Andrew Smith
Aurora
Summary
To utilize the skills that I have gained in my time helping patient to a bigger stage and share that knowledge with a team for a bigger goal
Overview
21
21
years of professional experience
1
1
Certification
Work History
Pharmacy Liaison Transplant
Shields Health Solutions
09.2023 - Current
- Work with care providers, nurses, doctors and pharmacy in a variety of ways. First by helping with insurance coverage for immune suppressants to CMV preventative meds to work through insurance and see patients in clinic to answer questions thereof. Help provide coverage for patient transplant medications with hospital staff to ultimately provide top notch care. Share experiences and knowledge across the company to help with coordination with insurance and prior authorization to ensure Medicare works for coverage. I have worked extensively with Tableau and pulling data from various programs to help improve workflow.
- Community of Practice Lead for transplant. I meet and discuss needs if appropriate. I coordinate and present presentations for training and new topics to help fellow Shields employees in the environment.
CVS Specialty Pharmacy-Auto Immune Prior Authorization
04.2019 - 09.2023
- Work with and coordinate with medical offices to initiate appeals on behalf. Coordinate in receiving clinical notes and lab results for denials to initiate appeals and exhaust all options until approved.
United States Navy
02.2004 - 12.2010
- Company Overview: (USS Harry S. Truman) Maintenance/Repair and Supply
- Sole responsibility of management of $1 million dollars with 100% validity. Received and dispersed out inventory for shipments. Ordered inventory to keep excellent PAR levels for customers.
- Repaired and coordinated repairs of equipment in multiple work centers to keep everyday operations running smoothly. Included ordering stock based on the needs of the inventory. Also ran weekly maintenance checks to ensure the equipment was in working order.
Education
Pima Medical Institute
02.2020
Skills
- Conduct Inventory Checks
- Customer service skills for over 20 years
- Manage Inventories and proper rotation of stock
- Team Player
- Training, Presentations and collecting data
- HIPAA training and Inputting patient medical records
- Compounding medications and fulling prescriptions
- Prior Authorization submission and appeals
- Medicare knowledge
Certification
- Certified Pharmacy Technician (CPhT)
- Sterile Products Certified
- Certified BLS Provider
- HIPAA training
- OSHA training
- LinkedIn leadership courses
- BLS Shields leadership training
- Shields Professional Development
- Shields Project Management Series
- Microsoft 365 One Drive Training
- PowerPoint Presentation skills
Timeline
Pharmacy Liaison Transplant
Shields Health Solutions
09.2023 - Current
CVS Specialty Pharmacy-Auto Immune Prior Authorization
04.2019 - 09.2023
United States Navy
02.2004 - 12.2010
Pima Medical Institute
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