Ebonie Smith
Kennesaw,GA
Summary
Dedicated and skilled healthcare professional with comprehensive experience in pharmacy prior authorization management, patient services account management, and phlebotomy. Proven ability to deliver exceptional patient care, manage administrative tasks, and ensure regulatory compliance. Seeking a challenging position where I can leverage my diverse skill set to contribute to the success of a dynamic healthcare team.
Overview
6
6
years of professional experience
Work History
Pharmacy Prior Authorization Manager
Cigna
09.2022 - 06.2023
- Conducted rigorous evaluation and authorization of medication requests from healthcare providers, ensuring compliance with regulatory standards and patient safety.
- Collaborated effectively with healthcare providers and insurance companies to address potential issues in the medication approval process, resulting in a 15% decrease in medication denial rate.
- Skillfully analyzed and resolved medication claim rejections and appeals, resulting in improved medication access for patients and reduced financial burden on healthcare providers.
Patient Services Account Manager
North Atlanta Women's Specialists
08.2020 - 09.2022
- Registered and verified patient records before triage with most up-to-date information.
- Used Athena Health to schedule patients.
- Verified insurance coverage and obtained pre-authorizations.
- Prepared and processed patient referrals and transfer requests.
- Maintained confidentiality of patient information to comply with HIPAA regulations and protect patient privacy.
- Collaborated with healthcare providers to maintain efficient schedules and optimize patient outcomes.
- Participated in quality improvement initiatives aimed at enhancing overall efficiency within the department.
- Managed multiple schedules and prioritized tasks to meet demands of fast-paced work environment.
- Trained new staff members on scheduling protocols, contributing to a well-prepared team of patient coordinators.
Phlebotomist
American Red Cross
12.2016 - 08.2020
- Recognized by Chief Collections Executive for exemplary performance, receiving 2 Biomedical Service Awards: Employee Pursuit of Excellence for 6 months and 1 year of zero problems.
- Packaged and shipped specimens to central lab daily.
- Adhered to HIPAA standards and maintained patient confidentiality in all interactions.
- Actively engaged with patients to educate them on proper post-draw care, reducing potential complications and ensuring their comfort throughout the process.
- Drew blood from veins by vacuum tube, syringe, or butterfly venipuncture methods.
- Participated in continuing education programs to stay up to date on new technologies and procedures.
- Labeled transfer tubes and followed exact directions for handling and storing specimens for transport.
- Centrifuged blood samples as outlined in clinical protocols.
Education
Associate of Science -
Richard J Daley College
Chicago, IL05.2006
Skills
- Teamwork
- Time Management
- Attention to Detail
- Problem Solving
- Leadership
- Specimen Preparation
- Quality control guidelines
- Microsoft Office
- Data Entry
- HIPAA
- Customer Service
- Phlebotomy Technician (PT)
Accomplishments
American Red Cross: Recognized by Chief Collections Executive Jerry J.K Tillery for 2 Biomedical Service Awards: Employee Pursuit of Excellence for 6 months and 1 year of zero problems.
North Atlanta Women's Specialists: Employee Service Award Issued by President and CEO Richard Zane, MD · Aug 2021. 1 Year of Service recognition of loyal commitment and dedication.
Timeline
Pharmacy Prior Authorization Manager
Cigna
09.2022 - 06.2023
Patient Services Account Manager
North Atlanta Women's Specialists
08.2020 - 09.2022
Phlebotomist
American Red Cross
12.2016 - 08.2020
Associate of Science -
Richard J Daley College
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