Kierra Edwards
@kierraedwards
Detail-oriented healthcare professional specializing in revenue cycle management.
What I'm looking for
I am a detail-oriented healthcare professional with extensive experience in Healthcare Revenue Cycle Management, Billing, Claims Management, Prior Authorization, and Insurance Verification. My proficiency in Electronic Medical Record (EMR) systems, particularly EPIC, has allowed me to optimize processes that maximize reimbursement and ensure compliance with healthcare regulations.
Throughout my career, I have demonstrated strong expertise in patient advocacy, insurance coordination, and medication access. I have successfully managed high volumes of complex patient cases, ensuring seamless care delivery and enhancing revenue cycle processes, leading to significant growth in revenue. My commitment to patient care and operational efficiency drives my passion for continuous improvement in the healthcare environment.
Experience
Work history, roles, and key accomplishments
Medication Access Specialist
BaylorScottWhiteHealth
Jul 2016 - Present (8 years 11 months)
As a Medication Access Specialist, I perform thorough research on patient demographics and medical histories, ensuring accurate prescription processing in EPIC. I coordinate emergency requests, secure prior authorizations, and manage prescription documentation for over 500 weekly encounters, enhancing operational efficiency and patient access to essential treatments.
Medication Access Specialist
Baylor Scott & White Health
Jul 2016 - Present (8 years 11 months)
As a Medication Access Specialist, I perform thorough research on patient demographics and medical histories, ensuring accurate prescription processing in EPIC. I coordinate emergency requests, secure prior authorizations, and manage prescription documentation for over 500 weekly encounters, improving operational efficiency and enhancing revenue cycle processes.
Reimbursement Case Specialist
CareMetx
Sep 2023 - Jan 2024 (4 months)
In my role as a Reimbursement Case Specialist, I reviewed and updated CPT and diagnosis codes, coordinated with insurance companies to resolve claim denials, and provided education to patients regarding their financial obligations, contributing to continuous organizational improvement.
Reimbursement Case Specialist
CareMetx
Sep 2023 - Jan 2024 (4 months)
In my role as a Reimbursement Case Specialist, I review and update CPT and diagnosis codes, participate in QAPI activities, and coordinate with insurance companies to resolve claim denials. I also provide education and support to patients regarding their financial obligations.
Pharmacy Technician II
Walmart
Sep 2018 - Oct 2021 (3 years 1 month)
As a Pharmacy Technician II, I handled insurance rejections, assisted patients with co-pays, and prepared medication orders. I processed 50-200 prescriptions daily while ensuring compliance with Medicare and Medicaid guidelines, contributing to improved patient access to medications.
Pharmacy Technician II
Walmart
Sep 2018 - Oct 2021 (3 years 1 month)
As a Pharmacy Technician II, I handled insurance rejections, assisted patients with understanding co-pays, and processed 50-200 prescriptions daily while ensuring compliance with Medicare and Medicaid guidelines, contributing to improved patient access to medications.
Pharmacy Technician
MarketStreet
Aug 2012 - Nov 2017 (5 years 3 months)
As a Pharmacy Technician at MarketStreet, I entered prescription data into pharmacy management software, resolved insurance claim issues, and managed inventory for over 800 medications. I ensured compliance with regulatory standards and timely restocking of medications.
Pharmacy Technician
CVS
May 2016 - Sep 2017 (1 year 4 months)
In my role as a Pharmacy Technician at CVS, I handled pharmacy communications, promoted medication adherence, and ensured proper disposal of hazardous waste. I served as a liaison between pharmacy, patients, and healthcare professionals, facilitating clear communication.
Pharmacy Technician
CVS
Jun 2016 - Sep 2017 (1 year 3 months)
In my role as a Pharmacy Technician at CVS, I handled pharmacy communications, promoted medication adherence through patient outreach, and ensured compliance with pharmaceutical waste management regulations, serving as a liaison between patients and healthcare professionals.
Pharmacy Technician
Market Street
Aug 2012 - Nov 2017 (5 years 3 months)
As a Pharmacy Technician at Market Street, I entered prescription data into pharmacy management software, resolved insurance claim issues, and managed inventory for over 800 medications, ensuring compliance with regulatory standards.
Education
Degrees, certifications, and relevant coursework
Western Governors University
Bachelor of Science, Healthcare Administration
2023 - 2027
Pursuing a Bachelor of Science in Healthcare Administration, focusing on the principles of healthcare management, policy, and administration to prepare for leadership roles in the healthcare sector.
Collin County Community College
Associate in General Studies, General Studies
2014 - 2016
Completed an Associate in General Studies, providing a broad foundation in various academic disciplines and preparing for further studies in healthcare.
Hebron High School
Diploma, High School Education
2008 - 2012
Graduated with a high school diploma, completing foundational education and preparing for higher education and career opportunities.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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