Madison Hileman
Cosby,United States
Summary
Tenacious Prior Authorization Representative with 2 years of connecting patients and healthcare providers to vital resources and 7 years of business management and retail pharmacy experience . Dedicated to executing on prescribed medical guidelines and policies. Maintains compassionate and sympathetic relations with consumers. I am a hard worker, fast learner, and team player. My attention to detail, professional experience, and background in Business Administration make me a great candidate to help your company meet and exceed its goals. I desire to work in a fulfilling career where I can continue to contribute my skill set and be challenged daily to grow both professionally and personally.
Overview
8
8
years of professional experience
1
1
Certification
Work History
PriorvAuthorization Rep 1
CVS Caremark Pharmacy
WFH
09.2022 - Current
- Worked prior authorizations for medications for members
- Spoke with members and doctor's offices daily to ensure the correct information and patient history was being provided to process claims
- Enhanced company reputation by providing exceptional customer service and support.
- Developed and maintained positive customer relations and coordinated with team members to properly handle requests and questions.
- Assisted in training new hires and offered ongoing support to help them reach their full potential.
- Improved client retention rates by building strong relationships and offering personalized solutions to their needs.
- Assisted in Specialty pharmacy authorizations
Pharmacy Operations Manager
Walgreens
04.2021 - 09.2022
- Evaluated staff performance regularly to ensure they meet established goals while providing coaching or corrective action when necessary.
- coaching and developing team members, training new hires, hiring and onboarding, patient care, give immunizations, make schedules, one-on-one reviews, yearly reviews, reviewing metrics with team to set short and long term goals.
- verifying information with doctor's offices and taking verbal scripts over the phone
- Improved pharmacy efficiency by streamlining operations and implementing new inventory management systems.
- MTM claims with insurance and patient adherence
- returns to amerisouce
- Ordered all pharmacy supplies and kept check on inventory levels.
- Vaccinated patients to provide immunity against influenza, pneumonia, Covid and other diseases.
- Educated patients on possible drug interactions, potential side effects, and optimal methods of administration.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
- Optimized workflow processes within the pharmacy to reduce wait times for patients without compromising accuracy or safety standards in prescription fulfillment.
Certified Senior Pharmacy Technician
Walgreens
Kingsport, TN
03.2021 - 09.2022
- Expedited prescription fulfillment through proficient use of pharmacy software systems, resulting in reduced wait times for customers.
- Facilitated seamless communication between patients, healthcare providers, and insurance companies to expedite prescription processing.
- Enhanced customer satisfaction with prompt and courteous service while addressing their prescription needs.
- Collaborated with pharmacists to resolve medication-related issues, ultimately improving patient outcomes.
- Reduced medication errors by meticulously verifying prescription information and conducting thorough drug interaction checks.
- Supported pharmacists in administering immunizations, increasing community access to vital healthcare services.
- Improved patient safety by ensuring accurate medication dispensing and proper dosage calculations.
- Optimized workflow processes by collaborating with team members on task prioritization and assignment delegation.
Assistant Store Manager
Walgreens
02.2019 - 04.2021
- Managed opening and closing procedures and recommended changes to enhance efficiency of daily activities.
- Managed cash registers efficiently, ensuring accurate transactions, balancing drawers daily, and minimizing discrepancies.
- Monitored daily cash discrepancies, inventory shrinkage and drive-off.
- Rotated merchandise and displays to feature new products and promotions.
- Walked through store areas to identify and proactively resolve issues negatively impacting operations.
- Enhanced store appearance for increased sales by maintaining cleanliness and implementing strategic merchandise displays.
- Mentored new employees on company policies, procedures, and best practices to ensure their success within the organization.
- Fostered a positive work culture by promoting teamwork and recognizing individual achievements among staff members regularly.
- Supervised and evaluated staff to help improve skills, achieve daily objectives, and attain advancement.
- Streamlined inventory management with regular audits, accurate ordering, and efficient stock organization.
- Interviewed, hired, and trained staff associates and equipped to comply with company policies and procedures.
- Analyzed customer feedback and implemented strategies to improve customer experience.
- Collaborated with store manager to develop marketing initiatives that drove traffic and increased brand awareness.
- Provided support to store manager in budgeting processes, helping maintain financial stability for the business.
- PHARMACY DUTUES: Filling prescriptions, typing prescriptions, answering the phone for patient questions, solving customer related issues, verifying information and selling prescriptions, calling doctor's offices, MTM claims, working with insurance companies to better serve the customer, returns to amerisouce, inventory, coaching and developing team members, training new hires, patient care, give immunizations
Shift Leader
Walgreens
10.2016 - 02.2019
- Assisted in the pharmacy, filling prescriptions, answering phones, helping patients
- Oversaw daily cash handling procedures, maintaining accurate records and minimizing discrepancies.
- Collaborated with other shift leaders to maintain consistent standards across all shifts, promoting a cohesive workplace culture.
- Enhanced customer satisfaction through prompt and courteous service, addressing concerns immediately.
- Managed inventory and ordered supplies to keep location well stocked with necessary supplies.
- Trained new employees and delegated daily tasks and responsibilities.
Education
Bachelor of Science - Business Administration And Management
University of Virginia's College At Wise
Wise, Va05.2017
Eastside High School
Coeburn, Va05.2014
Skills
- Goal-oriented mindset
- Data entry proficiency
- Records Management
- Staff Training and Development
- Teamwork and Collaboration
- Computer Skills
- Verbal and written communication
- Problem-Solving
- Attention to Detail
- Mentoring and Coaching
- Critical Thinking
Certifications And Memberships
Pharmacy Technician License (PTCB - nationally certified and licensed in TN)
Certification
- Nationally Certified Pharmacy Technician
Timeline
PriorvAuthorization Rep 1
CVS Caremark Pharmacy
09.2022 - Current
Pharmacy Operations Manager
Walgreens
04.2021 - 09.2022
Certified Senior Pharmacy Technician
Walgreens
03.2021 - 09.2022
Assistant Store Manager
Walgreens
02.2019 - 04.2021
Shift Leader
Walgreens
10.2016 - 02.2019
Bachelor of Science - Business Administration And Management
University of Virginia's College At Wise
Eastside High School