Faye Faison

Experience

• 

  The Minacs Group

  Feb 2014 - Feb 2015

  Prior Authorization Representative

  • Handle inbound and outbound member, provider and physician calls• Answer questions related to pharmacy benefits• Work with other operational departments to research claims issues • Identify and escalate concerns received from patients and/or clients

• 

  Home Care Delivered

  Mar 2015 - Mar 2016

  Customer Service Representative

  • Calls on patients and/or doctors' offices in a high volume call center in compliance with company and regulatory policies/directives• Accurately and expediently faxes physician order requests to physician offices• Attributed positive revenue of 5,000 a day by maintaining 15 calls an hour• Successfully completed training in diabetic, incontinence, urological and ostomy condition and associated durable medical equipment

• 

  Walmart SuperCenter Pharmacy

  Feb 2021 - Jun 2022

  Certified Pharmacy Technician

  Assists the pharmacist, under direct supervision, in the practice of pharmacy.Responsible for using pharmacy systems to obtain patient and drug information and process prescriptions.Contact referral source, patient, and/or provider office to obtain additional information that is required to complete verification of benefits and/or prior approvalsObtaining patient clinical historical, demographic, and insurance information

• 

  Remedi SeniorCare Pharmacy

  Jun 2022 - Sept 2022

  Control drug technician

  Responsible for ensuring CII prescriptions received are attached to POS, filed and maintainedAs per law, ensures all hard copies are appropriately filed and maintainedActively contributes to the evaluation and continuous improvement of client services, policies and proceduresEnforces all company and departmental policies and proceduresComplies with all applicable state and federal regulations related to pharmacy practicesGenerates weekly statistical reports and project status reportsCommunicates significant outstanding prescriptions or problems to manger in timely manner with supporting documentationParticipates in special projects to identify and implement operational improvementsAbility to effectively communicate with medical professionals and work with others in a positive productive mannerAnticipates and responds to the position responsibilities in a proactive and timely mannerAll other duties as assigned or directedAssists with ensuring safety policy and procedures are practiced and adhered Show less

• 

  Apex ststems

  Sept 2022 - Oct 2023

  Patient Care Coordinator

  Answers questions and resolves issues based on incoming telephone member contactsInterpret patient conditions, complaints, and diagnoses in order to route the patient to the appreciate sub-specialty service at client facilities.Coordinate with physicians, nurses, and other staff to affect smooth admission processes.Accurately input the calls for service in a Computer Aided Dispatch (CAD) system when requiredAccurately searches and inputs patient information into client Electronic Health Records (EHR).Document and report on activities throughout each shift on various spreadsheets, worksheets, and email formats. Show less

• 

  TotalMed, Inc.

  Sept 2022 - Oct 2023

  Prior authorization pharmacy technician

  Successfully processed medication prior authorization requests according to established guidelines and protocols.Collaborated with healthcare providers to gather necessary documentation and information for authorization requests.Utilized pharmacy software and systems to review, evaluate, and document authorization requests.Communicated effectively with patients, physicians, and insurance companies to ensure timely processing of requests.Assisted in maintaining accurate records and documentation of authorization requests and outcomes.Contributed to a collaborative team environment focused on delivering high-quality patient care. Show less

• 

  LHH

  Oct 2023 - Apr 2024

  Scheduler/Registrar

  Answer inbound phone calls and function as a switchboard operator as necessary. Make appointments for patients. Process appointment cancellations and rescheduling due to change in provider schedules as assigned by thesupervisor.Complete registration process for patient appointments, including demographic and insurance verification, patientmanagement system data entry and revision, payment collection, chart creation, and other clerical work as necessary. Assist patients, or refer them as necessary, with questions and completion of forms or applications related to theirinsurance coverage. Show less

• 

  Getlabs

  Apr 2024 - now

  Patient Experience Representative