Kierra Petite
Humble
Summary
Dynamic Prior Authorization Specialist with proven expertise at RemX LLC in processing requests and ensuring compliance. Skilled in medical terminology and insurance verification, I excel in enhancing workflow efficiency and patient communication. Recognized for improving authorization outcomes and fostering collaboration among healthcare providers to streamline processes.
Professional in healthcare administration with strong background in managing authorization processes. Adept at ensuring compliance, streamlining workflows, and mitigating risks. Consistent track record of fostering team collaboration and achieving results in dynamic environments. Skilled in navigating complex systems, prioritizing tasks, and maintaining high standards of accuracy and efficiency.
Overview
5
5
years of professional experience
Work History
Prior Authorization Specialist
RemX LLC
Phoenix, AZ
11.2025 - 02.2026
- Processed prior authorization requests efficiently, ensuring compliance with insurance guidelines.
- Collaborated with healthcare providers to gather necessary documentation for approvals.
- Utilized electronic health record systems to track authorization status and updates.
- Communicated effectively with patients regarding their authorization inquiries and outcomes.
- Adapted quickly to changing policies and procedures within the prior authorization process.
- Supported team members by sharing insights on improving workflow efficiency and accuracy.
Claims Benefit Representative
Everise
Plantation, FL
03.2025 - 09.2025
- Processed claims efficiently, ensuring adherence to company policies and procedures.
- Assisted clients in understanding benefit options, enhancing customer satisfaction and clarity.
- Utilized claims management software to track and resolve inquiries accurately.
- Collaborated with cross-functional teams to streamline claims processing workflows.
- Conducted thorough reviews of claim submissions, identifying discrepancies for resolution.
- Provided support in training new team members on claims procedures and systems.
- Maintained detailed documentation of claims transactions for compliance purposes.
Client Experience Specialist
Connexus Resources
07.2024 - 04.2025
- Delivered exceptional customer support through effective communication and problem resolution.
- Collaborated with cross-functional teams to enhance client engagement strategies.
- Utilized CRM software to track client interactions and improve service delivery.
- Assisted in developing training materials to educate clients on product features.
- Identified client needs through active listening and provided tailored solutions.
- Streamlined onboarding processes for new clients, enhancing overall satisfaction rates.
Pharmacy Customer Service Representative
Foundever Operations
Florida City, FL
01.2024 - 08.2024
- Assisted customers with prescription inquiries and medication information
- Processed prescription orders accurately using pharmacy management software
- Collaborated with healthcare providers to resolve patient medication issues
- Educated patients on proper medication usage and potential side effects
- Addressed customer complaints efficiently, enhancing overall satisfaction
- Managed inventory levels, ensuring timely restocking of pharmaceutical supplies
- Assisted customers in navigating insurance claims, resulting in fewer denials and improved coverage understanding.
Customer Service Agent
Burnett Specialist / Vericast
San Antonio, TX
02.2021 - 05.2023
- Enhanced client understanding of different banking products through clear and concise communication.
- Enhanced customer satisfaction by efficiently addressing and resolving complex banking issues.
- Enhanced customer satisfaction by effectively addressing and resolving banking inquiries.
- Exceeded sales targets by actively promoting banking products that aligned with customer needs.
- Promoted increased use of online banking tools with thorough explanation and demonstration for customers.
Education
High School Diploma -
Lousisana Tech College
08-2015
Skills
- Prior authorization process
- Medical terminology
- Medical appeals handling
- Insurance verification
- Patient referrals
- Data entry
- Electronic health records proficiency
- Benefit coverage
Timeline
Prior Authorization Specialist
RemX LLC
11.2025 - 02.2026
Claims Benefit Representative
Everise
03.2025 - 09.2025
Client Experience Specialist
Connexus Resources
07.2024 - 04.2025
Pharmacy Customer Service Representative
Foundever Operations
01.2024 - 08.2024
Customer Service Agent
Burnett Specialist / Vericast
02.2021 - 05.2023
High School Diploma -
Lousisana Tech College