ANITA GRAHAM
CHARLOTTE
Summary
Talented Prior Authorization Representative with years of experience implementing strategies to secure authorizations for clinical procedures. Expert delivering continuous clinical quality improvement. Expertise in processing authorizations and committed to fostering effective communication between healthcare providers and enhancing patient outcomes.
Overview
12
12
years of professional experience
Work History
Prior Authorization Technician
Aetna
Charlotte
04.2019 - Current
- Reviewed prior authorization requests for accuracy and completeness.
- Communicated with healthcare providers regarding authorization requirements and status.
- Processed incoming authorizations using Aetna's electronic systems effectively.
- Coordinated with physicians' offices to obtain additional clinical information when necessary.
- Assisted healthcare providers with appeals for denied authorizations, including gathering additional information and documentation.
Pharmacy Technician
Walmart
Hallandale
01.2014 - 01.2017
- Managed drug inventories, reducing waste and avoiding stock issues.
- Supported pharmacists by resolving prescription issues and boosting team productivity.
- Processed insurance claims, ensuring timely payments and claim resolutions.
Education
BACHELORS DEGREE - INFORMATION TECHNOLOGY
Broward College
08-2026
ASSOCIATE OF ARTS - Information Technology
Broward College
Fort Lauderdale, FL01-2021
Skills
- Time Management
- Customer Questions
- Effective communication
- Customer service
- Pharmacy operations
- Problem-solving
- Documentation skills
- Data Analysis
Accomplishments
- Processed 100-150 prior authorization requests daily while maintaining high accuracy.
- Communicated with providers, physicians, and pharmacists to ensure timely approvals.
Timeline
Prior Authorization Technician
Aetna
04.2019 - Current
Pharmacy Technician
Walmart
01.2014 - 01.2017
BACHELORS DEGREE - INFORMATION TECHNOLOGY
Broward College
ASSOCIATE OF ARTS - Information Technology
Broward College