NURAN HAMED
Orland Park,IL
Summary
Skilled pharmacy professional with 7 years of diverse experience spanning retail pharmacy, prior authorizations, and data analysis. Proven track record in medication preparation, customer service, inventory management, and pharmaceutical calculations. Recognized for strong collaboration within healthcare teams and adaptability in dynamic environments.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Prior Authorization Specialist
UnitedHealthcare
11.2024 - 05.2025
- 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.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Verified eligibility and compliance with authorization requirements for service providers.
Data Analyst
Freedom Fertility Pharmacy
01.2024 - 09.2024
- Produced monthly reports using advanced Excel spreadsheet functions.
- Utilized data visualization tools to effectively communicate business insights.
- Created various Excel documents to assist with pulling metrics data and presenting information to stakeholders for concise explanations of best placement for needed resources.
- Improved decision-making processes with accurate data analysis and visualization techniques.
Medical Data Entry Specialist
CVS Specialty Pharmacy
08.2020 - 01.2024
- Streamlined communication between healthcare professionals by promptly transferring pertinent medical information across departments.
- Expedited insurance claim processing by effectively managing sensitive patient data, including diagnoses, treatments, and billing codes.
- Reduced errors in medication administration by diligently updating prescription information within patient charts.
- Managed and organized documents for data entry tasks.
- Checked for accuracy by verifying data and records.
- Created spreadsheets for more efficient recordkeeping.
- Conducted audits of existing data entry processes.
Pharmacy Technician
CVS Pharmacy
02.2017 - 08.2020
- 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.
- Utilized pharmacy management software to process prescriptions efficiently.
Education
Bachelor of Science - Human Biology
BARD COLLEGE
New York, NY05-2018
Skills
- Prior authorization process
- Medical terminology
- Proficient in handling medical appeals
- Insurance verification
- Data management
- Performance metrics analysis
- Proficiency in Epic and SPSS
- Medical coding
- ICD-10 coding
- HIPAA compliance
- CPT coding
- Telephone etiquette
- Data entry
Certification
- Certified Pharmacy Technician, PTCB
- Licensed Illinois Pharmacy Technician
Languages
Arabic
Full Professional
English
Native or Bilingual
Timeline
Prior Authorization Specialist
UnitedHealthcare
11.2024 - 05.2025
Data Analyst
Freedom Fertility Pharmacy
01.2024 - 09.2024
Medical Data Entry Specialist
CVS Specialty Pharmacy
08.2020 - 01.2024
Pharmacy Technician
CVS Pharmacy
02.2017 - 08.2020
Bachelor of Science - Human Biology
BARD COLLEGE
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