Open To Work
COURTNEY MORENO
Superior Health Plan
AUSTIN,TX
Work Preference
Job Search Status:
Open to work
Desired start date:
Immediately
Desired Job Title
Program Coordinator IIPharmacy Care Representative
Work Type
Full Time
Location Preference
RemoteOn-SiteHybrid
Location:
AUSTIN, TX, US
Open to relocation:
No
Important To Me
Career advancementWork-life balanceCompany CultureFlexible work hoursHealthcare benefits401k matchPaid sick leavePaid time offWork from home option
19
Years of experience
Diligent Program Coordinator with proven track record in managing and coordinating programs effectively. Successfully led multiple projects from inception to completion, ensuring alignment with organizational goals. Demonstrated expertise in team collaboration and problem-solving to drive results.
Work History
Program Coordinator II
11 Years 4 Months- Facilitate and coordinate upwards of 50 medical insurance prior authorizations daily, as received by physicians statewide.
- Ability to accurately perform data entry, analysis of data, and prepare concise and accurate reports.
- Responsible for the maintenance of highly important, time-sensitive, and extremely personal health records and diagnoses.
- Maintain current documentation of action taken on multiple platforms including MICROSOFT EDGE, POWERPOINT, TruCare, Amysis, Faxcom, Microsoft Excel, Microsoft Word, OUTLOOK, TEAMS and various others.
- Facilitated training sessions for staff to improve understanding of program objectives and processes.
- Developed and maintained strong relationships with community partners and stakeholders.
- Coordinated program logistics to enhance operational efficiency and service delivery.
- Facilitated regular meetings with team members to discuss progress updates, address challenges, and brainstorm solutions for ongoing success.
- Prepare correspondence for distribution to providers as well as patients regarding status and authorization determinations.
- Locate and document discrepancies in authorizations received from medical physicians and staff; resolving and following-up when necessary.
- Research and route escalations to supervisors when necessary.
- Plan, coordinate, and oversee special projects including monthly and quarterly team meetings (celebratory events, team-building functions, pot-lucks and holiday gatherings).
- Ensure timely and accurate compliance with state guidelines regarding health insurance and prior authorizations.
- Generate daily productivity report via excel for accountability and case tracking.
- Monitored performance metrics closely to evaluate areas requiring intervention or adjustment, making data-informed decisions that contributed positively towards overall results.
- Provided exceptional customer service, addressing inquiries and resolving issues promptly.
Pharmacy Care Representative
7 Years 11 Months- Receive and review medication inventory, ensure caps, vials, bags, and other inventories are stocked and secured.
- Serve patients retrieving medications by processing pharmacy transactions, filing medications, processing refill requests and referring to pharmacists for counseling as needed.
- Updating customers Personal Health Information (PHI), including allergies to medications, contact information, and verifying current health insurance coverage information is accurate.
- Ensuring privacy and confidentiality of PHI, as required by HIPAA.
- Verifying prescriptions are correct prior to sale and distribution (names, date of birth, address, etc.) and filing and maintaining prescription hard copies.
- Collaborated with healthcare providers to ensure optimal patient care.
- Educated customers on pharmacy services and health products.
- Led initiatives to enhance patient engagement and satisfaction through targeted communication strategies.
- Consistently met or exceeded company performance metrics related to productivity, accuracy, quality assurance evaluations.
- Answered telephones and provided information about order status, store hours and pharmacy procedures.
Education
High School Diploma - MEDICAL BILLING AND CODING
Billing And Coding Specialist - MEDICAL BILLING AND CODING
Skills
Program management
Office administration
Proactive mindset
Strategic planning
Program optimization
Process improvements
Project management
Report generation
Training coordination
Process improvement
Quality assurance
Adaptability
Continuous improvement
Goal setting
Professionalism
Interpersonal communication
Time management abilities
Task prioritization
Self motivation
Timeline
Program Coordinator II
Superior Health Plan
02.2015 - CurrentRead More
Pharmacy Care Representative
HEB
06.2007 - 05.2015Read More
Everest Institute
High School Diploma from MEDICAL BILLING AND CODING
Read More
Everest Institute
Billing And Coding Specialist from MEDICAL BILLING AND CODING
Read More