DETRA BRIDGES SWAIN
FAYETTEVILLE
Summary
Dynamic Advanced Medical Support Assistant with extensive experience at Veterans Health Administration, excelling in patient communication and conflict resolution. Proven ability to enhance organizational growth through effective training and compliance with HIPAA regulations. Skilled in medical billing, ensuring accurate authorization processes while fostering a welcoming environment for patients and staff alike.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Advanced Medical Support Assistant
Veterans Health Administration
12.2023 - Current
- Maintained strict compliance with HIPAA regulations, ensuring the protection of sensitive patient information.
- Promoted effective communication among medical staff by serving as a reliable liaison between physicians, nurses, and administrative personnel.
- Managed high call volume, addressing patient inquiries and concerns with professionalism and empathy.
- Provided exceptional customer service to patients, visitors, and colleagues, fostering a welcoming environment at all times.
- Assisted in training new staff members on clinic policies, procedures, and software systems for seamless integration into the team.
- Determined nature and urgency of patient requests to refer patients to appropriate medical staff.
Prior Authorization Specialist
Aetna, a CVS Health
01.2023 - 09.2023
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Verified eligibility and compliance with authorization requirements for service providers.
- Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
Certified Pharmacy Technician
Audie L. Murphy Memorial VA Hospital
02.2022 - 09.2022
- Trained new pharmacy technicians on proper procedures and best practices, ensuring consistent quality of service.
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Stocked, labeled, and inventoried medication to keep accurate records.
- Completed paperwork, entering prescription and insurance or billing information into patient profiles.
- Increased customer satisfaction by delivering friendly, personalized service during transactions.
- Worked with computerized and automated systems for dispensing medications and editing new patient profiles.
Certified Pharmacy Technician
Womack Army Medical Center
09.2018 - 02.2022
- Trained new pharmacy technicians on proper procedures and best practices, ensuring consistent quality of service.
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Maintained proper drug storage procedures, registries, and records for controlled drugs.
- Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
- Increased customer satisfaction by delivering friendly, personalized service during transactions.
- Enhanced patient care by accurately filling and dispensing prescriptions in a timely manner.
Certified Pharmacy Technician
Walmart-Pharmacy
12.2007 - 08.2020
- Trained new pharmacy technicians on proper procedures and best practices, ensuring consistent quality of service.
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Stocked, labeled, and inventoried medication to keep accurate records.
- Completed paperwork, entering prescription and insurance or billing information into patient profiles.
- Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
- Increased customer satisfaction by delivering friendly, personalized service during transactions.
- Helped pharmacist clear problematic prescriptions and address customer questions to keep pharmacy efficient.
- Worked with computerized and automated systems for dispensing medications and editing new patient profiles.
Education
Diploma - Medical Office And Billing Specialist
Ultimate Medical Academy
Clearwater, FL09-2014
Certification - Pharmacy
Central Carolina Community College
Sanford, NC05-2005
Skills
- Conflict resolution techniques
- Patient communication
- Organizational growth
- Medical billing experience
Certification
- Certified Pharmacy Technician (PTCB)
- Medical Office and Billing Specialist
Languages
English
Native or Bilingual
Sign Language
Professional Working
Timeline
Advanced Medical Support Assistant
Veterans Health Administration
12.2023 - Current
Prior Authorization Specialist
Aetna, a CVS Health
01.2023 - 09.2023
Certified Pharmacy Technician
Audie L. Murphy Memorial VA Hospital
02.2022 - 09.2022
Certified Pharmacy Technician
Womack Army Medical Center
09.2018 - 02.2022
Certified Pharmacy Technician
Walmart-Pharmacy
12.2007 - 08.2020
Diploma - Medical Office And Billing Specialist
Ultimate Medical Academy
Certification - Pharmacy
Central Carolina Community College
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