Jacinta Hinds
Orlando,FL
Summary
Experienced healthcare utilization management specialist with a proven ability to efficiently process 65+ daily authorization requests, verify benefits, maintain accurate records, ensure payer compliance, and update systems. Demonstrated expertise in managing referrals, leading to the timely approval of over 95% of services.
Overview
5
5
years of professional experience
Work History
Authorization Specialist I
Walmart Specialty Pharmacy
01.2023 - 10.2024
- Completed 200+ prior authorization requests weekly, ensuring compliance with payer timelines and decreasing processing errors by 30%.
- Updated 500+ patient records monthly, refined authorization accuracy and prevented claim denials.
- Enhanced workflow coordination, improving interdepartmental collaboration and cutting authorization delays by 25%.
- Guided 5+ new team members quarterly, reinforcing policy adherence and expedited authorization process.
Pharmacy Technician
Walgreen's Pharmacy
05.2019 - 11.2019
- Reviewed 50+ prior authorizations daily for medications and services, ensuring alignment with payer requirements.
- Organized and maintained authorization records for 1,200+ patients, ensured accurate documentation and compliance.
- Verified insurance benefits and coordinated with providers, increased service approval rates by 18%.
- Delivered real-time updates to clinical staff on 100+ authorization statuses daily, minimizing treatment disruptions.
Education
High School Diploma -
Maynard Evans High School
Skills
- Prior Authorization Processing
- Utilization Management
- Medical Documentation & Referral Tracking
- Payer Policy Compliance
- Medical Necessity Review
- Appeals & Denial Resolution
- Time-Sensitive Decision-Making
- Attention to Detail & Accuracy
- Medical terminology & Data entry proficiency
- Insurance verification & Claims management
Technical & Software Proficiency
- EHR/EMR Systems (Epic, Cerner, Meditech)
- Billing Software (Availity, NextGen, eClinicalWorks)
- ICD-10, CPT, HCPCS Coding
- Data Entry & Accuracy Management
- SQL & Excel (Pivot Tables, VLOOKUP)
WORK AVAILABILITY
Available to work 1:00 PM – 9:30 PM CST, Monday–Friday
Open to mandatory overtime as required
Timeline
Authorization Specialist I
Walmart Specialty Pharmacy
01.2023 - 10.2024
Pharmacy Technician
Walgreen's Pharmacy
05.2019 - 11.2019
High School Diploma -
Maynard Evans High School
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