JACKIE RICHARDSON
Mansfield,TX
Summary
- Over 13 years of experience in retail pharmacy, demonstrating strong communication skills and a commitment to meeting organizational needs. Proven ability to work under pressure and adapt to new challenges, enhancing brand reputation. Eager to expand knowledge and skills within the healthcare industry. Consistently organized and detail-oriented in all practices.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Insurance Specialist
RAYUS Radiology formerly Center for Diagnostic Imaging (CDI)
Mansfield, TX
12.2021 - Current
- Obtain prior authorizations for MRI/CT exams from insurance plans via phone and/or web portal
- Obtain authorizations using correct CPT and ICD-10 codes
- Follow-up with physicians on denials, P2P reviews, and appeals
- Notify patients regarding denials and rescheduling
- Processing patient Insurance through Instamed
- Advocating for patient's medical history to ensure medical necessity
Front Office Associate
RAYUS Radiology formerly Center for Diagnostic Imaging (CDI)
Mansfield, TX
10.2020 - 12.2021
- Responsible for day-to-day patient interactions in a fast-paced diagnostic imaging facility
- Check-in patients
- Schedule patients for diagnostic exams: X-rays, CTS, MRIs, and Ultrasounds
- Order entry using RIS (patient demographics, diagnostic imaging orders, insurance, clinicals)
- Handling Inbound/Outbound calls
- Management and filing of paperwork
- Processing patient insurance through Instamed
- Manage and process patient walk-ins
Pharmacy Technician
Walmart
Grand Prairie, TX
03.2008 - 07.2018
- Pharmacy technician in a fast pace and high-volume pharmacy.
- Lead Pharmacy technician for 5 years from 2009 to 2014: Responsible for scheduling and delegating pharmacy technician/cashier duties to each employee. Managing daily pharmacy operations.
- Input/Fill: Collect patient information and demographics. Responsible for accurately and efficiently reading, interpreting, and entering prescriptions into system. Fill prescriptions with the appropriate prescription label attached. Operate multi-line phone system by answering incoming calls and making outgoing calls to doctors, patients, and insurance companies. Transfer calls to appropriate staff.
- Insurance/Billing: Process patient insurance upon prescription drop off. Call doctors and/or Insurance if/when patient Insurance requires prior authorization due to non-formulary drugs or other insurance plan requirements.
- Commercial ins, Medicaid, and Medicare
- Inventory: Place orders for out-of-stock medication and other supplies necessary for the pharmacy by 9pm each night. Rotate stock and restock shelves daily.
- File every 100 prescriptions in numerical order by end of day.
Pharmacy Technician
NC On Call Pharmacy
Grand Prairie, TX
05.2016 - 01.2017
- Answer calls from long-term care and nursing rehabilitation centers whose patient's needed medication and could not wait for their regular pharmacy to open.
- Collect patient information and medications that are needed.
- Call 24-hour retail pharmacies to verify medication is in stock.
- Fax prescription request to pharmacy.
- Follow up with pharmacy on status of prescription order.
- Schedule pickup and delivery of medication from pharmacy to nursing facilities.
- Follow up with long-term care and nursing rehabilitation centers to verify medication was received.
Pharmacy Technician Trainee
Sav-On Pharmacy
Arlington, TX
08.2005 - 04.2007
- Collect patient information and demographics.
- Check out customers at cash register.
- Answer multi-line phone system and delegate calls to appropriate staff.
- Place end of the night order.
- Become familiar with HIPAA and Pharmacy laws/regulations.
Education
Bachelor of Science - Health Administration
University of Phoenix-Online Campus
Phoenix, AZ04.2021
Associate in Science -
Tarrant County College
Arlington, TX05.2016
Associate in Art -
Tarrant County College
Arlington, TX05.2014
Skills
- Data entry
- ICD-10 coding
- CPT coding
- HIPAA compliance
- Electronic medical records (EMR)
- Protected health information (PHI)
- Microsoft Word and Outlook
- Medical terminology expertise
- Insurance verification
- Phone etiquette and communication
- Multitasking abilities
- Computer proficiency
- Healthcare compliance
- Interpersonal communication
- Problem solving
- Attention to detail
- Team collaboration
- Prescription processing
- Inventory management
- Supporting pharmacy operations
Certification
National Pharmacy Technician Certification (PTCB)
Timeline
Insurance Specialist
RAYUS Radiology formerly Center for Diagnostic Imaging (CDI)
12.2021 - Current
Front Office Associate
RAYUS Radiology formerly Center for Diagnostic Imaging (CDI)
10.2020 - 12.2021
Pharmacy Technician
NC On Call Pharmacy
05.2016 - 01.2017
Pharmacy Technician
Walmart
03.2008 - 07.2018
Pharmacy Technician Trainee
Sav-On Pharmacy
08.2005 - 04.2007
Bachelor of Science - Health Administration
University of Phoenix-Online Campus
Associate in Science -
Tarrant County College
Associate in Art -
Tarrant County College
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