Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Brandy Stansberry

Bruceville-Eddy,TX

Summary

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet goals.

Overview

12
12
years of professional experience
1
1
Certification

Work History

Sr. Prior Authorization Technician

United Healthcare, UHG
05.2023 - Current
  • Verified eligibility and compliance with authorization requirements for service providers.
  • Fielded telephone inquiries on authorization details from plan members and medical staff.
  • Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
  • Tracked referral submission during facilitation of prior authorization issuance.
  • Responded to inquiries from healthcare providers regarding prior authorization requests.
  • Input all patient data regarding claims and prior authorizations into system accurately.
  • Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
  • Analyzed medical records and other documents to determine approval of requests for authorization.

Sr Prior Authorization Technician

Addeco Staffing
09.2021 - 05.2023
  • Verified eligibility and compliance with authorization requirements for service providers.
  • Fielded telephone inquiries on authorization details from plan members and medical staff.
  • Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
  • Tracked referral submission during facilitation of prior authorization issuance.
  • Responded to inquiries from healthcare providers regarding prior authorization requests.
  • Input all patient data regarding claims and prior authorizations into system accurately.
  • Analyzed medical records and other documents to determine approval of requests for authorization.

Pharmacy Technician

Brookshire Brothers Pharmacy
09.2011 - 08.2021
  • 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.
  • Performed various pharmacy operational activities with strong commitment to accuracy, efficiency, and service quality.
  • Coordinated with physicians and insurance agency representatives for speedy resolution of prescription discrepancies.
  • Monitored ordering of pharmacy medication stock to maintain streamlined inventory and low overhead.
  • Assisted pharmacist by filling prescriptions for customers and responding to patient questions regarding prescription and medication-specific issues.
  • Entered and processed patients' prescriptions into internal system.
  • Coordinated verification and filling of more than 350 daily prescriptions in high-volume retail pharmacy environment.

Education

Bachelor of Arts - Psychology

Southern New Hampshire University
Hooksett, NH
12.2022

Skills

  • Aseptic Techniques
  • Patient Scheduling
  • Pharmacology
  • Insurance Verification
  • Problem-Solving Skills
  • Authorizations
  • Effective Communication Skills
  • Workflow Optimization

Certification

  • Texas State Board of Pharmacy- Pharmacy Technician Certification
  • Pharmacy Technician Certification Board- Registered Pharmacy Technician

Timeline

Sr. Prior Authorization Technician

United Healthcare, UHG
05.2023 - Current

Sr Prior Authorization Technician

Addeco Staffing
09.2021 - 05.2023

Pharmacy Technician

Brookshire Brothers Pharmacy
09.2011 - 08.2021

Bachelor of Arts - Psychology

Southern New Hampshire University

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Brandy Stansberry