Summary
Overview
Work History
Education
Skills
Certification
Timeline
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Lori Carpenter

Ironton,MO

Summary

Accomplished Prior Authorization Technician with a proven track record at Equity Staffing Group, adept in navigating the complexities of the authorization process and ensuring compliance. Skilled in problem-solving and fostering teamwork, demonstrated by guiding junior technicians at Walmart Pharmacy towards optimal efficiency. Achieved significant improvements in service delivery by leveraging expertise in benefit coverage and exceptional interpersonal abilities.

Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.

Overview

23
23
years of professional experience
1
1
Certification

Work History

Prior Authorization Technician

Equity Staffing Group
10.2024 - Current
  • Verified eligibility and compliance with authorization requirements for service providers.
  • Tracked referral submission during facilitation of prior authorization issuance.
  • Fielded telephone inquiries on authorization details from plan members and medical staff.
  • Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
  • Maintained strict confidentiality in accordance with HIPAA regulations while handling sensitive patient information during the prior authorization process.

Lead Pharmacy Technician

Walmart Pharmacy
05.2007 - 09.2024
  • Stocked, labeled, and inventoried medication to keep accurate records.
  • Supervised junior technicians, providing guidance on best practices in pharmaceutical processes and procedures.8
  • Resolved non-routine issues like third-party billing, computer system, and customer service issues.
  • Provided excellent customer service at the point-of-sale counter, efficiently managing transactions while addressing patient inquiries.
  • Counted, measured, and compounded medications following standard procedures.
  • Maintained and updated patient records, prescription information and patient data in accordance with HIPAA regulations.
  • Helped maintain a clean and organized workspace for optimal efficiency during high-volume periods.
  • Answered incoming phone calls and addressed questions from customers and healthcare providers.
  • Promoted teamwork among pharmacy staff, fostering a collaborative environment for improved productivity.

Cashier

Walmart
04.2002 - 05.2007
  • Greeted customers entering store and responded promptly to customer needs.
  • Welcomed customers and helped determine their needs.
  • Worked flexible schedule and extra shifts to meet business needs.
  • Operated cash register for cash, check, and credit card transactions with excellent accuracy levels.
  • Maintained a balanced cash drawer, ensuring accurate accounting at the end of each shift.
  • Restocked and organized merchandise in front lanes.
  • Counted money in cash drawers at beginning and end of shifts to maintain accuracy.

Education

High School Diploma -

TF Riggs High School
Pierre, SD

Diploma - Business Administration

Mitchell Technical Institute
Mitchell, SD

Skills

  • Prior authorization process
  • Authorizations
  • Problem-solving skills
  • Benefit coverage

Certification

  • First Aid/CPR/AED Instructor Certification – Red Cross.
  • Licensed Pharmacy Technician - State Boards of Pharmacy.
  • National Healthcareer Association (NHA)
  • Immunization Technician

Timeline

Prior Authorization Technician

Equity Staffing Group
10.2024 - Current

Lead Pharmacy Technician

Walmart Pharmacy
05.2007 - 09.2024

Cashier

Walmart
04.2002 - 05.2007

High School Diploma -

TF Riggs High School

Diploma - Business Administration

Mitchell Technical Institute

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Lori Carpenter