Resume of Tylisha Johnson, CMRS, RPHT
Education:
Missouri College - Brentwood, MO
Medical Billing Administrative Specialist
Certified Medical Reimbursement Specialist
St. Louis College of Health Careers - Fenton, MO
Graduated from an ABHES accredited school
Pharmacy Technician Diploma
135 hour Externship
Registration #282583 Exp: 4/30/2020
Medical Administrative Procedures:
Medical Office Procedures - Scheduling, Filing, Keyboarding, Multi-Line Telephone
Health Care Communications - Letter Formatting, Human Relations
Health Care Accounting - Billing, Collection Techniques
Medical Insurance - Universal Claims, Medicare, Worker's Compensation
Microcomputer Concepts Microsoft Office Suite, Electronic Medical Records, Medisoft
Clinical Laboratory Procedures:
Physical Examinations - Vital Signs, Physical Measurements, Health Histories
Laboratory Science - Urinalysis, Pregnancy Testing, Hematology, Gram Stains, Glucose Testing
Patient Diagnostics - EKG's
CPR Certified
Pharmacy Technician Course Study:
Assisting Pharmacist in Managing and Organizing the Pharmacy Workload, Inventory Control
Procedures, Handling & Storage, Delivery of Medication, Unit Dose Preparation, Labeling and
Preparation/Drug Distribution, Filling and Counting, Computer Operations, Familiarity with the
Top 200 Drugs, Dosage Calculations, Physician Order Processing, OSHA/HIPAA Regulations,
Pharmaceutical Law and Ethics, Medical Terminology, Patient/Customer relations, Compounding and
USP 797/795
Work History:
Kelly Services – Dallas, Texas July 2018 – Present
Benefits Verification Specialist
Collects and reviews all patient insurance information needed to complete the benefit verification process.
Verifies patient specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options according to Program specific SOPs.
Verification process could include electronic validation of pharmacy coverage and medical eligibility.
Identifies any restrictions and details on how to expedite patient access.
Could include documenting and initiating prior authorization process, claims appeals, etc.
Completes quality review of work as part of finalizing product.
Reports any reimbursement trends/delays to supervisor.
Performs related duties and special projects as assigned.
Ability to work in a fast-paced office environment.
Work requires focus, flexibility, and the ability to adapt to changing work situations.
This position requires that the Associate be seated most of the day.
Foundation Care – Saint Louis, MO March 2017 – May 2018
Pharmacy Operations Technician
Prepared medication orders for verification by pharmacist
Checked drug expiration dates and notified inventory pharmacy technician of stock levels
Helped with unit-dose repackaging and labeling of medications
Enter prescription orders into computer for filling.
Fill prescriptions according to quality standards, productivity guidelines and State Board of Pharmacy Regulations
Communicate with skilled nursing facilities to clarify orders.
Ensure that patient's allergies, therapies, and current medication are updated regularly in patient profile history
Send incomplete, unclear or rejected prescription to appropriate nursing facility for resolution
Update patient profile with all the necessary information from prescription.
Provide support for other pharmacy groups as needed
Foundation Care - Inpatient Pharmacy, Externship Projected Accomplishments (January 2017)
Prepared medication orders for verification by pharmacist; compounded and labeled parenteral medications in IV room; helped with unit-dose repackaging and labeling of medications; performed medication inventory management duties with Pyxis automated dispensing system; stocked pharmacy and completed deliveries to floor medication rooms; prepared medication crash carts for pharmacist verification; checked drug expiration dates and notified inventory pharmacy technician of stock levels; cleaned horizontal and vertical laminar flow hoods
Saint Charles Habilitation Center – Saint Louis, MO August 2016 -March 2017
DA1
Assist patients with feeding, bathing and clothing
Perform vital signs (height, weight, blood pressure)
Serve meals, make beds and keep rooms clean
Set up medical equipment
Assist with medical procedures
Observe changes in patient's condition or behavior