Takisha Powell
Richmond,TX
Summary
Adaptable Clinical Admin Coordinator with over 20 years of conquering and exceeding process changes in different healthcare settings. Prepared to offer many years of experience to a challenging new role for advancement within the company.
Overview
11
11
years of professional experience
Work History
Clinical Administrative Coordinator
United Health Group, Optum
07.2016 - Current
- Managing, taking ownership, and completing Home Health assignments / authorizations daily via electronic submission.
- Utilize job aides and critical thinking skills to complete assignments.
- Creating and completing notifications in ICUE timely and accurately for routing to Care Coordination teams for clinical coverage review and utilization services.
- Notifying providers of authorization determination.
- Assist with establishing Patient Care Services with Home Health providers.
- Responsible for processing expedited authorizations in a timely manner.
- Volunteer to participate in projects with other departments to assist with work overload.
- Assist with training new and current team members with in and outside of current department.
Registered Certified Pharmacy Technician
Kroger Pharmacy
07.2016 - 01.2017
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Communicated with prescribers to verify medication dosages, refill authorizations, and patient information.
- Managed insurance billing and claims processing, streamlining the reimbursement process for patients and pharmacy.
- Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
- Counted, measured and compounded medications following standard procedures.
- Collaborated with pharmacists to resolve medication-related issues, optimizing patient outcomes.
- Stocked, labeled, and inventoried medication to keep accurate records.
Lead Specialty Pharmacy Technician
United Healthcare
09.2013 - 07.2016
- Collect medical data via phone, fax, and / or electronic submission.
- Evaluate and authorize approval of pharmacy prior authorization requests from prescribers using clinical data for standard and specialty medications.
- Research, resolve, and document prior authorization outcome.
- Communicate decision to physicians, physician office staff, medical management staff, and pharmacists.
- Escalate requests to pharmacists or Medical Directors when request requires extensive clinical review or denial.
- Provide assistance and follow up with escalated adversaries directly with customers or supervisors.
- Responsible for training and providing new criteria information on the specialty medications to the department.
Education
No Degree - Pharmacy (Pre-Pharmacy)
Texas Southern University
Houston, TXNo Degree - Nursing
Prairie View A & M University
Prairie View, TXSkills
- United Healthcare M & R 1, 2 Certified
- Microsoft Office
- ICUE
- Cat launchpad
- Incedo
- CareOne
- PAS
- RX Claims
Timeline
Clinical Administrative Coordinator
United Health Group, Optum
07.2016 - Current
Registered Certified Pharmacy Technician
Kroger Pharmacy
07.2016 - 01.2017
Lead Specialty Pharmacy Technician
United Healthcare
09.2013 - 07.2016
No Degree - Pharmacy (Pre-Pharmacy)
Texas Southern University
No Degree - Nursing
Prairie View A & M University
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