Emanuel Bimbela
Fontana,CA
Summary
Amiable Prior Authorization Representative with 11 years of connecting patients and healthcare providers to vital resources. Dedicated to executing on prescribed medical funding guidelines and policies. Maintains compassionate and sympathetic relations with consumers. Adept at balancing business interests with human-centric service models. Successfully oversing staff, budgeting, supply management and patient services. Develop and lead productive and efficient office staff. Contribute to high-volume medical practices by providing exceptional customer service.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Prior Authorization Coordinator
Owl Specialty Pharmacy
04.2021 - Current
- Improved patient satisfaction by efficiently managing prior authorization requests and ensuring timely approvals.
- Expedited the approval process for vital medications by maintaining a strong working relationship with insurance providers.
- Reduced errors in documentation by meticulously reviewing medical records and verifying patient information.
- Increased team efficiency by providing comprehensive training on prior authorization procedures for new hires.
- Mitigated risk of denied claims by conducting thorough research on individual policy guidelines before submitting requests.
- Enhanced departmental workflows by identifying opportunities for improvement and implementing best practices to optimize efficiency.
- Demonstrated exceptional problem-solving skills, addressing challenges related to patient care coordination and insurance requirements with a solutions-oriented mindset.
- Enhanced workflow management within the department, implementing strategies to prioritize urgent cases and manage workload effectively.
Lead Pharmacy Technician
Grand Specialty Pharmacy
10.2013 - 04.2021
- Reduced medication errors by implementing a meticulous double-check system for all prescriptions filled.
- Promoted teamwork among pharmacy staff, fostering a collaborative environment for improved productivity.
- Optimized inventory management, regularly reviewing stock levels and placing timely orders to prevent shortages or overstocking issues.
- Supervised junior technicians, providing guidance on best practices in pharmaceutical processes and procedures.
- Implemented new technologies within the pharmacy workflow, increasing overall efficiency and accuracy in daily tasks.
- Facilitated staff training sessions to ensure consistent adherence to industry standards and regulatory requirements.
- Provided excellent customer service at the point-of-sale counter, efficiently managing transactions while addressing patient inquiries.
- Supervised 10 pharmacy technicians and coordinated day-to-day assignments.
- Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
- Stocked, labeled, and inventoried medication to keep accurate records.
Sales Associate /Stock Controller
Sears Holdings Company: Kmart
11.2011 - 06.2014
- Increased sales revenue by building strong rapport with customers and recommending appropriate products based on their needs.
- Boosted customer satisfaction levels through exceptional service, addressing concerns promptly, and providing a welcoming store environment.
- Collaborated with team members to improve overall store performance, sharing best practices, and offering support as needed.
- Maintained accurate inventory records to ensure adequate stock levels, minimizing out-of-stock situations that could impact customer satisfaction.
- Assisted in training new staff members on company policies, product information, and sales techniques for a seamless onboarding experience.
- Contributed to visual merchandising efforts by creating eye-catching displays that showcased products effectively and enticed shoppers to make purchases.
- Handled cash transactions efficiently while adhering to company cash handling policies, ensuring accuracy in all financial exchanges.
- Utilized cross-selling techniques to introduce customers to complementary products, increasing average transaction size.
- Managed conflict resolution with dissatisfied customers professionally, resulting in improved customer retention rates.
- Enhanced team productivity by fostering a positive work environment and providing support to colleagues as needed.
Education
Associate of Science - Biology
Pasadena City College
Pasadena, CA06.2026
Pharmacy Technician -
American Career College
Los Angeles, CA12.2013
High School Diploma -
Marco Antonio Firebaugh High School
Lynwood, CA06.2010
Skills
- Documentation Expertise
- Data Entry Proficiency
- Medical Terminology Knowledge
- Pharmacology
- Authorizations
- Multitasking capabilities
- Conflict resolution
- Referral Verification
- Data Management
- Insurance Authorizations
Languages
Spanish
Native or Bilingual
Certification
Pharmacy Technitian
Timeline
Prior Authorization Coordinator
Owl Specialty Pharmacy
04.2021 - Current
Lead Pharmacy Technician
Grand Specialty Pharmacy
10.2013 - 04.2021
Sales Associate /Stock Controller
Sears Holdings Company: Kmart
11.2011 - 06.2014
Associate of Science - Biology
Pasadena City College
Pharmacy Technician -
American Career College
High School Diploma -
Marco Antonio Firebaugh High School
Pharmacy Technitian
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