Summary
Overview
Work History
Education
Skills
Timeline
Generic

Gillian Harris

Forney,TX

Summary

Experienced Office Manager with 16+ years in enhancing office operations and leading administrative teams. Skilled in workflow optimization, resource management, and compliance with HIPAA regulations. Proficient in Microsoft Office Suite and EMR, committed to team collaboration and achieving organizational goals.

Overview

17
17
years of professional experience

Work History

Prior Authorization Specialist (Contract)

CoverMyMeds
Dallas, TX
10.2024 - 03.2025
  • Reviewed insurance claims and collaborated with providers to ensure patient access to care.
  • Communicated with insurance companies to obtain approvals or denials for prior authorization requests
  • Reviewed and appealed denied claims, collaborating with healthcare providers to ensure patient access to care
  • Maintained strict compliance with HIPAA regulations and ensured secure handling of patient data
  • Provided education to healthcare providers on proper documentation for successful prior authorizations
  • Utilized medical terminology, CPT, ICD-10, and HCPCS codes during the review process

Administrative Coordinator | Bookkeeper | Fuel Clerk

Tom Thumb
Heath, TX
04.2024 - 10.2024
  • Managed office operations, improving communication and documentation handling.
  • Streamlined inventory tracking and record-keeping, reducing discrepancies and optimizing stock management
  • Coordinated with vendors and suppliers, maintaining strong business relationships
  • Trained and mentored junior staff in office administration

Pharmacy Service Representative (Specialty & Medicare Part D)

CVS Caremark
Dallas, TX
08.2021 - 04.2023
  • Managed prescription refills, patient inquiries, and insurance claims, ensuring accurate and timely medication delivery
  • Trained new pharmacy representatives, improving operational efficiency and compliance
  • Processed Medicare Part D prior authorizations, reducing patient costs and improving service quality
  • Maintained HIPAA compliance and safeguarded patient privacy
  • Provided customer service to pharmacy patients, including prescription refill assistance, customer inquiries, and problem resolution
  • Worked closely with pharmacy staff and physicians to ensure timely and accurate delivery of medications and services

Stay-at-Home Parent

Self-Employed
Forney, TX
12.2011 - 04.2023
  • Managed complex scheduling, budgeting, and logistics for a busy household
  • Developed and maintained a household budget, optimizing expenses and savings
  • Provided structured educational support and behavioral guidance to children, fostering a positive learning environment

Multi-Channel Sales Associate

Best Buy
Roseville, CA
08.2008 - 04.2012
  • Developed and executed multi-channel sales strategies, improving revenue and customer retention
  • Assisted in product launches, promotional activities, and inventory management
  • Handled high-volume customer interactions, processing over 400 calls in a 4-hour period to meet demand

Education

Diploma -

Woodcreek High School
Roseville, CA
01.2006

Some College (No Degree) -

Sierra College
Rocklin, CA

Skills

  • CPT and ICD-10 coding
  • Prior authorization
  • HIPAA compliance
  • Microsoft Office Suite
  • Team collaboration

Timeline

Prior Authorization Specialist (Contract)

CoverMyMeds
10.2024 - 03.2025

Administrative Coordinator | Bookkeeper | Fuel Clerk

Tom Thumb
04.2024 - 10.2024

Pharmacy Service Representative (Specialty & Medicare Part D)

CVS Caremark
08.2021 - 04.2023

Stay-at-Home Parent

Self-Employed
12.2011 - 04.2023

Multi-Channel Sales Associate

Best Buy
08.2008 - 04.2012

Diploma -

Woodcreek High School

Some College (No Degree) -

Sierra College

Similar Profiles

CREATE PROFILE
Gillian Harris