Kierra EdwardsKE
Open to opportunities

Kierra Edwards

@kierraedwards

Detail-oriented healthcare professional specializing in revenue cycle management.

Zimbabwe

What I'm looking for

I am looking for a challenging role in a dynamic healthcare environment that values patient care and operational efficiency.

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

BA
Current

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.

BH
Current

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.

CA

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.

CA

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.

WA

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.

CV

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.

MS

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 logoWU

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 logoCC

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.

HS

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

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Kierra Edwards - Medication Access Specialist - BaylorScottWhiteHealth | Himalayas