Dedicated professional with a robust background in pharmacy and patient access. Strong ability to resolve complex issues and foster collaboration among stakeholders, committed to enhancing patient advocacy and improving healthcare outcomes.
Overview
20
20
years of professional experience
4
4
Certifications
Work History
Pharmacy Prior Authorization Specialist
Cigna Healthcare
Houston, Texas
09.2022 - 09.2025
Provide information to clients, participants, pharmacists, and doctors regarding participants' pharmacy benefits, drug coverage, and provide accurate procedures for medication exceptions.
Facilitate the resolution of drug coverage issues, and proactively address, research, and resolve issues while maintaining accurate and complete documentation of all inquiries for continuous improvement.
Work collaboratively with other associates and the supervisor to ensure that best practices are shared.
Other special projects, as assigned.
Patient Access Representative II
Houston Methodist Hospital
Houston, Texas
09.2014 - 09.2022
Verified insurance eligibility and benefits, ensuring timely completion of notifications and authorizations.
Obtained demographic, insurance, and financial information from patients, entering data accurately into the computer system.
Communicated professionally with Physicians, staff, and patients to monitor and resolve account issues.
Processed electronic payments for medical services over the phone in a clinic setting.
Care Partner General Medicine
Saint Louis University Hospital
St Louis, Missouri
04.2012 - 03.2014
Delivered physical care for elders, assisting with Activities of Daily Living (ADL) like bathing, dressing, and eating.
Monitored resident behavior and reported changes in condition, including weight variations and signs of neglect.
Conducted data collection to support performance improvement initiatives.
Collaborated with team members to enhance decision-making processes for quality resident care.
Certified Nurse Assistant (CNA) / CMT
Delmar Gardens of Chesterfield
Chesterfield, Missouri
01.2006 - 03.2012
Assisted patients with Activities of Daily Living by serving meals and providing mobility support.
Facilitated personal hygiene routines through assistance with bed baths and toileting.
Executed procedures under Nurse supervision, including enemas and applying non-sterile dressings.
Maintained safe hospital environment to prevent accidents and injuries for patients and families.
Education
Associate of Applied Science - Nursing
Lone Star College
Houston, TX
01-2015
High School Diploma -
Vashon High School
St Louis, MO
05-2000
Certification
Texas Real Estate License, Texas Real Estate Commission 2024.