KIMBERLY BENNETT
Saint Augustine,FL
Summary
Pharmacy and medical subject matter expert with a demonstrated history of working across multi-team formats in fast-paced environments. Ability to analyze and prioritize situations to achieve the best possible outcomes for patients and clinical staff.
Overview
12
12
years of professional experience
4
4
Certification
Work History
Oncology Authorization Specialist
Mayo Clinic
Saint Augustine, FL
04.2022 - Current
- Prioritize queues to efficiently manage prior authorizations, pre-certifications and predeterminations for all Hematology/Oncology treatments
- Maintain friendly, knowledgeable and personal interactions and communications with providers, clinic staff and patients
- Analyze records by searching and reviewing charts to ensure all clinical information is documented and gathered to be sent to insurance companies for proper review of all authorization
- Maintain queue of all requests submitted for review and ensure proper follow-up in timely manner
- Reach out to patients in a timely manner to inform when their treatment authorizations are pending or denied for their convenience
- Work with the team to ensure processes are up to date and attend weekly meetings to review cases and identify areas in which our processes can be continuously improved
- Review monthly goals and expectations with leadership to ensure proper workflow and progress to maintain expected turnaround time
- Analyze denials to determine appropriate remediation action in order to obtain successful appeals or to find alternative covered options for the patient
- Maintained patient safety and privacy per HIPAA regulations
Prior Authorization Specialist
University Of Washington Medical Center
Seattle, WA
08.2019 - 11.2021
- Reach out to pharmacies directly about approvals, billing support, patient information, etc.
- Consistent top performer exceeding team goals
- Established workflows, guidelines, procedures and reference guides for new teams
- Created pre-typed short codes and smart phrases to create both uniformity of documentation among the team and to help improve productivity time frames
- Took part in th training and onboarding of new team members
- Led meetings with clients to explain the service provided and receive feedback on how best to serve going forward
State Certified Pharmacy Technician
QFC Pharmacy
Seattle, WA
10.2018 - 07.2019
- Communicated directly with doctors’ offices via telephone, fax, and email
- Utilized computerized and automated systems for dispensing medications and editing new and current patient profiles
- Resolved non-routine issues: third-party billing, computer system and customer service issues
- Performed deep dives to solve customer problems in-person or over the telephone by providing assistance with placing orders, navigating systems and locating items
- Completed paperwork, entering prescription and insurance or billing information into patient profiles
- Assisted in preparation, distribution, and storage of pharmaceuticals
- Performed drug utilization reviews in preparation for pharmacist reviews for our MedSync program
Certified Senior Pharmacy Technician
Walgreens
Charleston, SC
08.2011 - 10.2018
- Supervised daily duties of 10 pharmacy technicians and coordinated day-to-day assignments
- Coordinated verification and filling of more than 1,000 daily prescriptions in high-volume retail pharmacy environment
Volunteer
Barber National Institute
Erie, PA
09.2006 - 03.2008
- Coached children with special needs in fundamentals of swimming basics
- Maintained safety as the highest priority
Education
Associate of Arts - Sports Management
Mercyhurst University
Erie, PA05.2007
Institute Certification - Medical Billing And Coding
Tri-State Business Institute
Erie, PA01.2010
Skills
- Medical and pharmaceutical terminology, billing and coding
- Pharmacy and Medical benefit coverage
- Proficient with multiple medical and pharmacy software systems
- Pharmaceutical operations
- Medication preparation
- Microsoft Office applications
- Cross-team coordination
- Identifying Errors
- Auditing
Certification
- Nationally Certified Pharmacy Technician, PTCB - License number: 6101-0701-0215-347
- Certified Pharmacy Technician, Washington State - License number VA60856648
- Registered Pharmacy Technician, Florida State - License number: RPT99886
- Registered Pharmacy Technician, California State - License number TCH-182424
Timeline
Oncology Authorization Specialist
Mayo Clinic
04.2022 - Current
Prior Authorization Specialist
University Of Washington Medical Center
08.2019 - 11.2021
State Certified Pharmacy Technician
QFC Pharmacy
10.2018 - 07.2019
Certified Senior Pharmacy Technician
Walgreens
08.2011 - 10.2018
Volunteer
Barber National Institute
09.2006 - 03.2008
Associate of Arts - Sports Management
Mercyhurst University
Institute Certification - Medical Billing And Coding
Tri-State Business Institute
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