Tamekki Davis
Arlington,Texas
Summary
Results-oriented achiever with proven ability to exceed targets and drive success in fast-paced environments. Combines strategic thinking with hands-on experience to deliver impactful solutions and enhance organizational performance. Over 30 years experience in pharmacy industry including management, director leadership,
Overview
1
1
Certification
15
15
years of professional experience
Work History
Accounts Receivable/ Third Party Billing
QIC Pharmacy
Mansfield, TX
02.2023 - Current
- Ensure the pharmacy is correctly reimbursed by insurance companies, government programs, and customers
- Reconcile Third Party Payments with billing records and process daily pharmacy claim denials
- Monitoring AR aging reports to identify and collect on overdue patient and insurance accounts
- Accurately post payments including checks, ACH, and credit cards to patient accounts
- Handle Prior Authorizations and communications with PBM regarding coverage issues
- Investigate rejected third party claims and resolve issue accounts.
Pharmacy Auditor
Conduent
06.2023 - 10.2023
- Lead inquiries into specific claims and checked for billing errors to determine whether errors are intentional or accidental
- Evaluated other aspects of prescription drug plans such as cost effectiveness of generic drugs and efficiency of mail order programs
- Knowledge of health insurance, third party, and medical billing
- Performed electronic audits and manual reviews of the administration of medical and pharmacy benefit claims
- Identified specific payment exceptions for potential recovery
- Reviewed benefit plans to develop or amend programming logic to reflect different plan designs
- Reviewing computer printouts of erroneously paid claims
- Reviewed contract compliance provisions of pharmacy benefit management and pharmacy benefits plan limitations
- Performed on site pharmacy audits at several different pharmacies
- Streamlined billing processes to enhance accuracy and efficiency in invoice generation.
- Led team in implementing automated billing systems, reducing processing time significantly.
- Analyzed billing discrepancies and resolved issues proactively to maintain client satisfaction.
Pharmacy Technician Program Director
Concorde College
Dallas, Texas
03.2019 - 06.2021
- Responsible for planning, designing, and implementing specific college program courses, seminars, or any other activities necessary to achieve assigned program objectives.
- Activities are designed to target a specific audience to achieve one or all the following: forming educational partnerships, supporting college recruitment efforts, increasing enrollment and retention efforts, promoting the college for instructors, achieving community outreach, and/or achieving other objectives depending on program.
- Oversee, maintains, and prepares documentation for programmatic accreditation.
- Plans, organizes, administers, and evaluate the pharmacy technician instructional program.
- Work closely with Academic Dean, Student Services, and/or any other campus department to broaden the scope of the program offering and creating innovative courses.
- Responsible for maintaining a database of the student population served.
- Helps to develop curriculum, identifies facilities for externship.
- Identifies, interviews, hires, train, supervise, and evaluate assigned staff.
- Participates with internal and external individuals and agencies to develop and coordinate programs, seminars, courses, and other activities.
- Monitors assigned budget allocation.
Pharmacy Technician Program Chair
Concorde College
03.2017 - 03.2019
- Taught the depth and scope of class materials as outlined in the syllabus and catalog and relates the instruction to careers and employer expectations.
- Implemented evaluations for outcomes assessment and achieved established results while maintaining college standards of student satisfaction.
- Worked creatively in all classes taught to discourage student withdrawal and maintain satisfactory retention by the college.
- Created and managed students’ schedules.
- Assisted with developing new program curriculum and textbook materials for the program.
- Developed policies and procedures to support program goals.
- Developed and managed program budget.
- Prepared interested and relevant assignments for students that demonstrated learning outcomes in real life.
- Kept accurate records of student grades and attendance to assure adherence to school policy.
- Provided extra support and study help for students who had difficulty understanding and applying course material.
- Coordinated, evaluated, and assigned experimental site assignments to students.
- Performed experimental site visits.
- Coordinated recruited, and onboarded new faculty and developed training for existing faculty.
Pharmacy Technician Program Chair
Carrington College
Mesquite, TX
07.2015 - 03.2017
- Managed, directed and taught pharmacy tech students.
- Created and managed students scheduled.
- Assisted with developing new program curriculum and text book materials for the program.
- Resolved issues among students and instructors.
- Adequately prepared all course materials and lessons.
- Taught assigned course material.
- Prepared interested and relevant assignments for students that demonstrated learning outcomes in real life settings.
- Responded to students on a timely basis.
- Kept accurate records of student grades and attendance to assure adherence to school policy.
- Provided extra support and study help for students who had difficulty understanding and applying course material.
- Coordinated, evaluated, and assigned experimental site assignments to students.
- Performed experimental site visits.
- Scheduled off campus learning experiences.
- Attended regularly scheduled in services and graduation ceremonies.
- Prepared campus for ASHP accreditation.
Pharmacy Technician Program Director
Remington College
Houston, TX
12.2013 - 07.2015
- Oversaw and maintained Pharmacy Technician curriculum.
- Oversaw Pharmacy Technician faculty including hiring, training, and evaluating.
- Maintained learning outcome and retention standards as set by the institution.
- Provided academic and personal advising to students.
- Taught classes when needed.
- Managed on site clinician training and competency testing.
- Established and maintained externship sites/relationships.
- Ensured that students have all required vaccination as required by the institution and externship sites.
- Prepared students for respective certification testing and meeting institutional standards for pass rates.
- Participated in faculty and staff meetings.
- Participated in in-services and professional growth.
Pharmacy Technician Billing Specialist
Davita Inc.
Coppell, TX
12.2010 - 12.2013
- Billed third party insurance plans for copays and resolved rejections.
- Billed DME claims under Medicare Part B plans, Billed claims under 340B, Processed insurance claims for Medicare Part D and coordinated patient's benefits.
- Enrolled providers in Medicaid programs and different managed care programs.
- Worked proactively with third party plans and physicians to process Prior Authorizations and Therapeutic interchanges.
- Dispensed medications using automatic dispensing machines.
- Took inbound calls from customers, physicians, and other teammates in reference to various insurance billing issues.
- Assisted on cross functional team responsible for creating new SOP's to enhance workflow.
- Working with the pharmacy implementation 340B team.
Education
Bachelor of Science - Healthcare Administration
University Of Phoenix
Dallas, TX01-2014
Skills
- Skilled in Pharmacy Claims Processing, Pharmacy Account Manager and HIPPA guidelines
- Expertise in third party billing and resolving rejections, Prior Authorizations and Therapeutic Interventions, Medicaid Enrollment, Managed Care Enrollment
- Experienced in developing, maintaining, and updating policy and procedure manual
- Extensive knowledge of Medicare, Medicaid, Medicare Part D, DME billing
- Strong organizational, customer service and communication skills
- Proficient in Microsoft Office Suite, Project and Access
- Curriculum building and writing
- Sterile IV/Compounding Certified/Instructor Certified
- Trained in various pharmacy software programs ie
- Active Listening Skills
- Effective Team Leader/Exceptional Customer Service
- Trained in EPIC, Meditech, Dose Edge, Omnicell, Pyxis, McKesson, eHR/eMAR EMR Systems
- Advanced Leadership training and skills
- Prior Authorization
- Friendly, positive attitude
- Teamwork and collaboration
- Customer service
- Problem-solving
- Time management
- Attention to detail
- Multitasking
Certification
- Certified Pharmacy Technician Pharmacy Technician Certification Board -150108620650115
- Texas State Board of Pharmacy Registered Technician -108318
- LTF Instructor for IV/Sterile Products and Compounding Course- NPTA
- Extemporaneous Products Compounding Certificate- NPTA Sterile Products Compounding
Timeline
Pharmacy Auditor
Conduent
06.2023 - 10.2023
Accounts Receivable/ Third Party Billing
QIC Pharmacy
02.2023 - Current
Pharmacy Technician Program Director
Concorde College
03.2019 - 06.2021
Pharmacy Technician Program Chair
Concorde College
03.2017 - 03.2019
Pharmacy Technician Program Chair
Carrington College
07.2015 - 03.2017
Pharmacy Technician Program Director
Remington College
12.2013 - 07.2015
Pharmacy Technician Billing Specialist
Davita Inc.
12.2010 - 12.2013
Bachelor of Science - Healthcare Administration
University Of Phoenix