Joselyn Anderson

Work History

United Healthcare

09.2024 - 12.2024

Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
Reached out to insurance carriers to obtain prior authorization for testing and procedures.
Input all patient data regarding claims and prior authorizations into system accurately.
Verified eligibility and compliance with authorization requirements for service providers.
Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
Analyzed medical records and other documents to determine approval of requests for authorization.
Responded to inquiries from healthcare providers regarding prior authorization requests.
Developed and maintained productive working relationships with healthcare providers.
Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
Assisted clients with completion of applications and paperwork.
Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.

01.2019 - 01.2024

Was on Medical Leave during this time due to major/complex surgery
Took years of time to make a full recovery, and now ready to rejoin the workforce
Extensive previous Pharmacy Technician work within Retail environment
Active Pharmacy Technician license in State of Louisiana
Previous Prior Authorizations experience

Rite Aid

01.2011 - 12.2018

Provided Excellent customer service
Prior authorization calls
Pill counting and prescription filling
Stocked, labeled, and inventoried medication to keep accurate records.
Ordered medicines daily to replenish stock and increase inventory in anticipation of need.
Counted and labeled prescriptions with correct item and quantity.
Collected co-payments or full payments from customers.
Communicated with patients to collect information about prescriptions and medical conditions or arrange consultations with pharmacists.
Entered and processed patients' prescriptions into internal system.
Maintained proper drug storage procedures, registries, and records for controlled drugs.
Answered incoming phone calls and addressed questions from customers and healthcare providers.
Welcomed customers to pharmacy and answered questions relating to prescriptions and over-the-counter products.
Helped pharmacist clear problematic prescriptions and address customer questions to keep pharmacy efficient.
Provided consultations and answered inquiries from patients, healthcare professionals and physicians regarding drugs, potential side effects, and specified use.
Coordinated verification and filling of more than Number daily prescriptions in high-volume Type pharmacy environment.
Prepared packaging and labels for prescriptions, verifying accuracy of dosage, side effects, interactions, and refill instructions.