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Click here or scroll down to respond to this candidateCandidate's Name
PHONE NUMBER AVAILABLEEMAIL AVAILABLEStreet Address Karla Ct.Martinsburg, WV Street Address
EDUCATION/ CERTIFICATIONSCPhT 2020Certified Basic Life Support Instructor 2008NREMT-B 2007OPSEC Minot, AFB ND 2007CBRNE Minot, AFB ND 2007AS Information Processing 2001SKILLS/ QUALIFICATIONS 15+ years of experience in the medical field 7 years of pharmacy experience Proficient in Microsoft Products, Epic, Athena, and various other softwares Proficient in approved computer applications designed to help identify insurance coverage Medical Terminology Assessment: 94% accuracyPROFESSIONAL EXPERIENCEWalmart PharmacyMartinsburg, WV 25404July 2023-Current Ensure fulfillment of pharmacy prescriptions in order to maintain a continuous and consistent work-flow to meet daily production and quality goals by using the scanner to identify and select pharmaceutical products and quantity for prescription orders. Verify the size and strength of the product before processing order. Verify display for pack and quantity; entering expiration date and lot numbers; labeling prescriptions; weighing medication for accuracy of quantity; counting or pouring medication for prescription orders; preparing packages and distributing medications in a fast-paced environment. Comply with company policies, procedures, and standards of ethics and integrity.Walgreens PharmacyMartinsburg, WV 25404June 2016- March 2023Senior CPhT Assist pharmacists in preparing and dispensing medications for patients including: typing prescription information for drug labels, authorizing prescription refills, and organizing drug inventory Ensure there is no delay in patient care by problem-solving complex insurance and billing issues with several insurance entities. (Commercial insurance, worker's compensation, state insurance as well as all parts of Medicare ) Support and comply with the medication dispensing process within the legal scopes of my certification Comply with all legal, regulatory and accreditation standards Call insurance companies when necessary to verify patient coverage and handle billing issues Manage inventory of medications; order medications as needed CAO MMI DivisionFrederick, MD 21702Sep 2015 - Jul 2019Physical Therapy Front Desk Coordinator/ Referrals & Prior Authorizations Check in patients, verify and update necessary demographics and information in the computer Review insurance benefits prior to initial appointments Prepare patient charts for the following day which includes preparing all new patient documentation as well as updating information for established patients Keep a daily collection sheet of all co-pays and totals cash, checks, and credit cards at the end of each day Prepare certified medical records as requested by insurance carriers, patients and attorneys Verify insurance eligibility Obtain required referrals for HMO plans such as MDIPA, Humana Tricare, BCBS, Aetna, UHC and various other insurance carriers.Stormont-Vail/Cotton O'Neil ClinicMay 2014 - Aug 2015Registrar Responsible for processing of registration department account at time of service. Including: validate/update patient's comprehensive data set and documenting in the registration system Complete electronic insurance verification, identify managed care issues and refer as appropriate for resolution Obtain appropriate signature to satisfy legal and health system requirements and complete required forms including Medicare MSP, if required Financial education and finalization of financial resolution with patients, complete additional registration admission, discharge, transfer and scheduling functions as applicable and resolving edit failures following established policies and procedures in compliance with Joint Commission, Medicare, Payer contracts, HIPAA, regulatory agencies and the organization's Code of Conduct Stormont-Vail HospitalTopeka, KS 66604May 2013 - May 2014Patient Services Associate Non-clinical position for Level II Trauma Center whose primary responsibility is the physicians and patients assisting in building new physician office practices within Cotton O'Neil through physician referrals, insurance intake, scheduling of initial physician appointments and providing information and paperwork for each patient Registered callers, take payments through credit card transactions and send appropriate reminders for services such as skin, prostate, and mammogram screenings, childbirth classes, and other classes/screenings offered by Stormont-Vail HealthCare Responsible for coordination of all transfer calls from referring physicians into Stormont-Vail HealthCare and for contacting the appropriate Trauma team in the event of a Class I or Class II Trauma alert(s) Responsible for scheduling hospital patient discharge appointments, providing reminder calls for appointments and keeping data on number of d/c appointments kept and any readmissions Responsible for maintaining current on-call schedules for all Cotton O'Neil, Pediatric Care, Shawnee County Health Department, physicians/providers, Special Teams (Cath Lab, EP Lab, Perfusion Peripheral Angiography, and various other patient care groups), Clinical Research and Oncology, Radiation staff Accountable for receiving and processing a high number of incoming calls from community callers and physicians/staff, in a timely and professional manner and perform outbound calls, which included satisfaction surveys Responsible for accurately contacting all of Special Teams, Trauma Physicians, Trauma Medical Director, ER staff, Trauma Nurse Specialist and Life Star for Trauma Transfers OTHER EXPERIENCEWalMartDepartment ManagerTopeka,KS 66601Feb 2009 - May 2013Community Ambulance Services, IncBasic Life Support Instructor/NREMTMinot, ND 587012006- Feb 2008Ambulance Services 5th Med GroupNREMTMinot, AFB ND 58704October 2007- February 2008 (Temporary; Government Contract) Trinity Hospital Level II Trauma CenterSurgery Scheduling CoordinatorMinot, ND 58701March 2001- May 2004 |
