Crystal Fox
Overland Park
Summary
Dynamic Pharmacy Patient Advocate with extensive experience at the University of Kansas Medical Center, excelling in effective communication and insurance verification. Proven track record in coordinating prior authorizations and advocating for patient rights, ensuring timely access to specialty medications while enhancing patient education and collaboration among healthcare teams.
Overview
12
12
years of professional experience
Work History
Pharmacy Patient Advocate & Call Center, CPHT
University of Kansas Medical Center
Lenexa
11.2020 - 04.2025
- Managed University of Kansas Health System clinics for migraine, osteoporosis, and heart failure specialty medications.
- Served as primary resource, facilitating communication among clinic doctors, nurses, and pharmacy insurance representatives.
- Coordinated prior authorization submissions and appeals, ensuring all stakeholders remained informed throughout process.
- Ensured drug therapy distribution was safe and cost-effective by utilizing grants and manufacturer assistance.
- Supervised pharmacy technician staff to minimize medication dispensing delays.
- Responded to inbound calls and emails regarding mail order medications and troubleshooting issues.
- Helped patients understand care, coverage, and payment responsibilities and rights.
- Reviewed eligibility responses to assess patient benefit level and prepare estimates.
- Organized patient records and updated information in the hospital database system.
- Screened patients assistance programs.
- Advocated for patients' rights when dealing with third party payers or other healthcare entities.
CLINICAL COORDINATOR CPhT
MEDTRAK RX
Overland Park
10.2016 - 10.2020
- Oversaw Prior Authorization process to ensure timely and accurate completion.
- Conducted quality audits for approved medications post-authorization per Clinical guidelines.
- Served as primary resource for members, clients, brokers, and pharmacies on coverage determinations.
- Supported pharmacy benefit advisors, account managers, and sales with essential information.
- Acted as liaison with Best In-Class Specialty Pharmacy on claims submission and reimbursement issues.
- Generated necessary Excel reports to track performance metrics.
- Demonstrated attention to detail while addressing urgent needs of clients and pharmacies.
RETAIL PHARMACY TECHNICAN
CVS PHARMACY
03.2013 - 04.2017
- Facilitated clear communication with patients to set accurate expectations for prescriptions.
- Supported pharmacist in locating, entering, and filling patient medications.
- Delivered timely follow-up to doctors and patients on medication requests.
- Contacted insurance providers to secure necessary verification.
- Assisted in training new employees by providing concise and timely instructions.
Education
BACHELOR OF SCIENCE - COMMUNITY HEALTH
University of Kansas
Lawrence,KS05-2004
Some College (No Degree) - General Studies
Johnson County Community COllege
Overland ParkSkills
- Effective communication facilitation
- Time management and prioritization
- Insurance verification
- Patient education
- Team collaboration
- Benefits explanation
- Registration management
- Attention to detail
- Technical troubleshooting
References
References available upon request.
Timeline
Pharmacy Patient Advocate & Call Center, CPHT
University of Kansas Medical Center
11.2020 - 04.2025
CLINICAL COORDINATOR CPhT
MEDTRAK RX
10.2016 - 10.2020
RETAIL PHARMACY TECHNICAN
CVS PHARMACY
03.2013 - 04.2017
BACHELOR OF SCIENCE - COMMUNITY HEALTH
University of Kansas
Some College (No Degree) - General Studies
Johnson County Community COllege
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