Knowledgeable Guest Service Representative experienced in busy hotel settings. Driven and dedicated with focus on delivering exemplary service. Skilled multi-tasker successful at meeting performance objectives and helping team members. Deadline-driven Night Auditor offering 14-year career history of reliability and quality performance. Operates well in busy environments and maintains calm under pressure. Meticulous eye for detail and personable demeanor. Accomplished and certified Pharmacy Technician with over 7 years of experience in retail pharmacy environments for major national chains. Practiced at offering medications to patients, offering information to patients and communicating with healthcare professionals. Knowledgeable about FDA drug safety guidelines, prescription interactions and pharmacy law. Driven Pharmacy Technician with proven track record and success in building strong relationships with patients and clients. Detail-oriented with a commitment to maintaining high-quality assurance and control standards when filling prescriptions.
A prior authorization pharmacist works specifically with the pre-approval process of filling prescribed medication orders to ensure the proper insurance coverage and efficacy for the drugs used.
The Prior Authorization Specialist is responsible for all aspects of the prior authorization process.
Responsibilities include:
Collection of all the necessary documentation, contacting the client for additional information and completion of the required prior authorization in order to proceed with testing. Complete, timely, and accurate identification and submission of prior and retro authorization requests to the payors. Interacts with clients, insurance companies, patients, and sales representatives, as necessary, to request for prior authorizations. Responsible for documenting account activity, updating patient and claim information and demonstrates proficiencies with the XIFIN billing system to ensure all functionalities are utilized for the most efficient processing of claims and identifies prior authorization trends and/or issues resulting in delayed claims processing. Provides the highest level of customer service to internal and external clients.