Aaron Moses
Bethel
Summary
Dependable Prior Authorization Specialist with a career spent handling various administrative responsibilities in fast-paced settings. Bilingual individual dedicated to finding solutions to issues and obtaining prior authorization information for patients. Ready to tackle new challenges in an office-based environment.
Overview
12
12
years of professional experience
Work History
Medicaid Prior Authorization Specialist 1
YKHC
10.2024 - 03.2025
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Verified eligibility and compliance with authorization requirements for service providers.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
- Input all patient data regarding claims and prior authorizations into system accurately.
Pharmacy Inventory Analyst
YKHC
10.2023 - 10.2024
- Ensured timely replenishment of stock, closely monitoring lead times and coordinating with suppliers for on-time deliveries.
- Collaborated with cross-functional teams to ensure seamless coordination of inventory movement across departments.
- Assisted in reducing excess inventory by identifying slow-moving items and implementing targeted sales strategies.
- Improved inventory accuracy by conducting regular audits and implementing effective tracking systems.
- Supported the implementation of new systems and processes that led to improvements in overall inventory management performance.
- Reduced stock discrepancies with thorough investigation of variances and prompt resolution of issues.
- Ensured accurate documentation of all inventory transactions using specialized software solutions designed for efficient data entry.
- Rejected damaged items, recorded shortages and corresponded with shippers to rectify issues.
- Sorted and delivered materials to different work areas and staff.
- Compared shipping orders and invoices against contents received to verify accuracy.
- Packed, secured, labeled and applied postage to materials to prepare items for shipment.
Pharmacy Technician
YKHC
01.2023 - 10.2023
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
- Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
- Stocked, labeled, and inventoried medication to keep accurate records.
Prior Authorization Specialist 2
Yukon Kuskokwim Health
06.2017 - 03.2022
- Performed detailed medical reviews of prior authorization request, following established criteria and protocols.
- Notified ordering providers of denied authorizations.
- Coordinated resolutions for issues and appealed denied authorizations.
- Used [Software] to input claim, prior authorization and other important medical data into system.
- Clarified patient inquiries and questions to update patient account information in computer system.
- Collaborated with internal departments to provide account status updates.
- Tracked referral submission during facilitation of prior authorization issuance.
- Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
- Input all patient data regarding claims and prior authorizations into system accurately.
- Verified eligibility and compliance with authorization requirements for service providers.
- Inputted all gathered information and researched data on applicants into computer system using Software.
- Developed extensive fact-checking and research skills as result of continuously reviewing different programs and options.
Pharmacy Technician
Yukon Kuskokwim Health
10.2014 - 06.2017
- Teamed with peers, technicians and pharmacists to prioritize and complete orders.
- Assisted pharmacist with clearing high volume of prescriptions and responded to customer questions.
- Interpreted and processed medication orders under supervision of pharmacist.
- Inspected medication storage locations to monitor drug expiration dates and supply adequate inventory.
- Received and verified daily incoming drug inventories, reported discrepancies and logged items into inventory system.
- Refilled medications, offered insight into over-the-counter products and verified insurance benefits.
- Maintained strict patient confidentiality to adhere to HIPAA regulations and avoid data compromises.
- Maintained clean and organized pharmacy shelving and work areas.
- Verified patients' identities at pickup to prevent sale of wrong medications.
- Managed inventories, rotated stock, removed expired or damaged drug products and resolved discrepancies in drug counts.
- Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
- Efficiently processed cash register transactions for new and refilled prescription orders.
- Completed and filed patient paperwork, updating records in system with insurance carrier changes and allergy information.
- Prepared prescription labels, promoting accuracy in medication administration and dosing.
- Consulted with customers via telephone or in-person to assist with navigating pharmacy systems and completing requests.
- Received, reviewed, dispensed and labeled over [Number] prescriptions daily.
- Closely inspected medications to determine accuracy of identities, strengths and purities.
- Entered patient and medication information into [Software] to generate prescription labels.
- Verified and filled medications for up to [Number] patients per day, maintaining [Number]% accuracy.
Psychiatric Technician
YKHC
02.2013 - 05.2013
- Charted on each patient daily.
- Treated clients and families with respect and dignity.
- Counseled and mentored clients on substance use and life choices.
- Took and monitored vital signs, administered medications, and managed patient behavior.
Education
High School Diploma -
Mt. Edgecumbe High School
Sitka, AK05.2011
Skills
- Issue research
- Insurance information oversight
- Knowledgeable in [Software]
- Precertification requirements
- Recordkeeping and data input
- Program understanding and advisement
- Telephone etiquette
- People skills
- Organizational skills
- Active listening
- Problem resolution
- Customer service
Timeline
Medicaid Prior Authorization Specialist 1
YKHC
10.2024 - 03.2025
Pharmacy Inventory Analyst
YKHC
10.2023 - 10.2024
Pharmacy Technician
YKHC
01.2023 - 10.2023
Prior Authorization Specialist 2
Yukon Kuskokwim Health
06.2017 - 03.2022
Pharmacy Technician
Yukon Kuskokwim Health
10.2014 - 06.2017
Psychiatric Technician
YKHC
02.2013 - 05.2013
High School Diploma -
Mt. Edgecumbe High School
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