JULIE CASSUN

• Performed troubleshooting on malfunctioning equipment.
• Visit facilities bi-monthly to stock and cycle count inventory.
• Installing MEDZNOW TOWER at new facility accounts.
• Prepare medication cubies for Medznow Tower.
• Kept detailed records of on site activities.
• Liaised with internal e-kit department to ensure delivery of cubies prior to medication expiring.

• Represent the practice and operate as liaison between the patient, pharmacy, billing, insurance provider, social services and other parties
• Analyzed medical records and other documents to determine approval of requests for authorization.
• Assist with initiating formulary changes, prior authorization requests and third party billing for medications and medical supplies
• Key contact regarding prior authorizations for providers, pharmacies and patients
• Submit and monitor prior authorization status in Cover my Meds, often exceeding 35 active PA's.
• Document in EPIC all Prior Authorization approvals and denials and inform providers of outcome.
• Responded to inquiries from healthcare providers regarding prior authorization requests.

Spot Rx Pharmacy Laguna Hills, CA

CLINIC ACCOUNT MANAGER 8/2020-5/2022

• Primary point of contact for developing a strong clinic account relationship.
• Increased client satisfaction by building strong relationships and addressing their needs promptly.
• Delivering exceptional customer service to patients and clinic staff on a daily basis.
• Partner with the pharmacy to ensure prescriptions are tracked, delivered and handled according to patient and clinic requirements.
• Uncover and leverage MedCenter (KIOSK) opportunities within my assigned clinic.
• Utilize salesforce to manage patient prescription needs.
• Monitor and analyze clinic’s usage of our service.
• Maintained high client retention rate by providing exceptional customer service and anticipating client needs.
• Educated clients on new products or services to increase customer engagement with brand.

• Exhibit organization skills in securing federal, state, and private insurance contracts
• Render oversight to internal pharmacy benefit management audits for 21 various pharmacy benefit managers (PBM)
• Take charge of initial audits, appeals of initial results, and final appeals with PBMs
• Address concerns of pharmacy services administrative organizations for 22 pharmacies in the chain; pharmacy OS database additions
• Serve as a liaison between PBMs, Medicare, and Medicaid contractors to follow up on the status of contracts, revalidation, accreditation, and credentialing submissions or approvals
• Maintain the National Council for Prescription Drug Programs (NCPDP) and PECOS portal through licensing, insurance and credentialing information updates
• Guarantee proper encoding of data and adherence to required state and federal regulations.

• Conducted routine on-site visits at 60 facilities and provided immediate problem resolution
• Coordinated with proper Omnicare departments in fulfilling facility needs
• Presided over facility staff training regarding Omniview proprietary pharmacy software
• Made use of Omniview and value offerings, including IV training, E-Kits, integration between facility E-mar program and Omnicare during routine visits toward driving Omnicare operations
• Reached customer activity quotas and utilized customer relationship management (CRM) to guarantee proper customer actions and follow up.

• Effectively collaborated with delivery staff, doctors, discharge planners, social workers and nursing staff to confirm prompt bedside medication delivery
• Maintained close coordination with discharge planners during the discharge process to ensure the patient's affordability of medications and to provide assistance with their drug assistance program information
• Assumed full responsibility for returns, outdates, and drug inventory along with maintaining par levels on shelves and in robot (Parata)
• Rendered third-party insurance solution to prior approvals, dosage change, and drug interaction overrides
• Correctly ordered the necessary medication and supplies while verifying deliveries compared to purchase orders to ensure maintenance of drug inventory levels.