Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Kadeedra Robinson

West Columbia,SC

Summary

Detail-oriented professional with strong analytical abilities seeking a Prior Authorization Specialist role. Extensive experience in healthcare operations and customer service, dedicated to driving team success and achieving organizational goals. Meticulous approach to work, ensuring accuracy and efficiency in all tasks. Expertise in navigating complex healthcare systems and effectively communicating with patients and providers, excelling in managing prior authorizations.

Overview

11
11
years of professional experience
1
1
Certification

Work History

Eligibility Specialist (Temp Contract Ending 09/30/2024)

TekSystems
11.2023 - Current
  • Analyzes case information to determine eligibility accuracy
  • Provides information and guidance for corrective action to eligibility workers
  • Gathers and analyzes additional information for eligibility decisions
  • Keeps up-to-date on SCDHHS policies and Medicaid eligibility procedures.

Healthcare Recruiter Coordinator

Prolink Staffing
02.2022 - 05.2024
  • Conducted weekly touch base calls with 50+ talents
  • Verified employment and proactively matched talent with job opportunities
  • Assisted with payroll, compliance, onboarding, and sourcing
  • Updated external talent profiles in ATS Bullhorn
  • Partnered with recruiters and sales team members to meet client deadlines.

Operations Specialist

Scanstat LLC
04.2022 - 07.2023
  • Operated various EMR systems: NextGen, Athena, Wellmed, CPR+
  • Tracked referral submission during facilitation of prior authorization issuance.
  • Managed documentation requests
  • Responded to inquiries from healthcare providers regarding prior authorization requests.
  • Trained department staff and conducted internal audits.
  • Verified eligibility and compliance with authorization requirements for service providers.

Intake Specialist

Cohere Health
08.2021 - 03.2022
  • Obtained clinical documentation for insurance authorizations
  • Handled inbound communications from healthcare providers
  • Compiled necessary information for clinical review.

Clinical Support Technician

Palmetto Infusion Services
04.2019 - 08.2021
  • Scheduled new patients and managed follow-up appointments
  • Maintained patient caseload charts and monitored census
  • Trained new hires and conducted internal audits.
  • 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.
  • Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.

Lead Certified Infusion Technician

Medi Home Infusion
07.2016 - 04.2019
  • Trained new hires and completed yearly competencies
  • Prepared IV medications and managed inventory
  • Coordinated deliveries and ensured clean room compliance.

Certified Dispensing Technician

Pruitt Health Pharmacy Services
08.2014 - 05.2017
  • Prepacked controlled drugs and managed pharmacy inventory
  • Operated TCG Machine and performed related tasks
  • Packaged IV therapy supplies and filled medication trays.

Certified Pharmacy Technician

The Regional Medical Center
05.2016 - 07.2016
  • Prepared and delivered prescriptions and IVs for patients
  • Restocked medications and assisted pharmacists with controlled substances.

Pharmacy Technician

CVS Pharmacy
02.2014 - 09.2014
  • Assisted with medication dispensing and managed customer complaints
  • Verified prescription information and handled transactions.

Education

Bachelor of Business Management - Acquisition and Contract Management

Strayer University
Columbia, SC
05.2025

Pharmacy Technician Diploma -

Remington College
Columbia, SC
03.2014

Skills

  • Insurance Verification
  • Issue Research
  • Process improvement strategies
  • Data Entry
  • Retro-Authorizations
  • Patient Referrals
  • Physician order verification
  • Insurance procedures
  • Critical thinking abilities
  • Patient Scheduling
  • Pharmacology
  • Knowledgeable in NextGen, Athena, Wellmed, CPR
  • Medical terminology knowledge
  • Understanding of insurance details
  • Excellent communication and customer service skills
  • Proficient in MS Office Suite, Google Suite, and Slack
  • Efficient time management and multitasking skills
  • Strong analytical skills and adaptability
  • Data entry and fact-finding
  • Empathetic listener and effective problem solver
  • Caseload management

Certification

Certified Pharmacy Technician (CPhT)

Timeline

Eligibility Specialist (Temp Contract Ending 09/30/2024)

TekSystems
11.2023 - Current

Operations Specialist

Scanstat LLC
04.2022 - 07.2023

Healthcare Recruiter Coordinator

Prolink Staffing
02.2022 - 05.2024

Intake Specialist

Cohere Health
08.2021 - 03.2022

Clinical Support Technician

Palmetto Infusion Services
04.2019 - 08.2021

Lead Certified Infusion Technician

Medi Home Infusion
07.2016 - 04.2019

Certified Pharmacy Technician

The Regional Medical Center
05.2016 - 07.2016

Certified Dispensing Technician

Pruitt Health Pharmacy Services
08.2014 - 05.2017

Pharmacy Technician

CVS Pharmacy
02.2014 - 09.2014

Bachelor of Business Management - Acquisition and Contract Management

Strayer University

Pharmacy Technician Diploma -

Remington College

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Kadeedra Robinson