Takeya Collins (Pace)

• Dispensed and procured medicinal products and supplies used in hospital.
• Verified safe and secure storage of medicines and hospital supplies to minimize loss and accidents.
• Performed various pharmacy operational activities with strong commitment to accuracy, efficiency, and service quality.
• Restocked pharmacy shelves with current merchandise to drive consistent peripheral sales.
• Communicated with patients to collect information about prescriptions and medical conditions or arrange consultations with pharmacists.
• Assisted pharmacist by filling prescriptions for customers and responding to patient questions regarding prescription and medication-specific issues.
• Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
• Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
• Counted and labeled prescriptions with correct item and quantity.
• Answered incoming phone calls and addressed questions from customers and healthcare providers.
• Stocked, labeled, and inventoried medication to keep accurate records.
• Entered and processed patients' prescriptions into internal system.
• Collected co-payments or full payments from customers.
• Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
• Counted, measured and compounded medications following standard procedures.
• Maintained proper drug storage procedures, registries, and records for controlled drugs.
• Managed opening and closing duties for pharmacy.
• Welcomed customers to pharmacy and answered questions relating to prescriptions and over-the-counter products.
• Resolved third-party billing, computer system and customer service issues.
• Used EPIC and QS1 systems to review records and laboratory results for patients.
• Proficient in Pyxis and Omnicell Systems.

Verified eligibility and compliance with authorization requirements for service providers.

• Supported healthcare providers by offering guidance on alternative treatment options when initial requests were denied.
• Advocated for patients by negotiating with insurance providers to cover necessary treatments not initially authorized.
• Improved patient satisfaction with timely and accurate processing of prior authorizations for medications and procedures.
• Maintained up-to-date knowledge of changing healthcare regulations and insurance policies to ensure accurate processing of requests.
• Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
• Increased approval rates for necessary medical procedures by providing detailed justifications and patient history during review process.
• Fielded telephone inquiries on authorization details from plan members and medical staff.
• Monitored pending cases closely, proactively following up on outstanding documentation needed for successful approval outcomes.
• Demonstrated adaptability by effectively transitioning between different roles within the pharmacy setting as needed while maintaining a high level of professionalism and competence.

• Answered incoming phone calls and addressed questions from customers and healthcare providers.
• Helped pharmacist clear problematic prescriptions and address customer questions to keep pharmacy efficient.
• Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
• Restocked pharmacy shelves with current merchandise to drive consistent peripheral sales.
• Reviewed and verified customer information and insurance provider information.
• Maintained proper drug storage procedures, registries, and records for controlled drugs.
• Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
• Communicated directly with doctors offices via telephone, fax and email.
• Managed insurance billing and claims processing, streamlining the reimbursement process for patients and pharmacy.
• Coordinated verification and filling of more than 100 daily prescriptions in high-volume Retail pharmacy environment.

• Improved overall program effectiveness through comprehensive data analysis and evaluation of key performance indicators.
• Provide dedicated, personalized support delivered via phone and/or online portal.
• Complete investigations and answer questions regarding insurance benefits, including information about medication coverage and out-of-pocket costs.
• Assist with prior authorization and medical necessity processes.
• Respond to inquiries from patients and follow up on requests in a timely, courteous, and professional manner.
• Process patient assistance applications according to business rules of program.
• Managed approximately 40 incoming calls, emails, and faxes from HCP's and patient's per day.

• Reduced turnaround time for prior authorization requests by utilizing electronic submission methods.
• Coordinated with billing department to resolve discrepancies related to denied claims due to incomplete or incorrect prior authorizations.
• Fostered positive relationships with healthcare providers by ensuring transparent communication throughout authorization process.
• Identified trends in denials through data analysis, adapting strategies accordingly for improved success rates in obtaining approvals.
• Managed a high volume of incoming calls approximately 60 per day, maintaining professionalism while effectively addressing the needs of callers seeking assistance with prior authorizations.
• Improved patient outcomes by expediting authorization process for urgent and life-saving treatments.
• Collaborated with insurance companies to clarify coverage details and expedite review of complex cases.
• Provided training to new staff members on the intricacies of various insurance plans and their specific prior authorization requirements.

• Dispensed and procured medicinal products and supplies used in hospital.
• Verified safe and secure storage of medicines and hospital supplies to minimize loss and accidents.
• Performed pain assessment and took appropriate action according to standard operating procedures.
• Verified safety and accuracy of physician orders.
• Used EPIC system to review records and laboratory results for patients.
• Handled stock and order supplies of medicines and drugs.
• Responded to queries regarding dosages, indications and drug availability.
• Reviewed and monitored patient past and present medication records, checking for errors, incompatibilities and adverse reactions to avoid future complications.
• Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.

• Entered data into batch ticketing system and checked information for accuracy.
• Troubleshot and solved process equipment problems to minimize production downtime.
• Stored, retrieved, mixed, and monitored chemicals used in production process.
• Completed paperwork, recognizing discrepancies and promptly addressing for resolution.
• Exercised leadership capabilities by successfully motivating and inspiring others.
• Self-motivated, with a strong sense of personal responsibility.
• Participated in team projects, demonstrating an ability to work collaboratively and effectively.
• Proven ability to learn quickly and adapt to new situations.
• Adaptable and proficient in learning new concepts quickly and efficiently.

• Communicated with patients to collect information about prescriptions and medical conditions or arrange consultations with pharmacists.
• Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
• Counted, measured and compounded medications following standard procedures.
• Performed various pharmacy operational activities with strong commitment to accuracy, efficiency, and service quality.
• Assisted pharmacist by filling prescriptions for customers and responding to patient questions regarding prescription and medication-specific issues.
• Stocked, labeled, and inventoried medication to keep accurate records.
• Maintained proper drug storage procedures, registries, and records for controlled drugs.
• Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
• Welcomed customers to pharmacy and answered questions relating to prescriptions and over-the-counter products.

• Entering and posting payments for long term care patients.
• Contacted POA's or responsible parties with past due accounts to formulate payment plans and discuss restructuring options.
• Work with pharmacy team to resolve any patient account discrepancies.
• Generated and submitted invoices based upon established accounts receivable schedules and terms.
• Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
• Provided excellent customer service, developing and maintaining client/patient relationships.