA) & Vaccine Coordinator

St. Luke's Easton Area Family Medicine
06.2014 - 08.2023
  • Rooming patients, taking vitals, reviewing medical history
  • Answering phones, triaging calls, and generally serving as a primary point of contact for patients before speaking to physician
  • Calling patients regarding lab results, medical questions/concerns, appointments
  • Conducting patient outreach
  • Educating / Helping Internal Medical Residents / Nurse Practitioner Students
  • Maintaining up to date quality care gaps
  • Medical Supply Ordering (DME) for patients
  • Medication Prior Authorizations
  • Participating in quality improvement work
  • Patient education
  • Performing injections, point of care testing (POCT), and procedures including EKGs, HBA1C's, etc
  • Pre-visit planning (Pre-Charting)
  • Primary Vaccine Coordinator for private and VFC vaccines
  • Putting in ambulatory referrals
  • Reconciling medications/immunizations/allergies
  • Scribing/putting in orders for physician
  • Vaccine Ordering / Education
  • Medication Education.

Education

Associate of Specialized Business Degree in Medical Assisting -

McCann School of Business And Technology
Allentown, PA
12.2012

Skills

  • Ability to plan, prioritize and multitask
  • Accuracy and attention to detail
  • Administering Vaccines and medications
  • Proficient with EMR Systems – Athenahealth, EPIC, Mac Practice
  • Excellent organizational skills and attention to detail
  • Knowledge and experience with Navi Net
  • Leadership experience / qualities
  • HIPAA Compliance Knowledge
  • Effective communication skills

Certification

  • National Certified Medical Assistant
  • CPR/BLS Certification

Assessments

Supervisory skills: Motivating & assessing employees, Proficient, 08/01/21, Motivating others to achieve objectives and identifying improvements or corrective actions.

Timeline

Medical Prior Authorization Specialist/Medication Management

08.2023 - Current

Certified Medical Assistant (NCMA) & Vaccine Coordinator

St. Luke's Easton Area Family Medicine
06.2014 - 08.2023

Rx Refill Specialist / Medication Management

Vaccine Coordinator

St. Luke's Easton Area Family Medicine

Associate of Specialized Business Degree in Medical Assisting -

McCann School of Business And Technology

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Candice Kegler