Tyona Mckoy
Smyrna,GA
Summary
Talented Prior Authorization Representative with years of implementing strategies to secure authorizations for clinical procedures. Expert delivering continuous clinical quality improvement. Superb influencing skills to communicate with credibility, tact and diplomacy.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Prior Authorization Specialist
Arthritis & Rheumatology Center PC
Roswell, GA
02.2024 - Current
- Verified patient insurance coverage, including eligibility, benefits and authorizations for medical services.
- Contacted insurance carriers to obtain authorizations, notifications and pre-certifications for patients.
- Coordinated resolutions for issues and appealed denied authorizations.
Prior Authorization Specialist
Optum Rx
WFH, GA
10.2023 - 01.2024
- Reviewed prior authorization requests to ensure accuracy and completeness of required information.
- Coordinated with other departments to obtain additional information needed for prior authorization.
- Responded promptly to inquiries from providers, patients and payers regarding status of prior authorization requests.
Pharmacy Technician
Walmart Pharmacy
Marietta, GA
01.2023 - 10.2023
- Prepared medications for dispensing by counting, pouring, labeling, and verifying doses.
- Provided customer service to patients by answering questions about medications and health-related topics.
Control Room Supervisor
Heartland Healthcare Services
Annapolis Junction, MD
03.2020 - 10.2022
- Developed and implemented standard operating procedures for control room operations.
- Supervised the daily activities of a team of control room operators.
- Maintained detailed records of incidents and events in the control room logbook.
Prior Authorization Coordinator
BioMatrix Specialty Pharmacy
Columbia, MD
01.2019 - 01.2020
- Researched payer coverage policies, procedures, and requirements.
- Maintained up-to-date knowledge of healthcare reimbursement policies, regulations, and industry trends.
- Processed high volume of requests within established turnaround times while maintaining quality standards.
Lead Pharmacy Technician
Walgreens
Glen Burnie, MD
01.2017 - 01.2019
- Assisted in the training of new pharmacy technicians and provided feedback on their performance.
- Performed quality control checks to ensure accuracy of medication dispensing.
- Ordered supplies and restocked shelves when necessary.
Pharmacy Technician
CVS Pharmacy
Glen Burnie, MD
01.2015 - 01.2017
- Managed filing of prescriptions, both electronically and manually.
- Ordered drugs from wholesalers as needed and maintained records of incoming shipments.
Pharmacy Technician
Medmerica Pharmacy
Brooklyn Park, MD
01.2012 - 01.2015
- Maintained accurate records of compounded medications and ingredients used.
- Prepared patient-specific prescriptions for compounding according to physician orders.
- Calculated, weighed, measured, and mixed pharmaceutical ingredients in accordance with standard formulas or recipes.
Education
Certificate - Pharmacology
All State Career School
Baltimore, MD01-2012
Skills
- Workflow Management
- Effective communication skills
- Medical Terminology
- Understanding of medical terms
Resume
TYONA_MCKOY_Resume (3).pdf, 1, 3
Certification
- State License- PHTC069842
- National License- Excpt Z6J5M5C8
Timeline
Prior Authorization Specialist
Arthritis & Rheumatology Center PC
02.2024 - Current
Prior Authorization Specialist
Optum Rx
10.2023 - 01.2024
Pharmacy Technician
Walmart Pharmacy
01.2023 - 10.2023
Control Room Supervisor
Heartland Healthcare Services
03.2020 - 10.2022
Prior Authorization Coordinator
BioMatrix Specialty Pharmacy
01.2019 - 01.2020
Lead Pharmacy Technician
Walgreens
01.2017 - 01.2019
Pharmacy Technician
CVS Pharmacy
01.2015 - 01.2017
Pharmacy Technician
Medmerica Pharmacy
01.2012 - 01.2015
- State License- PHTC069842
- National License- Excpt Z6J5M5C8
Certificate - Pharmacology
All State Career School
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