Jakeria Lewis
Dallas
Summary
Dedicated healthcare professional with extensive experience in prior authorization, quality assurance, and patient care. Passionate about radiology and eager to transition into clinical research, leveraging expertise in data analysis, regulatory compliance, and patient-focused solutions to contribute to innovative studies, advanced imaging techniques, and improved patient outcomes.
Overview
4
4
years of professional experience
1
1
Certification
Work History
Prior Authorization Specialist
Cvs Caremark
09.2023 - 11.2024
- Gathered and recorded accurate patient insurance and demographic data for insurance providers and medical personnel to use
- Wrote and distributed denial letters outlining the reasons for the denial as well as possible appeal options
- Handled patient inquiries and answered phone calls and messages for medical facilities and pharmacies
- Oversaw the quality assurance program, which included on-site assessments, internal audits, and customer surveys
- Documented patient medical information, case histories, and insurance information to ensure smooth appointments and payment processing
Pharmacy Technician
CVS
11.2022 - 08.2023
- Assisted customers with placing orders, navigating systems, and locating items in person or over the phone to solve their problems
- Calculated dosages, filled prescriptions, and printed prescription labels with extreme precision
- Answered incoming calls and provided answers to customers and healthcare providers' questions
- Communicated with patients to obtain information about prescriptions and medical conditions, as well as to schedule pharmacist consultations
Care Consultant
Workforce Solutions Greater Dallas
01.2022 - 08.2022
- Demonstrates strong strategies for re-engaging customers after training and finding employment for those customers
- Counsels and assists Program's customers regarding job search strategies, personal career advisement and training issues, identifying and working with barriers to employment, professional goal setting and planning
- Identify outside resources, programs and other services for customers if needed
- Advises, monitors, and tracks participation for customers so that they maximize the functions and opportunities of the program
- Manages the day-to-day relationship with customers, addresses customer concerns promptly
- Identifies training needs and ensures appropriate training
- Demonstrates effective use of the guidelines and standards of the Case Management Model to support the needs of the participants
Medical Service Representative
AmerisourceBergen
11.2020 - 04.2021
- Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly
- Works with multiple systems to achieve the necessary outcome for the customers and business best possible outcome
- Intake and determine support programs (Copay, PAP, Medicaid, etc.)
- Researches and resolves any claim denials or underpayment of claims
- Effectively utilizes various means for collecting information using approved methods, which could include phone, fax, mail, and online methods
Education
Associate of Science - Radiology
Parker University
Dallas, TX06-2025
Associate of Applied Science - Liberal Arts And Sciences
Dallas College
Dallas, TX05-2023
Skills
- Prior authorization process
- Medical terminology
- Medical appeals handling
- Authorizations
- Insurance verification
- Effective communication skills
- Patient referrals
- Data entry
- Benefit coverage
- Workflow management
- Critical thinking
- Active listening
Certification
- Certified Pharmacy Technician (CPhT) - Pharmacy Technician Certification Board (PTCB).
- Cosmetology License - Texas Board of Cosmetology.
Timeline
Prior Authorization Specialist
Cvs Caremark
09.2023 - 11.2024
Pharmacy Technician
CVS
11.2022 - 08.2023
Care Consultant
Workforce Solutions Greater Dallas
01.2022 - 08.2022
Medical Service Representative
AmerisourceBergen
11.2020 - 04.2021
- Certified Pharmacy Technician (CPhT) - Pharmacy Technician Certification Board (PTCB).
- Cosmetology License - Texas Board of Cosmetology.
Associate of Science - Radiology
Parker University
Associate of Applied Science - Liberal Arts And Sciences
Dallas College
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