Dydra C. Whitaker

**** ******** ****** ****** **********, NC 336-***-**** ad0fia@r.postjobfree.com

EDUCATION

National Board Certification,

Pharmacy Technician 2001-2015

Harcourt Direct,

Pharmacy Diploma Program 1998

Surry Community College,

Computer Courses 1994

PROFESSIONAL EXPERIENCE

Boston Medical Center

Revenue Cycle Operations Analyst

•. Post EFT payments in EPIC system for all major insurance companies for 5 specialty clinics within the Boston Health System.

•. Create spreadsheets for posting team to work from daily

•. Work queue analysis, identifying trends to present to IT team for a resolution

•. Process denials and correspondence accordingly and timely

•. Reconcile postings at end of day

Winston-Salem, NC

Wake Forest Baptist Medical Center (PRN). December 2019-2021

Patient Service Representative – Pharmacy Care Clinic

Responsible for making, changing, canceling and rescheduling appointments for patients in the Pharmacy Care Clinic.

Receive and report to providers lab results timely and accurately

Answer calls from patients, providers and outside lab facilities

Enroll patients into the Hope Program for diabetes, hypertension, hyperlipidemia and smoking cessation

Wake Forest Baptist Medical Center/nThrive Winston-Salem, NC

Government PAR-Denials Specialist December 2017-May 2018

Work denials from NC Medicaid in timely manner to ensure proper payment. I work from work queues that are set up based on denial code and dollar amount. I research denials for any coding, eligibility, non-covered or missing information issues to resolve the denial and re-bill for payment. Key claims in NC Tracks manually or submit claims through Epic electronically. Meet weekly goals of denials/accounts worked. Try to identify trends in denials in order to solve larger issues.

Wake Forest Baptist Medical Center/nThrive Winston-Salem, NC

Corporate Revenue Cycle Cash Posting AR, Cash Remittance Payment Specialist February 2015-October 2017

Posts insurance payments for MedCost, Anthem Health, United Mine Workers, and all government behavioral health programs

Post denials electronically and manually by remit or letter & correspondence, using denial/reason codes

Responsible for entering all payment postings onto daily tracking document for balancing and reconciliation

Determines and reconciles discrepancies of guarantor accounts

Corrects erroneous payments to ensure patient accounts and/or charges are updated accurately

Provides feedback on processes and improvements for our system with IT and management

Assigned by the department’s Director to assist with Cornerstone personnel transitions, training and backlogged volumes of work

Provided training of new employees as well as entire Cornerstone cash posting staff

Wake Forest Baptist Medical Center Winston-Salem, NC

Medication Reconciliation, Certified Pharmacy Technician II March 2012-January 2015

Interviews patients and/or family members at bedside in ED or in clinic settings to obtain critical clinical information such as home medications and allergies to ensure that the patient is prescribed appropriate medications to continue treatment and prevent adverse reactions

Trained in surgical services, preoperative assessment clinic, and the emergency department to obtain patients’ medication information

Communicated with patients compassionately

Created schedules for patients based on time of surgery and pre-operation

Identified patients eligible for discharge services at the North Tower pharmacy

Wake Forest Baptist Medical Center Winston-Salem, NC

Central Pharmacy, Certified Pharmacy Technician I March 2011-February 2012

Prepared and distributed medications to ensure patients were treated appropriately

Received field calls from nursing staff

Cross trained in Narcotics Pharmacy

Performed daily narcotic medication count and filled these medications in Acudose System

Created and prepared IVs, as per physician orders, to be delivered to nurses for patient care

TECHNICAL PROFICIENCIES

EPIC 2017

Excel, Word, Outlook

Medical terminology

General denial code, CPT code knowledge

Emdeon/Zelis/Claimlogic

Provider Portal/Provider Direct

Filezilla

EPIC CLASSES

Grand Cadence day 1 & 2

Onbase Ambulatory Scanning 100

RPB Insurance Follow Up 100/200

Insurance 100

Grand Central Financial Counseling

Grand Central Patient Access 101

SB Payment Poster 100

RPB Payment Poster 200

RX Med List 100

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