Depika Yankanah

• Directly communicate with insurance companies to facilitate approval of specialty and non-specialty medications
• Specialize in oncology, multiple sclerosis, diabetes, rheumatology, endocrinology and neurology
• Navigate pharmacy operating systems to input data, perform adjudication on test claims and prepare action for follow up
• Work closely with pharmacists and pharmacy liaison to provide integrated approach for quality patient care
• Manage, organize, and update relevant data using database applications
• Identify trends, resolve problems; recommend improvements, implement change

• Provided crucial support to patients in accessing essential medications by optimizing their eligibility for manufacturer- sponsored programs, copay cards and grants, ensuring financial relief and uninterrupted treatment

• Achieved positive outcomes for clients by providing thorough legal research and drafting persuasive arguments.
• Managed complex caseloads with diligence, prioritizing tasks to ensure timely resolution of cases.
• Participated in continuing education opportunities to stay current on industry trends and emerging legal issues.
• Reduced turnaround time for prior authorization requests by utilizing electronic submission methods.
• Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
• Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
• Identified trends in denials through data analysis, adapting strategies accordingly for improved success rates in obtaining approvals.
• Supported team members by providing guidance on complex cases requiring detailed understanding of medical necessity criteria.
• Streamlined financial aid application process for improved efficiency and faster response times.

• Experience working with LGBT community and other high-risk populations in clinic setting to provide safe and welcomed healthcare environment
• Responsible for submitting claims to insurance companies and escalating prior authorization requests to appropriate department
• Maintain delivery shipment logs as well as other internal pharmacy compliance logs
• Process an average of 200 prescriptions daily
• Precisely maintain OTC and supply inventory, properly documenting and disposing expired products
• Count and measure medications, applying labels and verifying accuracy with pharmacist prior to dispensing
• Complete and updated patient profiles with correct billing, insurance and allergy information
• Managed high volume patient calls with professionalism and tact
• Increased overall pharmacy productivity by restocking supplies, organizing shelves, and maintaining cleanliness according to standards.
• Assisted in training new team members on standard operating procedures to ensure consistent quality of service across entire team.
• Answered incoming phone calls and addressed questions from customers and healthcare providers.
• Collected co-payments or full payments from customers.
• Improved patient satisfaction by efficiently processing prescriptions and managing inventory in timely manner.
• Enhanced pharmacy workflow by assisting pharmacists with medication dispensing, labeling, and packaging.
• Contributed to the reduction of prescription wait times by promptly addressing refill requests and insurance authorizations.

• Adjudicated incoming electronic, transfer and written prescriptions
• Communicated with insurance companies to cover patient prescriptions
• Trained new technicians for various tasks according to Capsule guidelines.
• Contributed to a positive work environment through effective communication with colleagues, providing assistance when needed.
• Facilitated timely order processing by promptly entering customer information and medication details into the database.
• Collaborated with pharmacists to address discrepancies or issues related to prescriptions, demonstrating strong problem-solving skills.
• Assisted in maintaining a clean and organized workspace, ensuring efficiency and adherence to safety protocols.
• Resolved third-party billing, computer system and customer service issues.
• Coordinated with physicians and insurance agency representatives for speedy resolution of prescription discrepancies.