Summary
Overview
Work History
Education
Skills
Websites
Timeline
Generic

Leslie Howze

Pittsburgh,PA

Summary

With a diverse background in healthcare, I have honed my skills in various roles, preparing me for a transition into a management role. As a Utilization Review Specialist, I have developed a strong understanding of healthcare service delivery by reviewing medical cases and coordinating patient care plans. My experience as a Pharmacy Technician has equipped me with the ability to manage medication inventory and prioritize customer service to ensure patient satisfaction. In my roles as a Patient Access Coordinator and Clinical Access Coordinator, I have gained valuable experience in facilitating patient admission processes, managing scheduling, coordinating clinical resources, and serving as a liaison between patients and healthcare providers. These experiences have allowed me to develop strong organizational and communication skills, as well as a patient-centric approach to healthcare management. I am now seeking an opportunity to leverage my diverse skill set and contribute to the success of a dynamic organization in a management capacity. Seasoned nursing professional offering proven clinical knowledge, natural interpersonal strengths and technical abilities. Knowledgeable about EMR charting, medication administration and interdisciplinary collaboration focused on optimizing patient care and support. Quality-focused and efficiency-driven leader.

Overview

8
8
years of professional experience

Work History

Utilization Review Business Support Specialist

Allegheny HEALTH NETWORK
09.2023 - Current
  • Collaborate with healthcare providers and insurance companies to ensure appropriate utilization of resources and cost-effective care
  • Collaborate with cross-functional teams to streamline workflows and enhance the overall utilization review process
  • Achieve optimal reimbursement rates by verifying insurance coverage, eligibility, benefits, and authorization prior to service delivery.
  • Contribute to revenue growth, obtaining authorizations from multiple insurance carriers for various levels of care.
  • Maintain regulatory compliance by staying updated on industry standards and guidelines, implementing changes when necessary.
  • Demonstrate strong analytical skills by interpreting complex medical records and synthesizing relevant information for utilization review purposes.

Patient access coordinator 2

Allegheny HEALTH NETWORK
06.2022 - 09.2023
  • Enhanced communication between departments by regularly updating patient information and coordinating schedules.
  • Increased efficiency of daily operations by implementing electronic health record system for accurate data management.
  • Participated in continuous improvement initiatives, collaborating with team members to identify areas of opportunity and develop plans for enhancement.
  • Provided compassionate service to patients and their families during difficult times, addressing concerns promptly and offering assistance as needed.
  • Assisted in staff training on new procedures, policies, and software applications to improve overall performance of the department. Trained new staff on filing, phone etiquette and other office duties.
  • Initiated improvements in workflows by regularly evaluating existing practices and suggesting changes based on best industry standards.

Pharmacy technician

Allegheny HEALTH NETWORK
10.2020 - 08.2021
  • Improved patient satisfaction by efficiently processing prescriptions and managing inventory in a timely manner.
  • Enhanced pharmacy workflow by assisting pharmacists with medication dispensing, labeling, and packaging.
  • Promoted patient confidentiality by adhering to HIPAA regulations when handling personal information during transactions.
  • Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments. Resolved third-party billing, computer system and customer service issues.
  • Ordered medicines daily to replenish stock and increase inventory in anticipation of need.
  • Supported inventory management initiatives through accurate record-keeping of received shipments and expired medications for disposal purposes.

Clinical access coordinator

Allegheny HEALTH NETWORK
12.2019 - 10.2020
  • .Trained new staff members on relevant software systems, contributing to a well-prepared workforce.
  • Provided exceptional customer service to patients, families, and referring providers, fostering positive relationships.
  • Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
  • Greeted and assisted patients with check-in procedures. Answered incoming calls, scheduled appointments and filed medical records.
  • Processed payments using cash and credit cards, maintaining accurate records of transactions.
  • Trained new staff on filing, phone etiquette and other office duties.

Pharmacy Technician 3

Giant eagle pharmacy
07.2015 - 02.2020
  • Reduced medication errors by implementing a meticulous double-check system for all prescriptions filled.
  • Supervised junior technicians, providing guidance on best practices in pharmaceutical processes and procedures.
  • Facilitated staff training sessions to ensure consistent adherence to industry standards and regulatory requirements.
  • Provided excellent customer service at the point-of-sale counter, efficiently managing transactions while addressing patient inquiries.
  • Helped maintain a clean and organized workspace for optimal efficiency during high-volume periods.
  • Managed opening and closing duties for pharmacy.

Education

B.S. Public Administration -

Point Park University
Pittsburgh, PA
04.2024

Diploma -

Schenley High School
Pittsburgh, PA
06.2005

Skills

  • Time Management
  • Decision Making
  • Employee Development
  • Workflow Optimization
  • Teamwork and Collaboration
  • Administrative Support
  • Team Supervision
  • Financial Tracking

Timeline

Utilization Review Business Support Specialist

Allegheny HEALTH NETWORK
09.2023 - Current

Patient access coordinator 2

Allegheny HEALTH NETWORK
06.2022 - 09.2023

Pharmacy technician

Allegheny HEALTH NETWORK
10.2020 - 08.2021

Clinical access coordinator

Allegheny HEALTH NETWORK
12.2019 - 10.2020

Pharmacy Technician 3

Giant eagle pharmacy
07.2015 - 02.2020

B.S. Public Administration -

Point Park University

Diploma -

Schenley High School
Leslie Howze