Mekayla Mciver
Wray ,GA
Summary
Adept at driving innovation and fostering a culture of continuous improvement, I leveraged my expertise at OptumRx to mentor and train teams, significantly enhancing efficiency and customer satisfaction. My strategic thinking and exceptional communication skills contributed to streamlining processes and achieving high-quality project completions, embodying a results-driven approach with a blend of analytical prowess and collaborative spirit.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Subject Matter Expert
OptumRx
Remote
11.2023 - Current
- Mentored junior team members, contributing to their professional growth and development.
- Established best practices for knowledge sharing, fostering a culture of continuous learning and improvement.
- Developed effective training materials for diverse audiences, resulting in improved skillsets and increased job satisfaction.
- Streamlined processes to increase efficiency, enabling teams to complete tasks ahead of schedule.
- Managed complex projects from inception through completion, delivering high-quality results within tight deadlines.
Prior Authorization Pharmacy Technician Remote
OptumRx
Wray Ga
11.2022 - 11.2023
- Promoted a safe environment for patients through strict adherence to state regulations regarding controlled substances management and dispensing protocols.
- Maintained regulatory compliance by staying up-to-date on industry changes and implementing appropriate adjustments to workflow procedures.
- Enhanced customer satisfaction with timely resolution of insurance issues, addressing concerns, and providing accurate information.
- Demonstrated adaptability by effectively transitioning between different roles within the pharmacy setting as needed while maintaining a high level of professionalism and competence.
- Contributed to a positive work environment through effective communication, collaboration, and problem-solving efforts.
- Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
- Reduced turnaround time for prior authorization requests by utilizing electronic submission methods.
- Achieved high success rate in obtaining authorizations by effectively demonstrating medical necessity through comprehensive documentation and clear communication with insurance companies.
- Monitored pending cases closely, proactively following up on outstanding documentation needed for successful approval outcomes.
- Input all patient data regarding claims and prior authorizations into system accurately.
- Researched denied claims and contacted insurance companies to resolve these issues.
- Managed a high volume of incoming calls, maintaining professionalism while effectively addressing the needs of callers seeking assistance with prior authorizations.
- Maintained organized records and up-to-date files for all completed and pending authorization requests, ensuring easy access during audits or reviews.
- Supported team members by providing guidance on complex cases requiring detailed understanding of medical necessity criteria.
- Contributed to a high level of customer service by quickly addressing questions or concerns from patients regarding their coverage or denials.
Pharmacy Technician Trainee
CVS Pharmacy
Douglas Ga
08.2020 - 12.2022
- Assisted pharmacists in managing medication inventory, ensuring adequate stock levels for timely patient service.
- Maintained a high degree of professionalism and integrity, upholding ethical standards associated with the Pharmacy Technician Trainee role at all times.
- Handled confidential patient information with discretion, upholding strict HIPAA regulations at all times during tenure as a Pharmacy Technician Trainee.
- Collaborated closely with pharmacy team members to consistently deliver high-quality care to patients.
- Developed strong relationships with healthcare providers through prompt and professional handling of prescription requests and inquiries.
- Provided exemplary customer service while addressing patient questions or concerns regarding medications or therapy plans, fostering trust in the pharmacy''s services.
- Effectively managed time-sensitive tasks such as compounding or reconstituting medications under pharmacist supervision, ensuring prompt delivery to patients without compromising quality standards.
- Ensured regulatory compliance with thorough record-keeping practices, including accurate documentation of medication dispensing activities.
- Improved patient satisfaction by accurately and efficiently filling prescriptions under the supervision of a licensed pharmacist.
- Served as a reliable team member by consistently arriving on time, prepared to contribute and assist in all pharmacy operations as needed.
- Successfully completed Pharmacy Technician Trainee program, gaining comprehensive understanding of industry practices while demonstrating readiness for advancement within the field.
- Completed insurance forms and billed insurance companies.
- Ensured compliance with regulatory standards, conducting routine checks and balances.
- Supported inventory audits, minimizing losses and discrepancies in stock levels.
Lead Pharmacy Technician
CVS Pharmacy
Douglas Ga
12.2021 - 11.2022
- Supervised Number pharmacy technicians and coordinated day-to-day assignments.
- Helped maintain a clean and organized workspace for optimal efficiency during high-volume periods.
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Promoted teamwork among pharmacy staff, fostering a collaborative environment for improved productivity.
- Supervised junior technicians, providing guidance on best practices in pharmaceutical processes and procedures.
- Optimized inventory management, regularly reviewing stock levels and placing timely orders to prevent shortages or overstocking issues.
- Helped pharmacist clear problematic prescriptions and address customer questions to keep pharmacy efficient.
- Maintained compliance with all federal and state regulations related to pharmaceutical operations, ensuring accurate record-keeping and documentation practices.
- Enhanced pharmacy efficiency by streamlining prescription processing and medication dispensing procedures.
- Communicated with prescribers to verify medication dosages, refill authorizations, and patient information.
- Maintained proper drug storage procedures, registries, and records for controlled drugs.
- Developed strong relationships with healthcare providers, facilitating efficient communication regarding prescription clarifications and adjustments.
- Provided excellent customer service at the point-of-sale counter, efficiently managing transactions while addressing patient inquiries.
- Assisted in conducting periodic audits to ensure adherence to established policies, reporting discrepancies for corrective action.
- Reviewed and verified customer information and insurance provider information.
- Expedited prescription refills requests by promptly contacting prescribers'' offices for authorization.
- Implemented new technologies within the pharmacy workflow, increasing overall efficiency and accuracy in daily tasks.
- Reduced medication errors by implementing a meticulous double-check system for all prescriptions filled.
- Facilitated staff training sessions to ensure consistent adherence to industry standards and regulatory requirements.
- Resolved third-party billing, computer system and customer service issues.
- Performed various pharmacy operational activities with strong commitment to accuracy, efficiency, and service quality.
- Coordinated with physicians and insurance agency representatives for speedy resolution of prescription discrepancies.
Inventory Specialist
CVS Pharmacy
Douglas Ga
07.2020 - 12.2021
- Enhanced inventory accuracy by conducting regular cycle counts and reconciling discrepancies.
- Performed data entry and completed proper paperwork.
- Completed physical inventory counts each month.
- Collaborated with team members to ensure timely completion of daily tasks, increasing overall productivity.
- Maintained a clean and well-organized work environment, promoting safety and efficiency among team members.
- Participated in annual physical inventories to verify accuracy of records and identify any discrepancies that needed correction.
- Managed the return process for damaged or defective goods, ensuring prompt resolution for customers and minimizing financial loss for the company.
- Trained new employees on proper procedures, boosting their ability to contribute effectively as part of the team.
- Provided excellent customer service by quickly responding to inquiries and resolving concerns related to inventory availability or shipment status.
- Prepared detailed reports on inventory levels and movement trends, providing valuable information for decision-making purposes.
- Optimized storage layouts by analyzing space usage patterns, leading to increased capacity without additional expense or construction requirements.
- Reduced stock shortages by closely monitoring inventory levels and promptly ordering necessary supplies.
- Assisted in implementing a new inventory management system, resulting in more accurate record-keeping and reduced errors.
Pharmacy Tech
CVS
12.2018 - 08.2020
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Stocked, labeled, and inventoried medication to keep accurate records.
- Enhanced pharmacy workflow by assisting pharmacists with medication dispensing, labeling, and packaging.
- Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
- Promoted patient confidentiality by adhering to HIPAA regulations when handling personal information during transactions.
- Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
- Counted and labeled prescriptions with correct item and quantity.
- Assisted in maintaining a clean and organized work environment, ensuring compliance with safety regulations.
- Increased overall pharmacy productivity by restocking supplies, organizing shelves, and maintaining cleanliness according to standards.
- Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
- Provided exceptional customer service, fostering positive relationships with both new and returning patients at the pharmacy counter.
- Improved patient satisfaction by efficiently processing prescriptions and managing inventory in a timely manner.
- Entered and processed patients' prescriptions into internal system.
- Performed various pharmacy operational activities with strong commitment to accuracy, efficiency, and service quality.
Shift Manager
CVS Pharmacy Health
Douglas Ga
08.2015 - 12.2018
- Handled escalated customer issues effectively, demonstrating strong problem-solving skills while upholding company values and standards.
- Trained new employees on company policies, procedures, and job responsibilities, ensuring seamless integration into the team.
- Trained and mentored new employees to maximize team performance.
- Improved overall team performance by effectively delegating tasks and providing clear instructions.
- Promoted a positive work environment through open communication and constructive feedback.
- Kept employees operating productively and working on task to meet business and customer needs.
- Supervised employees and oversaw quality compliance with company standards for food and services.
- Worked closely with team members to schedule breaks and shifts to meet state regulations.
- Coached crew members to optimize performance and motivate toward more efficient work.
- Excelled in every store position and regularly backed up front-line staff.
- Collaborated with other Shift Managers to maintain consistency in policies enforcement across all shifts, fostering a cohesive workplace culture.
- Achieved consistent customer satisfaction by addressing concerns promptly and professionally.
Cashier
CVS Pharmacy Health
Douglas Ga
03.2013 - 08.2015
- Greeted customers entering store and responded promptly to customer needs.
- Welcomed customers and helped determine their needs.
- Worked flexible schedule and extra shifts to meet business needs.
- Operated cash register for cash, check, and credit card transactions with excellent accuracy levels.
- Maintained a balanced cash drawer, ensuring accurate accounting at the end of each shift.
- Helped customers complete purchases, locate items, and join reward programs.
- Assisted customers with returns, refunds and resolving transaction issues.
- Counted money in cash drawers at beginning and end of shifts to maintain accuracy.
- Resolved customer complaints professionally, leading to improved customer relations and loyalty.
- Collaborated with team members to achieve sales targets and maintain a clean, well-stocked store environment.
- Mentored new employees on cashier duties and best practices, improving overall staff performance.
- Adapted quickly to new technologies implemented at POS systems, ensuring seamless transition periods for both staff and customers.
Education
Bachelor Of Computer Science - Computer And Information Sciences
Wiregrass Georgia Technical College
Valdosta, GA12.2023
Highschool Diploma -
Coffee County High School
Douglas, GA05.2013
Skills
- Training and mentoring
- Strong analytical skills
- Customer Focus
- Creative solutions
- Strategic Thinking
- Innovative Mindset
- Deep expertise
- Time Management
- Teamwork and Collaboration
- Team building
- Multitasking Abilities
- Attention to Detail
- Written Communication
- Excellent Communication
- Active Listening
Certification
- CPhT - Certified Pharmacy Technician
Timeline
Subject Matter Expert
OptumRx
11.2023 - Current
Prior Authorization Pharmacy Technician Remote
OptumRx
11.2022 - 11.2023
Lead Pharmacy Technician
CVS Pharmacy
12.2021 - 11.2022
Pharmacy Technician Trainee
CVS Pharmacy
08.2020 - 12.2022
Inventory Specialist
CVS Pharmacy
07.2020 - 12.2021
Pharmacy Tech
CVS
12.2018 - 08.2020
Shift Manager
CVS Pharmacy Health
08.2015 - 12.2018
Cashier
CVS Pharmacy Health
03.2013 - 08.2015
Bachelor Of Computer Science - Computer And Information Sciences
Wiregrass Georgia Technical College
Highschool Diploma -
Coffee County High School