Jakena Bittle
@jakenabittle
Healthcare professional skilled in utilization management and authorization processing.
What I'm looking for
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
Pharmacy Intake Specialist
Blue Cross NC
Oct 2022 - Present (2 years 9 months)
Skilled Prior Authorization Specialist who efficiently processes requests while investigating medical codes for infusion treatments. Cross-trained in pharmacy utilization management, handling provider education, and conducting follow-up communication.
Healthcare Professional
Cardinal Innovations Healthcare
May 2021 - Present (4 years 2 months)
Detail-oriented healthcare professional with comprehensive experience managing the full credentialing lifecycle for licensed providers and ensuring regulatory compliance across provider networks and facilities.
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.
Customer Service
NCQuickPass
Jul 2018 - Present (7 years)
Handled inbound calls and in-person inquiries following established procedures and scripts. Processed toll transactions, video bills, and credit card payments while managing account updates and new account setup.
Certified Pharmacy Technician
Novant Health (Presbyterian Hospital)
Jan 2016 - Present (9 years 6 months)
Skilled Pharmacy Technician with experience in retail and hospital settings. Processes prescriptions, manages medication inventory, and provides patient support while maintaining HIPAA compliance.
Certified Pharmacy Technician
Caromont Health
Jan 2015 - Present (10 years 6 months)
Skilled Pharmacy Technician with experience in retail and hospital settings. Processes prescriptions, manages medication inventory, and provides patient support while maintaining HIPAA compliance.
Certified Pharmacy Technician
Walmart
Jan 2011 - Present (14 years 6 months)
Skilled Pharmacy Technician with experience in retail and hospital settings. Processes prescriptions, manages medication inventory, and provides patient support while maintaining HIPAA compliance.
Education
Degrees, certifications, and relevant coursework
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
Garinger High School
Diploma
Graduated with a high school diploma in June 2006.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
Interested in hiring Jakena?
You can contact Jakena and 90k+ other talented remote workers on Himalayas.
Message JakenaFind your dream job
Sign up now and join over 100,000 remote workers who receive personalized job alerts, curated job matches, and more for free!
