Jakena BittleJB
Open to opportunities

Jakena Bittle

@jakenabittle

Healthcare professional skilled in utilization management and authorization processing.

United States
Message

What I'm looking for

I am looking for a role that fosters collaboration and allows me to utilize my skills in healthcare management while supporting patient care and improving operational efficiency.

I am a dedicated healthcare professional with extensive experience in utilization management and authorization processing. My expertise lies in maintaining clear communication between providers, members, and internal departments to ensure timely resolution of authorization requests while adhering to medical necessity guidelines. I have a comprehensive understanding of various healthcare systems, including Epic, MHK Portal, and Prime Therapeutics, which allows me to navigate complex processes efficiently.

Throughout my career, I have excelled as a Pharmacy Intake Specialist, where I effectively processed prior authorization requests and collaborated with cross-functional teams to resolve complex issues. My attention to detail and commitment to patient care have enabled me to contribute to utilization management programs that improve safety and reduce waste. I am passionate about ensuring appropriate care for members and continuously seek opportunities to enhance my skills and knowledge in the healthcare field.

Experience

Work history, roles, and key accomplishments

LG

Benefits Verification Specialist

Lash Group

Feb 2021 - Present (4 years 5 months)

Collected and reviewed patient insurance information to complete benefit verification processes, documenting coverage details, cost-sharing requirements, and provider network options. Conducted electronic validation of pharmacy and medical eligibility while triaging incomplete cases.

Education

Degrees, certifications, and relevant coursework

AP

Alison Online Learning Platform

Certificate, Clinical Research

Completed a certificate program in Clinical Research Essentials, gaining a comprehensive understanding of clinical trial processes, regulatory requirements, and research methodology. Developed knowledge of key stakeholder roles including Principal Investigators, Clinical Research Coordinators, sponsors, and regulatory bodies, along with an understanding of Good Clinical Practice (GCP) guidelines a

GS

Garinger High School

Diploma

Graduated with a high school diploma in June 2006.

Tech stack

Software and tools used professionally

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Jakena Bittle - Pharmacy Intake Specialist - Blue Cross NC | Himalayas