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Patient Engagement Specialist-MTM Specialist Resume Example

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PATIENT ENGAGEMENT SPECIALIST-MTM SPECIALIST
Professional Summary

Enthusiastic P&C Associate Claims Adjuster with a track record of offering analytical, interpersonal, and technical skills capable of enhancing profitability. Also, I possess the ability to establish positive relationships with customers, pharmaceutical representatives, manufacturers, medical professionals, healthcare organizations, and insurance providers

Licenses

License Property & Casualty Insurance Agent

License Multi-Line Adjuster 

Nationally Certified Pharmacy Technician Certification Board (CPht)


Skill Highlights
  • HMM (Horizon Meds Manager)
  • Horizon Admin-RX- Pharmacy Bar Coding
  • Pyxis Connect
  • Practice Partner-(Physician Portal)
  • Quick-scripts system



  • Strong clinical background
  • Inventory management
  • Exceptional patient care and interaction
  • HIPAA trained
Professional Experience
Company NameOctober 2014 to December 2014Patient Engagement Specialist-MTM Specialist
City, State
  • Counsel patients concerning medication adherence
  • Assist with synchronization of medication fills,
  • Identifying cost issues or barriers
  • Help the patient understand the importance of their medication Teach them how to use their medication with appropriate time schedule, and how to use them correctly
  • The significance of taking the correct dosage at the appropriate time.
  • Address Medication Gaps
  • HIPPA standards and procedures
  • Primary focus on Cardiac, Diabetic, Cholesterol medications
  • Patient Assessments over the telephone.
Company NameDecember 2011 to September 2013Travel Pharmacy Analyst/Implementation Consultant
City, State
  • Performed Client/Customer Assessment/Surveys and Drafting them into narrative form
  • Conversion of Mckesson's Star system to Mckesson's HMM (Horizon Medication Manager) system.
  • Performed Gap Analysis, Review and Analyzed data, Accurately record and clearly document all actual results compared to expected results of Future and Current State.
  • Clinical Software training for Pharmacist.
  • Participated in the review of Current and Future state workflow and evoking thought to prepare for changes that will occur with new application.
  • Install HMM database live and Test environment/application, fully document any unexpected anomalies identified in the live and test environment, Work with customer support/engineer group to help perform root analysis of issues found.
  • Test, Maintain and monitor computer programs and systems including the installation of computer programs and systems.
  • Upgrades and Troubleshooting.
  • Anticipate potential software problems by creating test scenarios.
  • Identify analyze defects /test results and be able to deduct the chain of events leading to a failure.
  • Educated and Support Client/Customer on the HMM software application Build
  • Act as a liaison between the specific vendor, client management and departmental end-users to ensure all enhancements, upgrades and patches are thoroughly tested and planned before implementation in the production environment.
  • Confer with clients regarding the nature of the information processing or computation need.
  • Ensure pharmacy formulary meets criteria for formulary download in medication administration systems, Charge-Master Processes, and Pharmacy Pricing.
  • Manages implementation time line in terms customer build, testing, and training.
  • Customize and created training materials, Presentations, Conduct "Day in the Life" training for on-site analyst, Excel, PWA, Microsoft Work, Power point.
  • Customer support with HMM Build tables (Facility Configuration, Service Types, and Therapy Types.
  • Drug Table, Drug Barcode, Lab codes, IV drug, and IV Stock Bottle, PCU, Baxa Dose Edge Support, New User Additions, Drug Screen Settings, and Batch administration.
  • Current and future state report crosswalks, Report Troubleshooting, Data-Collection for the standard Paper Build.
  • Read Manuals, periodicals and technical reports to learn how to develop programs that meet the staff and user requirements.
Company NameJanuary 2009 to June 2011Physician Dispensary Supervisor
City, State
  • In Charge of Pharmacy Operations
  • Process prescriptions, monthly reports, schedule labs, check schedules and organizing patient flow
  • Accompanied patients to exam/ procedure room, collect patient history, performed screenings per provider guidelines
  • Experience in starting up pharmacy operation including facilities development.
  • Formulary Control and updates and Medical Terminology
  • Experience interacting with and developing relationships with clinic administrators, physicians, and nurses.
  • Pharmacy Technician and Intern training.
  • Vital signs, Blood Pressure per patient, patient counseling on medications, Diabetic Training
  • Answered refill line assist physician and nurse practitioner with drug utilization
  • Created in house pricing for medications
  • Remodeled the pharmacy, rotating stock and expired medications, inventory control
  • Revenue management, New system software install/implementation, monitors computer program and systems including coordinating the installation of computer program and systems.
  • Determine computer software and hardware needed to set-up, Patient Advocate for the PAP(Patient Assistant Program) Knowledge of drug safety regulations and Inventory control
  • Perform cycle counts, conduct routine month end inventory
  • Provided service to front and back office, New patient enrollment
  • Communicate with developer and technical support.
  • Train Staff and users to work with computer systems
  • Consult with management to ensure agreement on system principles and packages
  • Assess the usefulness of pre-developed application packages and adapt them to a user environment
  • Excel, Powerpoint, Microsoft Work.
Company NameAugust 2005 to December 2008Lead Pharmacy Technician
City, State
  • Hospital and Health Centers: Healix Infusion care, ACS, Atlanta Hematology and Oncology Clinic, Concord Pharmacy, Pharm America Pharmacy.

  • Pyxis management, IV mixtures (Chemo), infusions, TPN's, Piggybacks, process insurance claims, drug Inventory management, Purchasing, labeling medication products, packaging prescriptions, pyxis Medstation, process prescriptions new and refill, Unit dosing, bubble packaging, compounding medication, drug reports, workman's compensation, call center agent.
  • Medicare/Medicaid- Part D Reimbursement and billing claims processing, Enrollments, plan Advisement.
  • Claims Adjustments, Rebates, narcotics documentation, errors resolutions and analysis.
  • Computer faxing system(Point of Sales, Process Prior Authorization Claims.
Company NameFebruary 2002 to June 2005Lead Pharmacy Technician
City, State
  • Hospital and Health Clinics: Grady Hospital, Jackson Memorial Hospital, South Florida State Hospital, Humana Pharmacy, Costco Pharmacy.

  • Process prescriptions, Compounding, IV's, piggybacks, unit dosing, drug inventory/ purchasing, data entry, drug labeling Bubble Packaging, Stock control.
  • Answered multiple calls, Packaging Prescriptions, Claim Reimbursements
  • Administer medications to mental patients Assist with Patient Care, Claim Adjustments, Prior Authorization claims, Medicaid/Medicare Rebates
  • Troubleshooting, Test claims for errors
  • Work with development team to ensure that the product is fully tested, ensure complete documentation is available for all enhancements, bug fixes, accurately record and clearly document all actual results
  • Document any unexpected anomalies identified in testing and scheduling.
  • Work with customer Support group to help perform root cause analysis of issues found.
  • Conduct drug audits, drug reports.
Education and Training
Alison2014Diploma

Information Technology Management/System Engineer

Business Process Management

Product Development and Manufacturing

Operation/Human Resource Management

Community Service

Hands on Atlanta (Civic Leadership Program)

Occupy Atlanta (Housing Development and Services)

Skills

analyst, Billing, call center, hardware, client management, Conversion, counseling, Client, clients, Customer Support, Data-Collection, Data entry, database, Documentation, Drafting, Edge, engineer, Faxing, First Aid, focus, Insurance, Inventory management, inventory, Inventory control, Leadership, Medical Terminology, Microsoft Work, Excel, office, Powerpoint, Power point, monitors, developer, organizing, Packaging, Presentations, Pricing, Processes, Coding, Purchasing, Quick, Read, safety, Sales, scheduling, scripts, Software training, Stock control, tables, technical support, Technician, telephone, training materials, Troubleshoot, Troubleshooting, Upgrades, well organized, workflow

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Resume Overview

School Attended

  • Alison

Job Titles Held:

  • Patient Engagement Specialist-MTM Specialist
  • Travel Pharmacy Analyst/Implementation Consultant
  • Physician Dispensary Supervisor
  • Lead Pharmacy Technician

Degrees

  • Diploma

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