Alka J. Kanjirathingal

832-***-**** (M) ● adbqev@r.postjobfree.com ● Tampa, FL

EDUCATION

University of Houston – Clear Lake Houston, TX

B.S. Healthcare Administration – Deans Scholar December 2018 INDUSTRY EXPERIENCE & EXPERTISE

● Project Management ● Regulatory Compliance ● Healthcare Analytics

● Managed Care ● Microsoft Office Suite ● Critical Thinking

● Health Insurance ● Root cause analysis ● Process Improvement EXPERIENCE

Physician Partners Tampa, FL

Patient Coordinator October 2019 – Present

● Develop custom-tailored care plans for individual clients

● Provide necessary coaching for patients to reduce or eliminate high-risk behaviors

● Contact patients to ensure medication adherence

● Coordinate with clients and other healthcare providers to provide a well-rounded experience Branch Communications, LLC (Contractor) Tampa, FL

Site Development Project Manager- Tampa/Orlando Market May 2019 – September 2019

● Overall project management: assignment of sites/projects to clients

● Prioritization of and ongoing monitoring of project progress

● Created schedules and set deadlines for the various stages of the sites/projects; monitored and followed up on these by communicating with clients on a weekly basis to ensure adequate progress

● Reviewed project/site requests to ensure they are actionable

● Communicated with T-Mobile and gathered information necessary to proceed with sites/project

● Acted as a liaison between my client(T-Mobile), and my customers (American Tower Corporation & SBA Communications) both orally and written to track and report site development progress to T-Mobile

● Coordinated and managed 78 projects, including planning and execution of projects WellCare Health Plans (contractor/temp) Tampa, FL

Provider Operations Coordinator April 2019- May 2019

● Worked directly with internal and external partners to collect all required information to ensure correct processing of contracts, amendments and update requests

● Processed facility and ancillary credentialing: to include all aspects of new applicant credentialing

● Audited configuration loads on new contracts

● Reviewed CAQH system and downloaded supplemental documents as requested Laser Spine Institute (LSI) Tampa, FL

FMLA-STD Specialist, Patient Support Representative, Preceptor February 2018 – March 2019

● Efficiently managed patient flow; including coordinating with clinical staff, answering patient questions and/or referring patient to other departments to deliver excellent patient care while following HIPAA

● Trained 6 new Patient Support Representatives (PSR) to successfully matriculate into position and served as a resource for their continued growth as a PSR in LSI

● Compiled and documented medical charts and reports for 50 to 60 patients a day in a detailed manner in NextGen to avoid risks associated with patient care

● Established and assisted in FMLA/STD claims, tracked and coded documentation in accordance with internal workflow processes and answered related questions from clinical and service colleagues

● Acquired several responsibilities due to consistency in high performance and proven ability to learn, execute and train Walmart Pharmacy Pearland, TX

Certified Pharmacy Technician April 2012 – January 2018

● Worked with pharmacists to help prepare and dispense prescription medications, including but not limited to mixing medicines, pill counts, med measurements and labelling

● Took over the phone and in-person prescriptions from healthcare professionals and customers

● Provided patient education and instructions on medications

● Liaison between customers, pharmacists, and health care professionals for consultations and recommendations

● Submitted prior authorization requests to insurers

● Developed comprehensive understanding of and followed applicable Federal and State laws (e.g., HIPAA), regulations, professional standards, and ethical principles; complying with Walmart policies and procedures to ensure patient safety, privacy and security

● Complex understanding of pharmacy benefits management, prescription drug programs for commercial, medicare, and medicaid insurers, and manufacturer/rebate programs

● Demonstrated compassion and care by proactively identifying and resolving potential problems to ensure customers have their medications when needed

● Collaborated with immediate and extended pharmacy teams, medical staff, insurance companies, and customers to resolve issues, ensure accuracy, and deliver timely resolution of any medication or insurance related concerns

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