Experienced with managing comprehensive record-keeping systems. Utilizes detailed documentation and efficient filing techniques to ensure accessibility. Knowledge of maintaining data accuracy and confidentiality standards.
Overview
10
10
years of professional experience
Work History
LUPZ Records Specialist
Gila River Indian Community
06.2024 - Current
Scanned paper records to transfer to digital filing systems.
Safeguarded sensitive information from unauthorized access using encryption technologies and strict adherence to confidentiality policies.
Improved customer service response times by efficiently locating and providing requested documentation when needed.
Ensured accurate recordkeeping by regularly auditing and updating database information.
Maintained and updated records through dedicated digital database.
Maintained accuracy of records by verifying accuracy of data in records.
Pharmacy Technician
Gila River Health Care
05.2022 - 06.2024
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 Coordinator
Centene
06.2021 - 05.2022
Fielded telephone inquiries on authorization details from plan members and medical staff.
Reached out to insurance carriers to obtain prior authorization for testing and procedures.
Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
Processed patients lacking coverage for planned procedures.
Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
Prior Authorization Coordinator
MedImpact
07.2019 - 03.2020
Verified eligibility and compliance with authorization requirements for service providers.
Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
Tracked referral submission during facilitation of prior authorization issuance.
Triaged unscheduled and emergency authorizations, directing submissions to appropriate personnel for rapid response.
Pharmacy Technician
Gila River Healthcare
11.2014 - 06.2019
Receptively answered customer questions and helped locate desired items in pharmacy
Prepared medications such as emulsions, liquids, powders and ointments
Verified and labeled prescriptions with 8 point check
Received and accurately processed written prescriptions from customers using RxEVO computer system
Education
Bachelor of Science - Healthcare Service Management
DeVry University
Villa Park, IL
05.2025
Pharmacy Tech -
Allied Schools
2010
Skills
Motivated self-starter
Committed to quality assurance
Computer proficiency
Organization and Time management
Customer Service
MS Office
Critical thinking
Filing systems
Microsoft Excel
Data entry
Timeline
LUPZ Records Specialist
Gila River Indian Community
06.2024 - Current
Pharmacy Technician
Gila River Health Care
05.2022 - 06.2024
Prior Authorization Coordinator
Centene
06.2021 - 05.2022
Prior Authorization Coordinator
MedImpact
07.2019 - 03.2020
Pharmacy Technician
Gila River Healthcare
11.2014 - 06.2019
Bachelor of Science - Healthcare Service Management
DeVry University
Pharmacy Tech -
Allied Schools
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