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Customer Service Prior Authorization

Location:
Fort Worth, TX
Posted:
July 25, 2023

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Resume:

Gina Barksdale RPh

**** **** ****** ********, ***** 75114 • adyigd@r.postjobfree.com 817-***-****

Objective: Quality Assurance, Project Management, Compliance,

Customer Service, SUBSITUTE TEACHER,MTM EXPERIENCE, Compounder, IV Certification, Real Estate Agent ( Licensed)

Client Centered • Detail Driven • Leader • Mentor • Highly Effective

Profile

More than 15 years of progressively responsible leadership experience.

Extensive experience ensuring operations with high level of quality assurance and consistent adherence to strict safety, compliance, organizational, state, and federal guidelines and regulations.

Excellent communicator with demonstrated ability to collaborate with staff, management, business partners, and others at all organizational levels.

Outstanding blend of organization, prioritization, leadership, and interpersonal skills.

Mentor and lead teams by example and with integrity to deliver service excellence.

Consistent success is rooted within the concept of quality, continuous improvement and effective process enhancements.

Professional Experience

Pharmacy Manager/Director, Wellbridge Hospital (2017 – current)- Fulltime

Oversee daily management of pharmacy operations, inventory management, safety, and compliance with dedication to superior level of customer service.

Optimize business operations and staff performance through accurate verification of orders and efficient communication with pharmacy staff and team members.

Provide hands-on support and management of complex medication conversions, medication management and dosing decisions, interpretations, and explanations to staff and customers.

Strategically manage inventory levels to optimize business performance and reduce on-hand quantity excess.

Substitution Teacher, Swing Texas, DFW Area (2019 school -ended)

. Teaching with a sense of purpose and the belief that every child, if given the proper learning environment, has a unique and powerful gift to share with the world. I help work lesson plans that the teacher leaves for the students. I help students to learn, review and to excel in their lesson plan and enhance the learning environment in the classroom.

Pharmacist prn, Wellbridge Hospital, Fort Worth and Plano, Texas (Pharmacare Services) (2018-current changed roles)

Oversee daily management of pharmacy operations, inventory management, safety, and compliance with dedication to superior level of customer service.

Optimize business operations and staff performance through accurate verification of orders and efficient communication with pharmacy staff and team members.

Provide hands-on support and management of complex medication conversions, medication management and dosing decisions, interpretations, and explanations to staff and customers.

Strategically manage inventory levels to optimize business performance and reduce on-hand quantity excess.

Prior Authorization Pharmacist, Pharmaceutical Strategies/CVS Health, Richardson, Tx (2015- 2016)- Contract Ended. Lasted a few months.

Leveraged critical thinking skills and clinical expertise to review, analyze, and approve cases with high cost drugs.

Achieved and maintained in-depth knowledge and understanding of clinical medical practices through extensive coordination with physicians, doctors, and insurance agencies to attain drug approval for patients.

Commercial Prior Authorization

Prior Authorization Pharmacist, Expert Global Solutions / United Health Care, Plano, TX (2015 – 2016)

Leveraged critical thinking skills and clinical expertise to review, analyze, and approve cases with high cost drugs.

Achieved and maintained in-depth knowledge and understanding of clinical medical practices through extensive coordination with physicians, doctors, and insurance agencies to attain drug approval for patients.

Medicare Prior Authorization.

Pharmacy Manager, Recept Healthcare, Fort Worth, TX (2014 – 2015)

Staff Pharmacist, Express Scripts, Fort Worth, TX (2011 – 2014)

Leveraged critical thinking skills and clinical expertise to review, analyze, and approve cases with high cost drugs.

Achieved and maintained in-depth knowledge and understanding of clinical medical practices through extensive coordination with physicians, doctors, and insurance agencies to attain drug approval for patients.

Commercial Prior Authorization

Customer Service Staff Pharmacist, Caremark, Scottsdale, AZ (2009 – 2010)

Responsible for overseeing the optimal, safe and cost-effective medication therapy management using evidenced-based medicine to improve overall patient care in all patients.

Pharmacy Manager & Staff Pharmacist, Walgreens Pharmacies, Memphis, TN and Mesa, AZ (2003 – 2009)

Oversaw daily operations of pharmacy, including staff workflow of both technicians and pharmacists. Counseled patients and verified over 250 prescriptions on a daily basis.

Cultivated, managed, and maintained relationships with customers and local healthcare provider offices to drive customer loyalty and service excellence.

Managed and maintained pharmacy records according to company, state, and federal guidelines and standards.

Additional Career Experience: HealthSouth City View Rehabilitation Hospital March 2016 – June2018 Staff Pool Pharmacist, Pharmacist, John Peter Smith Hospital for 1 year; Atrium Acute Care Hospital; RX Mentor Pharmacist, Humana; Lead Pharmacist, Accredo Novo Factor, Memphis, TN

QUALIFICATIONS: Pharmacist Texas Board Certified, IV Certification, Immunization Certification, Pharmacist

Preceptor, BSL Certification.

Education

BS in Pharmacy, Texas Southern University, Houston, TX

Additional Information

Activities & Affiliations

Board Member, Young Professional S.T.E.M

Board Member, R.E.P.L.A.Y ( Teaching integrity into young people and spiritual growth)

Board Member / Secretary, J.S. Winston Sound Doctrine Foundation

Speaker, ladies day program and public school events



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