Kristin Hicks
Henrico,VA
Summary
Adept at streamlining reimbursement processes and enhancing team efficiency, my tenure at VCU Health System has honed my expertise in HIPAA compliance and problem-solving. Renowned for implementing innovative solutions that improved claims processing accuracy, I led training initiatives that significantly boosted staff proficiency. My collaborative approach and attention to detail have consistently driven positive outcomes in high-pressure environments.
Overview
15
15
years of professional experience
Work History
Certified Pharmacy Reimbursement Specialist
VCU Health System
10.2022 - Current
- Prevented delays and claim denials by correcting information prior to submission.
- Guided office staff on how to effectively complete prior authorization forms and appeals documentation to achieve positive results.
- Developed a reputation for expertise in handling complex reimbursement cases, becoming a go-to resource within the team for assistance in problem-solving difficult scenarios.
- Streamlined reimbursement processes by implementing efficient filing and tracking systems.
- Managed multiple priorities effectively under high-pressure deadlines without compromising accuracy or quality of work output.
- Ensured timely payment of claims by promptly addressing and resolving any discrepancies or issues with insurance providers.
- Created training materials and led sessions for new hires, ensuring they were equipped with the necessary skills to excel as Reimbursement Specialists.
- Served people of different backgrounds with polished people skills and advanced [Language] abilities.
- Trained department employees in proper billing and accounting procedures.
- Provide support to clinics, including physicians, nurses and other clinical staff, to assist with questions or procedures with implementation with new EHR.
- Act as a point of escalation contact for new EHR inquiries
- Develop and maintain detailed documentation training on new EHR system.
Hospital Pharmacy Buyer
VCU Health System
03.2020 - 10.2022
- Developed strong relationships with pharmaceutical representatives, staying informed on industry trends and new product offerings.
- Implemented quality assurance measures for incoming shipments, ensuring all medications met organizational standards before distribution to patients.
- Maintained detailed records of all transactions, providing a clear audit trail for regulatory compliance purposes.
- Streamlined order processing by developing efficient workflows, reducing turnaround times for medication orders.
- Coordinated returns of expired or damaged medications according to established protocols, minimizing financial losses for the organization.
- Reviewed each store location's buying trends to ascertain correct assortment of apparel for maximum sales and profits.
- Developed and managed budgets for purchasing and projected purchasing needs.
- Sourced new vendors in effort to boost range of products offered in store locations while reducing costs through strategic contract negotiations.
Hospital Pharmacy Technician
VCU Health System
01.2017 - 03.2020
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
- Resolved third-party billing, computer system and customer service issues.
- Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
- Assisted in maintaining a clean and organized work environment, ensuring compliance with safety regulations.
- Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
- Trained new hires on pharmacy protocols
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
Certified Pharmacy Technician
Kroger's Pharmacy
02.2010 - 01.2019
- Completed paperwork, entering prescription and insurance or billing information into patient profiles.
- Maintained accurate inventory levels for efficient pharmacy operations and cost control.
- Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
- Maintained proper drug storage procedures, registries, and records for controlled drugs.
Education
No Degree - Certified Pharmacy Technician
Chester Career College
Richmond, VA06-2008
High School Diploma -
Virginia Randolph Community High School
Richmond, VA06-2004
Skills
- Appeals Handling
- HIPAA Compliance
- Claims Processing
- Microsoft Office
- Insurance Verification
- Commercial insurance
- Teamwork and Collaboration
- Customer Service
- Problem-Solving
- Attention to Detail
- Multitasking
Timeline
Certified Pharmacy Reimbursement Specialist
VCU Health System
10.2022 - Current
Hospital Pharmacy Buyer
VCU Health System
03.2020 - 10.2022
Hospital Pharmacy Technician
VCU Health System
01.2017 - 03.2020
Certified Pharmacy Technician
Kroger's Pharmacy
02.2010 - 01.2019
No Degree - Certified Pharmacy Technician
Chester Career College
High School Diploma -
Virginia Randolph Community High School
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