LaDonna Franklin

Reviewed prior authorization requests against clinical criteria and formulary requirements, communicated approval/denial decisions to providers and patients, and documented authorizations in EHR and payer portals to ensure timely coverage determinations.

Supported inpatient medication preparation and distribution, managed unit-dose packaging and inventory control, and operated Omnicell automated dispensing systems to maintain medication availability and accuracy.

Processed prescriptions using Connexus, assisted with insurance claims, prior authorizations and benefit verification, and ensured accurate dispensing and regulatory compliance in a high-volume retail setting.

Entered patient and prescription data into pharmacy systems, supported prescription filling and error reporting, and maintained compliance with pharmacy policies and procedures.

Verified insurance and obtained authorizations for behavioral health services, managed Medicaid billing and payment posting, and maintained patient charts and HIPAA-compliant scheduling.

Provided daily living support, documented clinical observations, and communicated resident status to healthcare professionals while maintaining accurate and confidential records.

Completed high school diploma at Ackerman High School in 2005.