KAMILAH STOKES
Cleveland,OH
Summary
Efficient Prior Authorization Specialist known for high productivity and ability to complete tasks swiftly. Possess specialized skills in insurance verification, medical coding (ICD-10 and CPT), and regulatory compliance. Excel at communication, problem-solving, and time management, ensuring smooth operation within healthcare settings.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Prior Authorization Specialist
MetroHealth Medical Center
Cleveland, OH
07.2024 - Current
- Reviewed and processed prior authorization requests for medical procedures and medications according to established guidelines.
- Applied knowledge of Medicare, Medicaid and third-party payer requirements utilizing on-line eligibility systems to verify patient coverage and policy limitations.
- Ensured compliance with state and federal regulations pertaining to prior authorizations.
- Provided accurate information to all parties, including patients, insurance providers, healthcare staff and office personnel by using effective written and verbal communication skills.
Pharmacy Technician
MetroHealth Medical Center
Cleveland, OH
10.2022 - 07.2024
- Takes important steps to ensure all medication needs and regulatory compliance standards are met for our patients
- Performs order entry tasks and the related activities in support of the medication dispensing process
- Calculates and/or verifies the correct dosage based on the prescription
- Contacts physician on any narcotic prescriptions to receive a hard copy within the required time frame
Pharmacy Technician
Walgreens
01.2020 - 10.2022
- Provided dispensing pharmacists with information regarding allergies and drug interactions, therapeutic duplications, and other items that the computer flags
- Courteously assisted all internal and external customers
- Demonstrated ethical conduct and always maintained patient confidentiality
Education
MBA - Health Care Management
Western Governors University
Salt Lake City, UT03-2026
Bachelor of Arts - Communication
Kent State University
Kent, OH12.2023
Associate of Arts - Liberal Arts
Bard College
Cleveland, OH06.2018
Skills
- Proficient in Epic
- Proficient in Microsoft Office
- Analytical decision-making
- Organizational skills
- Insurance processing/billing
- Mathematical proficiency
Certification
PTCB Certified
Timeline
Prior Authorization Specialist
MetroHealth Medical Center
07.2024 - Current
Pharmacy Technician
MetroHealth Medical Center
10.2022 - 07.2024
Pharmacy Technician
Walgreens
01.2020 - 10.2022
MBA - Health Care Management
Western Governors University
Bachelor of Arts - Communication
Kent State University
Associate of Arts - Liberal Arts
Bard College
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