Kandis Brickhouse
Philadelphia,PA
Summary
Recent graduate with foundational knowledge in Business Fundamentals and hands-on experience gained through academic projects and internships. Demonstrates strong teamwork, problem-solving, and time-management skills. Prepared to start career and make meaningful contributions with commitment and drive. Diligent worker with solid background in pharmaceutical sales. Proven ability to build and maintain strong relationships with healthcare providers, contributing to increased product adoption. Demonstrated expertise in product knowledge and effective communication skills.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Specialty Pharmacy Representative
Jefferson Specialty Pharmacy
08.2023 - Current
- Assist patients, physicians and pharmacists in the completion of benefit investigations, prior authorizations, financial assistance applications, refill/adherence activities, and other programs that drive optimal outcomes for Jefferson Specialty Pharmacy patients
- Entering the patient information (name, date of birth, insurance information, allergies and medication history) into our therapy-specific patient assessment software
- Initiating, completing and following up on the status of Prior Authorizations or appeals submitted to insurance carriers to support physician offices
- Under the direction of a patient care pharmacist, assist with the filling and distribution of prescriptions, in accordance with the law
- Scheduling deliveries and making follow-up calls to patients
- Adjudicate and review claims responses for reimbursement and profitability
- Analyze claims messages to determine next steps for order escalation as needed: Prior Authorization, Benefits Investigation, Step Therapy, Non-Formulary, Financial Assistance, etc
- Schedule delivery of high dollar/specialty medications as well as other maintenance medications to maintain patient adherence and compliance to prescribed therapy according to departmental policy and guidelines
- Assess patient need for clinical intervention based on how they answer the refill questions or any information they may provide unrelated to the refill assessment
- Identify any barriers to care, non-compliance, changes in therapy/dosing and escalate to the clinical support team when appropriate
- Review patient chart to ensure all information is accurate and up to date
- Explain insurance coverage to patients as it relates to their copay responsibility and financial resources available to them
- Screen patients for financial assistance and apply on their behalf where applicable
- Print paperwork and fill prescriptions under the supervision of a clinical pharmacist
- Track and monitor deliveries to ensure medication arrives to patient undamaged; intervene where necessary to reship delivery
- Contributes to departmental Quality Assurance/Quality Improvement activities
- Expected participation no less than 2% of time – increased participation based on need/project
- Maintain knowledge of and comply with regulatory guidelines set forth by the State Board of Pharmacy, FDA, DEA, DHS, Medicare, TJC, and URAC as applicable to functional role
- Interacts with co-workers, visitors, and other staff consistent with the iSCORE values of Jefferson
Patient Service Rep. /Call Center-Front Desk-Utility Forms Processor
Chop Primary Care
03.2013 - Current
- Answering incoming calls and ability to respond to all types of patients
- Make appropriate outgoing calls to patients and doctor offices
- Take messages and transfer appropriate calls to nurses and doctors
- Works closely with doctors and nursing staff
- Multi-tasks while performing assigned duties
- A positive team player with ability to multi-task in a fast-paced environment
- Trained to Build templates for physician's schedules
Office Coordinator
Children's Hospital of Philadelphia
11.2022 - 05.2023
- Performs receptionist, scheduling and clerical duties including administrative and clinical management support
- Assist with complex patient services including scheduling appointments, sending documentation
- Respond to complex inquiries and assist stakeholders according to procedures
- Answer telephones, route, and screen callers, take messages, and provide routine information to callers promptly and courteously
- Assist with patient services including scheduling appointments, check outs, sending documentation and contacting appropriate stakeholders
- Manage charts including preparing, organize, file, retrieve, archive charts and maintain a detailed spreadsheet of charts for referral
- File and retrieve documents including phone messages
- Schedule and provide administrative support for meetings, interviews, committees, conferences and calendars including travel/lodging arrangements and catering
- Oversee and order office supplies for the department
- Other duties and administrative support projects as assigned
Lead Medical Records Dept.
Einstein Hospital
08.2010 - 03.2013
- Medical records copy, fax, and mail
- Cross trained to work front desk and telephones
- Train temp employees on HIPPA Policies and procedures
Patient Service Rep./Call Center
University of Penn Hospital/CPUP
02.2004 - 05.2008
- Answering incoming calls and ability to respond to all types of patients
- Make appropriate outgoing calls to patients and doctor offices
- Take messages and transfer appropriate calls to nurses and doctors
- Works closely with doctors and nursing staff
- Multi-tasks while performing assigned duties
- A positive team player with ability to multi-task in fast-paced environment
- Using IDX, NAVINET, AND MEDVIEW systems for patient information, scheduling appointments, and test results
- Cross-trained to work medical records (labeling charts, filing, retrieving MRN numbers, copying charts, and prep charts for upcoming patient appointments)
- Front desk (check in-process, validates parking, collects co-pays, and service fee)
- Covers on weekends at front desk
- Excellent communication skills with ability to quickly build rapport with others
Receptionist
Unique Staffing
08.2002 - 04.2004
- Answering phones w/ multi lines, Patient check-in and paperwork preparation on hospital computer system
- Assign on duty radiologists to emergency room, in-patients, and intensive care unit rooms
Education
Bachelor of Science - Business and Human Resource Management
University of Phoenix
Phoenix, AZ02.2026
Associates of Arts - Business fundamentals
University of Phoenix
Phoenix, AZ05.2024
High School Diploma -
CENTRAL BUCKS EAST HIGH SCHOOL
BUCKINGHAM, PA06.2000
Skills
- Human resources management
- Prescription processing
- Medication knowledge
- Healthcare administration
- Customer service
- Record maintenance
- Data entry
- Insurance verification
- Medical terminology
- Healthcare support
- Team collaboration
- Problem solving
- Multitasking abilities
- Telephone etiquette
- Patient registration
- Scheduling systems
- Insurance claims
- Patient records
- Patient referrals
- HIPAA compliance
- Insurance verifying
- Payment collection
- Scheduling appointments
- Eligibility determination
- Medical insurance
- Office administration
- Reception management
- Medical billing
- Recruiting
- Training development
- Orientation preparation
- Hiring and onboarding
Certification
- Epic Template Builder Assessment, 08/15/18
- CITI Program Certificate in Social and Behavioral best practices for clinical research, Subjects research Protections Basic Course
- CPR Certification
Member of The National Society of Leadership and Succes
The National Society of Leadership and Success – Member Date - Present (Honor Society)
Selected by campus administration at University of Phoenix to participate among top students in a leadership program including:
· Leadership Training Day: Trained in leadership and success skills via an introspective and interactive training session.
· Speaker Events: Participated in seminars led by celebrities and best-selling authors on topics such as leadership, time management, and goal setting.
· Success Networking Teams:
· Participated in peer-based leadership development teams
· Experience in setting and achieving goals, receiving coaching, coaching others, and holding others accountable to commitments.
Primary Phone
267-486-4586
Timeline
Specialty Pharmacy Representative
Jefferson Specialty Pharmacy
08.2023 - Current
Office Coordinator
Children's Hospital of Philadelphia
11.2022 - 05.2023
Patient Service Rep. /Call Center-Front Desk-Utility Forms Processor
Chop Primary Care
03.2013 - Current
Lead Medical Records Dept.
Einstein Hospital
08.2010 - 03.2013
Patient Service Rep./Call Center
University of Penn Hospital/CPUP
02.2004 - 05.2008
Receptionist
Unique Staffing
08.2002 - 04.2004
High School Diploma -
CENTRAL BUCKS EAST HIGH SCHOOL
Bachelor of Science - Business and Human Resource Management
University of Phoenix
Associates of Arts - Business fundamentals
University of Phoenix
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