Radisha Jackson
- Role
- Senior Pharmacy Technician Spoc (Single Point of Contact) Account Manager (Remote) at Optum
- Location
- Orlando, FL, US
- LinkedIn followers
- 500 followers
About Radisha Jackson
Analytical and people-focused Data Analyst with 7+ years of experience in healthcare…
Experience
Senior Pharmacy Technician Spoc (Single Point of Contact) Account Manager (Remote)
Feb 2020 — Present
SPOC managing eight locations for the oncology department with Sutter Health in California. Administered the EMR (electronic medical records) system to assist pulling patient\'s history to update pharmacy account regarding demographics, clinical, insurance and etc. Process member prior authorizations through various computer systems ensuring the accuracy of all data and updating Navigate across multiple computer systems to respond to questions or to provide specific medication details / clinical information Weekly meetings with Regional Account Managers and clients to provide great service. Collaborating with all office locations with refills for new and existing patients, scheduling medication deliveries. Conduct outgoing calls as needed to provide follow - up or consultation such as prior authorization requirements, appeals, etc to providers. Apply benefit plan criteria in making decisions (approvals / denials) or recommendations; clarify and explain pharmaceutical benefits and procedures Educate members / guardians, providers, pharmacies) staff on procedures to avoid compliance risk Monitoring of compliance for Prior Authorization and Appeals Processing and maintaining referrals from start to finish
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