David Hoyte
Pharmacy Data Entry Specialist at Young at Heart Pharmacy- Claim this Profile
Click to upgrade to our gold package
for the full feature experience.
Topline Score
Bio
Credentials
-
From Excel to Tableau
LinkedInFeb, 2023- Oct, 2024 -
Certified Pharmacy Technician (CPhT)
Pharmacy Technician Certification Board (PTCB)Mar, 2019- Oct, 2024 -
Unfair, Deceptive or Abusive Acts or Practices (UDAAP) Certification
BankersEdgeAug, 2015- Oct, 2024
Experience
-
Young at Heart Pharmacy
-
United States
-
Health, Wellness & Fitness
-
1 - 100 Employee
-
Pharmacy Data Entry Specialist
-
Oct 2020 - Present
• Assist with triaging prescriptions based on delivery run leave times. Work as a liaison between billing department and pharmacy operations to prevent high dollar medications from leaving without acquiring proper authorization. • Input patient demographics and patient prescriptions accurately, ensuring that the drug name, quantity, physician, strength, sig is all correct. Ensure that new prescriptions and refills are completed before the appropriate cut-off times. Assist the pharmacist with obtaining clarification for confusing or unclear prescription orders by calling the nursing facility & doctor’s offices. • Assist providers, patients, and caregivers by phone. Run and complete daily reports, documenting patients who have no refills remaining & sending refill requests to the prescribing doctor. • Adhere to following all pharmacy SOP’s, in addition to applicable state & federal laws / regulations in regards to dispensing medications. Notify Data Entry management of areas of improvement, and work loosely with management to create process improvements. • Perform sterile compounding as needed for IV medications administered in a LTC setting, in accordance to USP <797>.
-
-
-
PharmScript LLC
-
United States
-
Pharmaceutical Manufacturing
-
700 & Above Employee
-
Revenue Specialist
-
Sep 2019 - Oct 2020
• Perform daily census audits for entire portfolio (1,700 beds) of both Long Term Care & Assisted Living facilities to track inflow of patients across four states (IN, TN, KY, and IL). Ran daily billing verification reports to ensure that transactions were being processed according to the correct payer and/or facility codes • Performed mid-month billing reviews for all high touch client homes, in addition to performing Accounts Receivable maintenance across all patients for my portfolio including performing Medicaid Pending lookups & rebills. Communicated with facility business office managers in regards to patients that either do not have insurance, or are still Medicaid pending for extended periods of time. • Regularly performed large scale Medicaid Pending rebills resulting in additional revenue for the pharmacy totaling around $1.2m dollars. • Assisted in training four new hires, created new training documentation & work instructions specifically geared for utilization within Framework operations system. • Provided stability and department/team reference through repeated leadership changes Offered constructive advice in regards to portfolio restructuring to ensure billing is completed in a more efficient, effective manner across the different billing cycles, resulting in billing turn-around time of two facilities completed per day during billing week(s). Temporarily filled in for duties that required senior level support.
-
-
-
PCA Pharmacy
-
United States
-
Pharmaceutical Manufacturing
-
1 - 100 Employee
-
Billing & Adjudication Specalist
-
Dec 2018 - Sep 2019
• Perform weekly audits for each of my 12 assigned long-term care facilities totaling up to 1,393 beds. Ensured that all prescription & non-prescription transactions matched the appropriate payer source. • Ran 8 reports through Matrixcare & QS1 on a daily/weekly basis to ensure that patient admission demographic information, discharges from the facility, and payer source updates were properly documented in pharmacy database system • Communicated with facility leadership team including Business Office Managers, Executive Directors to coordinate rebills & apply credits to the facility or patient where appropriate • Communicated with LTC staff & in-house clinical support in order to identify high cost medications, potential therapeutic alternatives, & navigate payer landscapes in regards to acquiring prior authorizations for therapeutically necessary medication for our residents • Documented errors during admission intake process for team review • Assisted team in delegating monthly tasks required for completion in regards to end of month billing processes.
-
-
-
Cordant Health Solutions
-
United States
-
Hospitals and Health Care
-
200 - 300 Employee
-
Pharmacy Call Center Specialist
-
Jan 2018 - Dec 2018
• Fielded hundreds of phone calls on a weekly basis regarding shipment of patient’s medications. Utilized strong communication skills in order to work with doctors’ offices, pharmacy staff, and payers to establish dispensing of medication in compliance with treatment plans established by the health providers. Advocated for patients to their doctors in the event of emergency situations where a patient would be out of medication • Successfully maintained low running average error rate, often below two percent on an average daily basis with most days having zero scheduling errors, resulting in minimized cost to the company in correction • Provided flexibility for the pharmacy team by obtaining training across 3/4ths of the roles within the pharmacy, allowing for easy transition into other roles as volume demanded • Assisted the pharmacist in charge by participating end of day cycle-counts to ensure accurate stock reporting. Also prepared and utilized reports from Cerner to identify trends and patterns for ordering stock to ensure proper volume was on hand to fulfill daily and weekly orders
-
-
-
Covance
-
United States
-
Research Services
-
700 & Above Employee
-
Insurance Benefits Coordinator
-
Oct 2016 - Jan 2018
• Conducted insurance benefits investigations on behalf of 100’s of patients weekly. Documented results within client’s proprietary Salesforce CRM, ensuring accuracy. Advocated for doctors’ offices to successfully obtain treatment for their patients, with 2 in every 3 patients obtaining coverage for medication • Maintained case ownership by providing point of contact support for both patients and medical providers resulting in a 65% increased satisfaction rate • Refined client processes and updates by providing support and suggestions for 20 unique process areas, with 15 suggestions being implemented • Recruited for an 11-man team out of 115 total agents to contribute to Data Quality. Consulted fellow agents and solicited feedback that was consolidated in weekly meetings, and submitted to Client Management for review, resulting in positive process changes
-
-
-
-
Contact Representative I
-
Jul 2016 - Oct 2016
Assisted 100’s of credit union members on a weekly basis in reference to their financial Accounts. Met metrics of opening 10 new accounts each week, particularly in regards to checking and savings accounts. • Proactively engaged with members through utilizing Salesforce CRM and offered members products and services based on their financial goals and needs. • Identified 3 minor security issues, provided solutions which were implemented within 2 weeks. Provided suggestions for 4 new products and services, which were taken the legal team for final consideration
-
-
-
Alpine Access
-
United States
-
Outsourcing and Offshoring Consulting
-
500 - 600 Employee
-
Voice of the Consumer (VoC) Coaching Member
-
May 2016 - Jul 2016
Assist team leaders by providing peer to peer coaching sessions with representatives. Topics that coaching includes but not limited to: How to provide excellent service for customers, and how to achieve high customer satisfaction ratings. Other topics also include lessons on empathy, active listening, and decisive decision making.
-
-
Customer Care Professional
-
Aug 2015 - Jul 2016
• Maintain up to date knowledge on Federal Regulatory laws and compliance measures for financial lending corporations. Respond to incoming calls from customers in regards to their credit card accounts. Ensure customer satisfaction through ‘customer centricity’, by rapidly assisting the customer with any inquires they have on their account, delivering expectations, and providing resolution services. Assist customers with managing accounts in the thousands of dollars, including but not limited to taking payments, assisting in online set up, handling interest or late fees, and advise about current or future deferred interest promotions.• Achieved TOPS Award for January 2016
-
-
-
-
Lead Media Technician
-
Dec 2012 - Feb 2015
Provided key technological management over the campus computers, utilized various forms of web-management including back-end WordPress, Podbean, and Joomia. Updated resource databases on a weekly basis. Maintained knowledge of how search engines operate in order to facilitate high viewer retention for media uploaded on the internet. Provided key technological management over the campus computers, utilized various forms of web-management including back-end WordPress, Podbean, and Joomia. Updated resource databases on a weekly basis. Maintained knowledge of how search engines operate in order to facilitate high viewer retention for media uploaded on the internet.
-
-
-
-
Media Director
-
Sep 2011 - Dec 2014
• Assisting in the creation of content and media for the companies YouTube channel, tracking analytics on a daily basis, providing detailed statistics on viewership’s in addition to subscribers. Provided interaction with the company’s viewer base in the form of replying to comments and feedback across Facebook, YouTube, Instagram and Twitter. •Was an integral member in obtaining partnership with YouTube in addition to creating the companies first video that broke 100,000 views. • Assisting in the creation of content and media for the companies YouTube channel, tracking analytics on a daily basis, providing detailed statistics on viewership’s in addition to subscribers. Provided interaction with the company’s viewer base in the form of replying to comments and feedback across Facebook, YouTube, Instagram and Twitter. •Was an integral member in obtaining partnership with YouTube in addition to creating the companies first video that broke 100,000 views.
-
-
Education
-
2010 - 2016
Long Beach City College
Associate’s Degree, Social Studies -
2005 - 2009
Keystone Academy
High School Diploma
Community
