Kianna Marshall
Summary
Hardworking Prior Authorization Specialist with successful background working closely with insurance company representatives and medical personnel to gain prior authorization approval for medications. Detail-oriented performer with over 7 years of connecting patients and healthcare providers to vital resources. Dedicated to executing on prescribed medical funding guidelines and policies. Maintains compassionate and sympathetic relations with consumers. Adept at balancing business interests with human-centric service models.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Prior Authorization Specialist
VillageMD
08.2022 - Current
- Refill medication via Athena Healthcare
- Provide excellent customer service
- Access and Complete prior authorization
- Remote chat support for refill authorization.
- Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
- Provided prior authorization support for physicians, healthcare providers, and patients in accordance with payer guidelines.
- Input all patient data regarding claims and prior authorizations into the system accurately.
- Scheduled appointments with applicants to gather information and explain benefits processes.
Prior Authorization Technician
Walgreens
04.2016 - 08.2023
- Maintain medication inventory
- Complete Prior authorization through Cover My Meds and Prompt PA platforms
- Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
- Assisted clients with the completion of applications and paperwork for financial assistance.
- Operating Asembia -1 platform
- Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
- Verified eligibility and compliance with authorization requirements for service providers.
- Fielded telephone inquiries on authorization details from plan members and medical staff.
Hour Externship
Walgreens
04.2016 - 04.2016
- Filled patient's prescriptions and input data in computer system
- Did inventory of medications and ordered when necessary
- Answered multi phone.
Hour Externship
Providence Hospital
03.2016 - 03.2016
- Filled prescriptions
- Extemporaneous and sterile compounding of medications
- Filled Pyxis machine with proper medications.
Education
Bachelor of Science - Healthcare Administration
University of Phoenix
Tempe, AZ12.2026
Certification - Pharmacy Technician
Remington College
Mobile, AL04.2016
Skills
- Aseptic (Less than 1 year)
- Aseptic Techniques (Less than 1 year)
- Inventory (2 years)
- Organizational Skills (Less than 1 year)
- Pharmacy (2 years)
- Pharmacy Tech
- PTCB (7 years)
- Hospital
- Compounding
- Prior Authorization
- IV
- Customer Service
- Data Entry
- Microsoft Word
- Outlook
- Typing
- Word
- Cash Handling
- Billing
- Medical Billing
- HIPAA
- Medical Terminology
- Transcription
- Compounding Medications
- EMR Systems
- Medical Coding
- Medical Office Experience
- Computer Operation
- Athena Health
- ICD-10
- Insurance Verification
- Live Chat
- Medical Records
- Phone Etiquette
- Order Entry
- Patient Scheduling
Certification
- Certified Pharmacy Technician (CPhT)
- CPR Certification
- Pharmacy Technician License
Additional Information
- SKILLS
- Microsoft Office Applications
- Sterile Product Preparation
- Pharmaceutical Competency
- Aseptic Techniques
- Hospital Competency
- Dosage Calculations
- Parental Compounding
- Retrieve, Count, Measure Drugs
- Extemporaneous Compounding
- Retrieve and File Pharmacy Prescriptions
- Work in Fast Paced Environment
- Time Management and Organizational Skills
- Sterile Compounding
- Maintain Inventory Levels and Stock Rotation
- Internet Provider: Xfinity ; Speed 100mbps Upload: 11.8 mbps
Personal Information
Title: Specialty Billing Technician
Timeline
Prior Authorization Specialist
VillageMD
08.2022 - Current
Prior Authorization Technician
Walgreens
04.2016 - 08.2023
Hour Externship
Walgreens
04.2016 - 04.2016
Hour Externship
Providence Hospital
03.2016 - 03.2016
Bachelor of Science - Healthcare Administration
University of Phoenix
Certification - Pharmacy Technician
Remington College
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