Toyia Goodwin
Louisville
Summary
Drive consistent customer and revenue growth with strong networking and prospecting skills. Proven ability to convert leads into customers, keep accounts serviced and maintain competitive sales numbers. Excellent relationship-building, communication and multitasking abilities.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Remote Prior Authorization Tech
CVS Health
03.2024 - Current
- Prior authorization specialist with a strong attention to accuracy, experienced in reviewing medical records, determining the necessity of treatments and utilizing electronic health records to streamline the authorization process
- Determine charges for services requested, collect deposits or payments, or arrange for billing.
- Collaborated with pharmacists and healthcare professionals to review responsibilities of faxes and phone calls
- Responded promptly to inquiries from nurses, physicians, and other healthcare staff regarding drug interactions, dosage adjustments, or potential side effects
- Maintained confidentiality of patient information in accordance with HIPAA regulations at all times
- Assisted in the management of controlled substances inventory through accurate record-keeping and adherence to legal requirements for storage and dispensing
- Verified Insurance eligibility coordinated and supplied information to the reviewing organization to determine medical coverage
- Maintained current working knowledge of CPT and ICD-9 and 10 coding principles, government regulation, protocols and third-party billing requirements.
- Used Excel PivotTables to count, total or average data stored in one large spreadsheet.
Prior Authorization Pharmacy Chat Agent Technician I/ Billing
Synchrony Pharmacy
09.2022 - 02.2024
- Assisted pharmacists in accurately dispensing medications to patients, ensuring adherence to dosage instructions and safety protocols
- Performed medication reconciliation for patients, identifying discrepancies and collaborating with healthcare providers to resolve any issues
- Maintained patient profiles and confidential records, updating information such as allergies, medical conditions, and current medications
- Provided excellent customer service by answering inquiries from patients regarding prescription refills, insurance coverage, and medication interactions
- Educated patients on proper medication use including dosage instructions, potential side effects, storage requirements, and precautions
Remote Customer Service Representative
McKesson
Louisville
08.2020 - 08.2022
- Answer user inquiries regarding computer software or hardware operation to resolve problems
- Provide assistance for customers with special billing requests
- Review operating practices and procedures to determine whether improvements can be made in areas such as workflow, reporting procedures, or expenditures
- Perform general office duties, such as ordering supplies, maintaining records management database systems, and performing basic bookkeeping work
- Answer phone calls and direct calls to appropriate parties or take messages
- Provide clerical support to other departments
- Hear and resolve complaints from customers or the public.
Inside Sales Representative
MSC Industrial Supply
Louisville
11.2017 - 07.2020
- Prepare project status reports by collecting, analyzing, and summarizing information and trends
- Assess current or future customer needs and priorities through communicating directly with customers, conducting surveys, or other methods
- Perform or direct revision, repair, or expansion of existing programs to increase operating efficiency or adapt to new requirements
- Resolve customers' service or billing complaints by performing activities such as exchanging merchandise, refunding money, or adjusting bills
- Write and record orders for merchandise or enter orders into computers
- Sell services or equipment, such as trusts, investments, or check processing services
- Issue receipts, refunds, credits, or change due to customers
- Obtain customer information such as name, address, and payment method, and enter orders into computers.
Education
Early Childhood Education -
Ivy Tech Community College
Sellersburg, INGED -
Ahrens Adult Education
Louisville, KYSkills
- CRM software
- Customer service
- Organizational skills
- SAP
- Insurance verification
- Microsoft Office
- ICD-10
- Microsoft Excel
- Medical terminology
- Attention to detail
- ICD-9&10
- CPT Codes
- Insurance prior authorization
Certification
Pharmacy Technician License
Timeline
Remote Prior Authorization Tech
CVS Health
03.2024 - Current
Prior Authorization Pharmacy Chat Agent Technician I/ Billing
Synchrony Pharmacy
09.2022 - 02.2024
Remote Customer Service Representative
McKesson
08.2020 - 08.2022
Inside Sales Representative
MSC Industrial Supply
11.2017 - 07.2020
Early Childhood Education -
Ivy Tech Community College
GED -
Ahrens Adult Education