Erin Elmore Thompson
Chicago,IL
Summary
Professional in healthcare administration with strong background in managing authorization processes. Adept at ensuring compliance, streamlining workflows, and mitigating risks. Consistent track record of fostering team collaboration and achieving results in dynamic environments. Skilled in navigating complex systems, prioritizing tasks, and maintaining high standards of accuracy and efficiency.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Prior Authorization Specialist
Insight Outpatient Hospital
08.2023 - Current
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Verified eligibility and compliance with authorization requirements for service providers.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
- Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
- Achieved high success rate in obtaining authorizations by effectively demonstrating medical necessity through comprehensive documentation and clear communication with insurance companies.
- Managed a high volume of incoming calls, maintaining professionalism while effectively addressing the needs of callers seeking assistance with prior authorizations.
- Contributed to a high level of customer service by quickly addressing questions or concerns from patients regarding their coverage or denials.
Pharmacy Operations Manager
Walgreens
09.2016 - Current
- Train incoming new technicians
- Resolve problems with customers
- Make schedules
- Have weekly meetings with my team
- Keep my team up to date on new information
- Order medications
- Resolve issues with insurances
Sales & Cashier Clerk
Express
11.2015 - 06.2016
- Assist customers with fashion choices
- Restocking departments
- Help promote company
Education
Undergraduate - Major Accounting
University of Illinois at Springfield
Springfield, IL01.2015
High School Diploma - IB
Amundsen High School
Chicago, IL06.2013
Skills
- Reliable
- Leadership
- Adaptability
- Analytical skills
- Self-determined
- Insurance verification
- Microsoft Office Proficiency
- Effective communication skills
- Time management
- Data entry
- Billing procedures
- Records maintenance
- Patient scheduling
Professional Development
- Walgreens, Chicago, IL, Pharmacy Operations Manager, 09/01/16, Present, Train incoming new technicians, Resolve problems with customers, Make schedules, Have weekly meetings with my team., Keep my team up to date on new information, Order medications, Resolve issues with insurances
- Express, Chicago, IL, Sales & Cashier Clerk, 11/01/15, 06/01/16, Assist customers with fashion choices, Restocking departments, Help promote company
Areas Of Experience
- Exceptionally reliable; proven ability to set and meet goals.
- Extremely sharp at quickly assessing needs and priorities.
- Highly skilled with effective leadership techniques.
- Quickly adaptable
- Strong analytical skills
- Responsible team player
- Self-determined
- Microsoft Office Proficiency
- Time Management
Certification
- Licensed Pharmacy Technician - State Boards of Pharmacy.
- Certified Pharmacy Technician (CPhT) - Pharmacy Technician Certification Board (PTCB).
Timeline
Prior Authorization Specialist
Insight Outpatient Hospital
08.2023 - Current
Pharmacy Operations Manager
Walgreens
09.2016 - Current
Sales & Cashier Clerk
Express
11.2015 - 06.2016
High School Diploma - IB
Amundsen High School
Undergraduate - Major Accounting
University of Illinois at Springfield
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