Skilled Medication Access Specialist with over 17 years at UW Health, adept in benefit coverage and patient advocacy, excels in problem resolution and effective communication, ensuring high customer satisfaction. Proven track record in assisting pharmacists and managing medication inventory with precision and care.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Medication Access Specialist
UW Health
Rockford, IL
07.2018 - Current
Evaluated patient's benefits eligibility using various databases and tools such as web portals, claims system.
Reviewed medical records thoroughly before submitting them for prior authorization review process.
Initiated contact with insurance companies when additional information is needed for prior authorization requests.
Coordinated communication between patients, family members, medical staff and directed questions to appropriate staff when required.
Participated actively in team meetings by offering valuable insights on specialty pharmacy advancement opportunities.
Performed data entry accurately into computer systems while adhering to established deadlines.
Developed effective relationships with internal and external customers through consistent communication and follow-up.
Utilized critical thinking skills to analyze complex medical documentation for prior authorization requests.
Demonstrated strong organizational skills by managing multiple tasks simultaneously while ensuring accuracy and quality of work.
Navigated through computer screens to complete and review documents and other forms.
Documented communications and contacts with clients to maintain records.
Phone inquiries from patients regarding their pharmacy needs.
Managed inventory levels by ordering medications and supplies when necessary and tracking usage rates.
Packed, sealed, and labeled customer orders to prepare for shipping.
Utilized Epic, patient management, and dispensing software system proficiently.
Full Time 40 hours per week
Contact: Urvish Desai
Certified Pharmacy Technician / IV Technician
UW Health
Belvidere, IL
10.2011 - 07.2018
Compounded sterile products according to USP 797 standards under the supervision of a pharmacist.
Inspected pharmacy equipment and notified management of repair needs.
Mixed pharmaceutical preparations, accorded to written prescriptions.
Appropriately dispensed medications requiring special handling and completed required documentation.
Prepacked bulk medicines with prescribed medications and affixed labels.
Supplied and monitored Accudose machines.
Supplied and monitored Crash carts daily.
Computed patient charges for EMT medications in Meditech/ Epic system.
Delivered medications and pharmaceutical supplies to patients, nursing stations and surgery.
Rotated shelves to check for and dispose of expired medications.
Answered pharmacy telephones to respond to questions or requests.
Determined inventory quantity needs, ordering more materials based on minimum or maximum levels.
Managed all incoming and outgoing shipments, ensuring accuracy of order information.
Daily ordering with wholesaler McKesson/Cardinal
Managed 340B with Macro Helix
Conducted yearly physical inventory along with record keeping.
Maintained knowledge of pharmacy federal and state laws.
Part Time 20 hours per week
Contact: James Bertell
Certified Pharmacy Technician / IV Technician
UW Health
Rockford, IL
07.2008 - 10.2011
Ensured accuracy of medication doses prior to dispensing or administration, reflecting outstanding quality assurance practices.
Compounded sterile products using aseptic technique, exhibiting proficiency in compounding techniques.
Performed IV admixture calculations accurately and efficiently, utilizing pharmacy math skills.
Answered pharmacy telephones to respond to questions or requests.
Rotated shelves to check for and dispose of expired medications.
Delivered medications and pharmaceutical supplies to patients, nursing stations and surgery.
Provided ongoing training for new staff members on proper compounding processes and policies, indicating strong leadership qualities.
Maintained the cleanliness of the department to ensure safety standards were met, displaying strong attention to detail.
Delivered CII medications to clinical floors, stocked pharmacy Omnicell vault, maintained detailed records.
Full Time 40 hours per week
Contact: Beth Schar
Pharmacy Billing Technician
Nihan and Martin Pharmacy
Rockford, IL
08.2006 - 07.2008
Performed accurate and efficient billing functions, including entering customer data into the system and generating invoices.
Resolved customer inquiries regarding billing issues in a professional manner.
Developed strong working relationships with customers to ensure timely payment of invoices.
Processed credit card payments for customers using secure online portals.
Collaborated with other departments to resolve customer disputes or complaints quickly and efficiently.
Handled incoming calls from customers regarding payment status updates or account changes.
Assisted in training new staff members on the proper use of the company's billing systems and software applications.
Full Time 40 hours per week
Contact: Jody Fenelon
Lead Certified Pharmacy Technician
Target
Rockford, IL
10.2003 - 08.2006
Adhered to state and federal laws governing the practice of pharmacy technicians including licensure requirements.
Verified that all documents related to prescriptions were completed correctly before submitting them to the pharmacist for review.
Entered prescription information into computer databases.
Called insurance companies to retrieve patient information.
Processed insurance claims accurately utilizing third-party payer systems including Medicare Part D plans.
Managed labor by utilizing scheduling software to create work schedules and maintain pharmacy coverage.
Coached, mentored and provided performance feedback to pharmacy technicians.
Trained new technicians on departmental procedures, policies, processes and safety protocols.
Monitored expiration dates of medications in order to prevent outdating or wastage.
Performed administrative duties such as ordering supplies, maintaining records, preparing reports and responding to inquiries.
Priced stock to properly mark items for sale.
Operated cash register to accept payment from customers.
Executed opening and closing tasks with precision.
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