Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic

Manjinder Kaur

Florence,NJ

Summary

Hardworking Prior Authorization Specialist with successful background working closely with insurance company representatives to gain preapproval for procedures and testing. Detail-oriented performer with over3years of managing documentation. Considered team player with exemplary multitasking skills.

Overview

7
7
years of professional experience
1
1
Certification

Work History

Prior Authorization Specialist

Aetna, a CVS Health
11.2023 - Current
  • Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
  • Input all patient data regarding claims and prior authorizations into system accurately.
  • Reached out to insurance carriers to obtain prior authorization for testing and procedures.
  • Tracked referral submission during facilitation of prior authorization issuance.
  • Verified eligibility and compliance with authorization requirements for service providers.
  • Fielded telephone inquiries on authorization details from plan members and medical staff.

Certified Pharmacy Technician

Rite Aide Pharmacy
01.2021 - 11.2023
  • Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
  • Restocked pharmacy shelves with current merchandise to drive consistent peripheral sales.
  • Communicated with patients to collect information about prescriptions and medical conditions or arrange consultations with pharmacists.
  • Answered incoming phone calls and addressed questions from customers and healthcare providers.
  • Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
  • Entered and processed patients' prescriptions into internal system.
  • Counted, measured, and compounded medications following standard procedures.

Cashier

Dunkin' Donuts
06.2018 - 09.2020
  • Restocked and organized merchandise in front lanes.
  • Operated cash register for cash, check, and credit card transactions with excellent accuracy levels.
  • Worked flexible schedule and extra shifts to meet business needs.
  • Addressed customer needs and made product recommendations to increase sales.
  • Helped customers complete purchases, locate items, and join reward programs.
  • Built relationships with customers to encourage repeat business.
  • Greeted customers entering store and responded promptly to customer needs.
  • Counted money in cash drawers at beginning and end of shifts to maintain accuracy.

Education

Medical Billing And Coding Certification - Medical Billing And Coding

Merit Institute of Technology
Mount Laurel, NJ
12-2023

Florence Memorial High School
Florence, NJ
06-2019

Skills

  • Workflow management
  • Medical coding
  • Patient scheduling
  • Patient referrals
  • Management of precertification processes
  • Proficient in medical terminology
  • HIPAA regulations knowledge
  • Strong verbal communication
  • Detail-oriented data management
  • ICD-10 coding expertise
  • Medical coding expertise
  • Skilled in utilizing MHK, Peoplesafe, and LexisNexis

Certification

  • Certified Professional Coder, AAPC - ID#02045490
  • Nationally Certified Pharmacy Technician, PTCB - ID# 30291013

Languages

English
Native or Bilingual
Punjabi
Native or Bilingual
Hindi
Native or Bilingual
Urdu
Full Professional
Gujarati
Limited Working

Timeline

Prior Authorization Specialist

Aetna, a CVS Health
11.2023 - Current

Certified Pharmacy Technician

Rite Aide Pharmacy
01.2021 - 11.2023

Cashier

Dunkin' Donuts
06.2018 - 09.2020

Medical Billing And Coding Certification - Medical Billing And Coding

Merit Institute of Technology

Florence Memorial High School

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Manjinder Kaur