Summary
Overview
Work History
Education
Skills
Timeline
Generic

Delvonta Doolittle

Dallas,TX

Summary

Experienced team leader knowledgeable about different providers and plans for diverse benefit options. Effective at auditing benefit programs and checking companies to optimize company offerings. Proactive and disciplined with a results-driven and insightful nature.

Overview

12
12
years of professional experience

Work History

Pharmacy Benefits Coordinator Lead

Paydhealth
Dalls , Texas
09.2023 - Current
  • Conducted employee orientations to explain benefits programs.
  • Assisting members with enrollment in CAP and PAP Assistance
  • Assisting with with other departments when needed
  • Cross trained on Magellan, Maxor, Elixir, EmpireRX, Proact, Medimpact
  • Answered customer inquiries and provided accurate information regarding products and services.
  • Maintained detailed records of customer interactions, transactions and comments for future reference.
  • Assist with training new employee's and presenting in training classes.
  • Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
  • Developed and implemented strategies to ensure successful collaboration between pharmacy staff, healthcare providers, and patients.
  • Built strong relationships with internal teams and external partners and vendors.
  • Provided training and mentorship to junior members of the team.
  • Led cross-functional team meetings and provided guidance on best practices.
  • Developed customer loyalty programs, increasing retention and lifetime value.
  • Streamlined internal processes to improve efficiency and effectiveness of marketing operations.
  • Compiled targeted or exhaustive marketing data based on needs of specific research projects.
  • Tracked communications strategies, advertising campaigns and marketing approaches to measure successes and failures.
  • Processed appeals for incorrect payment or denial of services rendered by healthcare providers on behalf of patients covered under Medicare plans.
  • Aided Medicare patients with management of secondary insurance coverage.
  • Conducted initial eligibility screenings for Medicaid applicants.
  • Working with employers and patients pharmacy benefits to get enrolled

Pharmacy Technician

Kroger Pharmacy
Dallas , Texas
01.2019 - Current
  • Receiving prescriptions, both over the phone and in-person
  • Entering prescriptions into computer database
  • Dispensing medications
  • Assisting clients at the cash register
  • Working with insurance companies
  • Contacting referring physicians' offices with questions over prescription
  • Maintaining inventory
  • Medicare and Medicaid billing and working with insurance
  • Systems-eprn
  • Maintained daily inventory of pharmaceuticals and ensured proper storage conditions.
  • Prepared medications for dispensing by counting, pouring, labeling, and verifying doses.
  • Performed data entry for patient profiles, billing information and prescription orders into the pharmacy software system.
  • Provided customer service to patients by answering questions about medications and health-related topics.
  • Assisted pharmacists in compounding sterile products according to state regulations.
  • Managed filing of prescriptions, both electronically and manually.

Pharmacy Technician

Baylor Scott and white outpatient pharmacy
08.2022 - 04.2023
  • Receiving prescriptions, both over the phone and in-person
  • Entering prescriptions into computer database
  • Dispensing medications
  • Assisting clients at the cash register
  • Working with insurance companies
  • Contacting referring physicians' offices with questions over prescription
  • Maintaining inventory
  • Delivering medications to patients
  • Reading patient charts
  • Working closely with nursing staff, including preparing medication packets for nurses to administer
  • Medicare and Medicaid billing and working with insurance
  • Systems-epic, eprn, all Microsoft systems
  • Prepacked bulk medicines, filled bottles with prescribed medications and typed and affixed labels.
  • Restocked shelves with new supplies of medications as needed.
  • Ordered drugs from wholesalers as needed and maintained records of incoming shipments.
  • Provided customer service to patients by answering questions about medications and health-related topics.
  • Performed data entry for patient profiles, billing information and prescription orders into the pharmacy software system.
  • Maintained daily inventory of pharmaceuticals and ensured proper storage conditions.
  • Prepared medications for dispensing by counting, pouring, labeling, and verifying doses.

DLH Mail order pharmacy

01.2022 - 01.2023
  • Daily Scanning of patient profiles and prescriptions to make sure all information is complete and accurate
  • Filling prescriptions and accurate processing of package and mail shipments daily
  • Receiving refill requests
  • Opening and bar coding incoming mail
  • Pulling hard copies of prescriptions to send back to patients if the pharmacy is unable to fill the prescription
  • Ordering and maintaining supplies
  • Maintaining proper storage and security conditions for drugs
  • Ordering, labeling and counting stock of medications, chemicals and supplies and enter inventory data
  • Checking for outdated medicines
  • Receiving and storing incoming supplies

Senior Resolution Specialist

Humana pharmacy
Irving, TX
03.2019 - 05.2022
  • Clinical service pharmacy tech 2/ resolution specialist
  • Customer service calls
  • Calling doctor's office
  • Grievance and appeals
  • Training
  • Powerpoint, excel, word, CAS, EPIC, epost, crm, one note
  • Medicare and Medicaid billing and working with insurance
  • Working alongside Michael taday to organize new processes for the clinical service team
  • Assisted with new training ideas for all clinical service teams in in the US.
  • Provided guidance on dispute resolution processes, procedures and best practices to junior team members.
  • Created reports summarizing findings from investigations into customer complaints.
  • Prepared presentations for senior management regarding the status of ongoing disputes.
  • Coached junior employees on performance strategies and quality assurance standards.
  • Delivered conclusions on mediation cases.

Prior Authorization Pharmacy Technician

CVS HEALTH CORPORATION
Richardson, TX
05.2014 - 03.2019
  • Preauthorization rep 2
  • Displayed strong telephone etiquette, effectively handling difficult calls.
  • Collaborated with cross-functional team to define features and build powerful and easy-to-use products and customer-facing workflow tools.
  • Duits, excel, word, spreadsheets, training, in and outbound calls, faxes
  • Medicare and Medicaid billing and working with insurance
  • Working directly with Medicare and Medicaid clients to build Prior authorization letters and working with the doctor to do prior authorization
  • Working with covermy meds
  • I was cross trained on specialty, Medicaid, medicare, commercial and atena
  • Systems- people safe, CAS, as400) Rxclaims
  • Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
  • Understood and followed oral and written directions.
  • Prioritized and organized tasks to efficiently accomplish service goals.
  • Worked as a SME training our new hire classes
  • Verified patient demographic and insurance information to ensure accuracy of prior authorization requests.
  • Analyzed prior authorization request forms to determine appropriate coding before submission.
  • Maintained current knowledge of changes within the healthcare industry related to the prior authorization process.
  • Developed and implemented strategies to improve team performance.
  • Motivated and coached team members to reach goals, providing constructive feedback.
  • Ensured that all staff adhered to company policies and procedures while performing their duties.
  • Identified areas for improvement within the SME team and developed action plans to address them.
  • Researched new technologies or processes that could be used to enhance the SME teams' capabilities.

Education

High School Diploma -

Cooper High School
Abilene, TX
05-2012

Some College (No Degree) - Social Work

The University of Texas At Arlington
Arlington, TX

Skills

  • Highly skilled in Microsoft Office
  • Employee benefits practices
  • Benefits interpretation
  • Verbal and written communication
  • Ability to Multitask
  • Working with Teams
  • Time Management
  • Inbound and Outbound Calling
  • High-energy attitude
  • Active Listening
  • Customer Service
  • Call Center Operations
  • Diversity and Inclusion

Timeline

Pharmacy Benefits Coordinator Lead

Paydhealth
09.2023 - Current

Pharmacy Technician

Baylor Scott and white outpatient pharmacy
08.2022 - 04.2023

DLH Mail order pharmacy

01.2022 - 01.2023

Senior Resolution Specialist

Humana pharmacy
03.2019 - 05.2022

Pharmacy Technician

Kroger Pharmacy
01.2019 - Current

Prior Authorization Pharmacy Technician

CVS HEALTH CORPORATION
05.2014 - 03.2019

High School Diploma -

Cooper High School

Some College (No Degree) - Social Work

The University of Texas At Arlington

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Delvonta Doolittle