Summary
Overview
Work History
Education
Skills
Timeline
Generic

Skyy Walker

JONESBORO

Summary

Results-driven Customer Service Professional with 12+years of experience in optimizing communication and customer satisfaction. Skilled in managing high call volumes and fostering strong customer relationships. Utilizes CRM system to enhance service processes and support efficiency, ensuring quality service delivery.

Overview

12
12
years of professional experience

Work History

Pharmaceutical Case Manager

Elevance Health
2023.03 - 2026.07

Manage the patient journey from initial prescription receipt through ongoing treatment support, ensuring timely and accurate services are provided.

Coordinated patient therapy initiation experience, addressing inquiries aligned with prescribing information (PI) to enhance patient understanding and engagement.

Educated patients on prescribing information (PI), monitored adherence, and resolved concern to ensure alignment with treatment plans.

Verified insurance coverage and prior authorization status, and resolved barriers to treatment.

Collaborated with cross-department teams to troubleshoot issues and share best practices, supporting a holistic, patient-cline approach to care.

Prior Authorization Specialist

Community Health Systems, CHS
2020.10 - 2023.04

Collaborated with medical staff to align patient appointments with clinical priorities, optimizing provider schedules form improved patient care.

Schedules patient appointments for consultations, test, procedures, and follow-ups, ensuring proper allocation of time and resources.

Manage patient cancellations and no-shows enabling timely rescheduling and maintaining clinc operations.

Communicated appointment confirmations, cancellations, and reschedules to patients, ensuring clarity and guidance of seamless scheduling.

Accurately enters patient information, appointment details, and updates into hospital's electronic medical records (EMR) or scheduling system.

Contact patients to complete scheduling producre(s) and or test(s) in Cerner's Scheduling.

Coordinated administrative tasks, including answering calls, managing patient referrals, and organizing patient files.

Receiver orders from the Order Facilitator and reviews to make sure the orders are valid.

Outside Sales Representative

Convergys Corporation
2014.06 - 2020.10

Deliver outstanding customer service through phone, email, and Athena messaging, ensuring that patients receive prompt, accurate, and helpful responses to their inquiries.

Collaborate with the pharmacy and medical team to quickly resolve order discrepancies, prescription issues, and other operational challenges.

Monitored pharmacy operations to ensure timely order fulfillment and proactively identified potential delays.

Suggested and implemented improvements for operational processes related to pharmacy order fulfillment and customer interactions.

Work closely with pharmacy partners to ensure accurate order processing and timely fulfillment of prescription and non-prescription products.

Maintained detail records of patient interactions and resolutions, providing regular updates to Director of Pharmacy E-Commerce on performance and areas of improvement.

Education

High School Diploma -

Osceola High School
Osceola

Skills

  • Problem-Solving
  • Case Management
  • Time Management
  • Case Documentation
  • Claim Processing
  • Data Entry
  • HIPAA Compliance
  • Microsoft Office Products
  • Appointment Scheduling
  • Quality Assurance
  • Insurance Verification
  • Prior Authorizations
  • Electronic Health Records
  • Inbound and Outbound Calls

Timeline

Pharmaceutical Case Manager

Elevance Health
2023.03 - 2026.07

Prior Authorization Specialist

Community Health Systems, CHS
2020.10 - 2023.04

Outside Sales Representative

Convergys Corporation
2014.06 - 2020.10

High School Diploma -

Osceola High School
Skyy Walker