Molly Thompson
Muskegon,MI
Summary
Dynamic Prior Authorization Specialist with expertise in medical terminology and effective communication skills, honed at Blue Cross Blue Shield of MI. Proven track record in expediting authorization processes and enhancing patient care through meticulous insurance verification and claims processing. Committed to fostering collaborative relationships with healthcare providers and ensuring compliance with insurance requirements.
Overview
11
11
years of professional experience
Work History
Prior Authorization Specialist
Blue Cross Blue Shield of MI
11.2024 - Current
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Verified eligibility and compliance with authorization requirements for service providers.
- Analyzed medical records and other documents to determine approval of requests for authorization.
Pharmacy Technician
Walmart
11.2023 - 12.2024
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Stocked, labeled, and inventoried medication to keep accurate records.
- Enhanced pharmacy workflow by assisting pharmacists with medication dispensing, labeling, and packaging.
- Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
Senior Pharmacy Technician
Walgreens
02.2016 - 10.2021
- Assisted in training and mentoring new pharmacy technicians, leading to increased team efficiency and cohesion.
- Expedited prescription fulfillment through proficient use of pharmacy software systems, resulting in reduced wait times for customers.
- Facilitated seamless communication between patients, healthcare providers, and insurance companies to expedite prescription processing.
- Developed strong relationships with patients through empathetic listening and tailored guidance on medication usage directions or side effects prevention tips.
Sandwich Artist
SUBWAY®Restaurants
07.2014 - 01.2016
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Verified eligibility and compliance with authorization requirements for service providers.
- Analyzed medical records and other documents to determine approval of requests for authorization.
Education
General Studies -
Reeths Puffer Highschool
Muskegon, MISkills
- Prior authorization process
- Medical terminology
- Medical appeals handling
- Insurance verification
- Effective communication skills
- Data entry
- Electronic health records proficiency
- Medical terminology knowledge
- Benefit coverage
- Billing procedures
- Insurance procedures
- Retro-authorizations
- Records maintenance
- Claims processing experience
Timeline
Prior Authorization Specialist
Blue Cross Blue Shield of MI
11.2024 - Current
Pharmacy Technician
Walmart
11.2023 - 12.2024
Senior Pharmacy Technician
Walgreens
02.2016 - 10.2021
Sandwich Artist
SUBWAY®Restaurants
07.2014 - 01.2016
General Studies -
Reeths Puffer Highschool
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