Summary
Overview
Work History
Education
Skills
Timeline
Generic

Shericka Morris

West Park

Summary

Healthcare professional with extensive experience in prior authorization coordination, committed to improving patient access to necessary treatments. Known for effective collaboration and delivering results in dynamic healthcare environments. Possesses strong analytical skills and attention to detail, ensuring smooth operations and high-quality service.Experienced with coordinating complex prior authorization processes. Utilizes excellent organizational skills to maintain accurate records and ensure timely approvals. Knowledge of healthcare regulations and payer requirements, leading to efficient and compliant authorization management.

Qualified Pharmacy Prior Authorization Coordinator with solid background in managing prior authorization processes. Proven ability to streamline workflows and improve approval times. Demonstrated expertise in communication and problem-solving, ensuring efficient and accurate authorization management.

Overview

8
8
years of professional experience

Work History

Prior Authorization Coordinator

SMP Pharmacy Solutions
06.2025 - Current
  • Improved patient satisfaction by efficiently managing prior authorization requests and ensuring timely approvals.
  • Background knowledge and specialized in Speciality, Fertility, and Retail Pharmacy.
  • Reduced errors in documentation by meticulously reviewing medical records and verifying patient information.
  • Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
  • Collected and processed patient liability statements prior to service.
  • Increased team efficiency by providing comprehensive training on prior authorization procedures for new hires.
  • Verified eligibility and compliance with authorization requirements for Insurance Companies.
  • Fielded telephone inquiries on authorization details from plan members and medical staff.
  • Tracked referral submission during facilitation of prior authorization issuance.
  • Verified eligibility and compliance with authorization requirements for service providers.
  • Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
  • Authorized surgical requests in accordance with applicable plan guidelines.
  • Triaged unscheduled and emergency authorizations, directing submissions to appropriate personnel for rapid response.
  • Created and maintained spreadsheets detailing medical procedures and insurance denials and approvals.
  • Optimized turnaround times for prior authorization requests, collaborating closely with physicians and clinical staff to expedite necessary treatments.
  • Enhanced departmental workflows by identifying opportunities for improvement and implementing best practices to optimize efficiency.
  • Contributed to improved patient outcomes by staying current on industry trends and changes in regulatory standards related to prescription drug coverage policies.
  • Maintained accurate case files, updating relevant information as needed to ensure efficient record-keeping practices.
  • Provided empathetic support for patients navigating complex medical systems, offering guidance and assistance throughout the prior authorization process.
  • Saved patients time and frustration by proactively resolving any issues or discrepancies in their medication coverage.
  • Mitigated risk of denied claims by conducting thorough research on individual policy guidelines before submitting requests.
  • Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
  • Promoted patient confidentiality by adhering to HIPAA regulations when handling personal information during transactions.
  • Counted and labeled prescriptions with correct item and quantity.
  • Increased overall pharmacy productivity by restocking supplies, organizing shelves, and maintaining cleanliness according to standards.
  • Entered and processed patients' prescriptions into internal system.
  • Performed various pharmacy operational activities with strong commitment to accuracy, efficiency, and service quality.
  • Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
  • Reduced medication errors by diligently cross-checking medications against patients'' profiles before dispensing.


Pharmacy Technician

Walgreens Pharmacy
04.2024 - 06.2025
  • Assist 180-200 patients with over the phone orders and tracking of shipment
  • Updating patient information in the database for all records on file
  • Flexible when working with multiple insurance providers to fill prescriptions
  • Insurance verification & claims department knowledge

Quality Assurance Analyst

Nations Benefits OTC Fulfilment
12.2020 - 01.2024
  • Verifying shipment information
  • Managing an aging order list running a SKU tracker and requesting missing products
  • Checked all return orders for discrepancies and disposed of any damaged goods
  • Correcting all issues with picking orders finding suspended task and fulfilling them
  • Manually checking weight tolerance and quality of shipments +100 a day
  • Responsible for cycle counting inventory

Safety Surveillance Gaurd

Miami Management
06.2020 - 09.2020
  • Operated gate for a high-profile gated community
  • Monitored video cameras attentively for 8 hour shifts to ensure the safety of 200+ residents
  • Responsible for keeping a guest list for large parties during high traffic times

Shift Lead

McDonald’s
06.2017 - 06.2020
  • Responsible for completing over 500+ orders nightly while maintaining inventory
  • Created a training program for all new employees that allowed them to learn at a steady pace
  • Maintained a cleaning and materials log that each direct report had to sign each night

Education

Bachelors - Pharmacy

Broward College
Pembroke pines, Florida
08-2029

Skills

  • Certification(s): ServSafe Certification
  • Software: Excel, Microsoft Word, PowerPoint, Outlook
  • Excellent ability in task delegation and collaboration
  • Performs in high degree of accuracy and detail
  • Strategic planner
  • Avg 60 words per minute when typing
  • Mathematics and Stats background

Timeline

Prior Authorization Coordinator

SMP Pharmacy Solutions
06.2025 - Current

Pharmacy Technician

Walgreens Pharmacy
04.2024 - 06.2025

Quality Assurance Analyst

Nations Benefits OTC Fulfilment
12.2020 - 01.2024

Safety Surveillance Gaurd

Miami Management
06.2020 - 09.2020

Shift Lead

McDonald’s
06.2017 - 06.2020

Bachelors - Pharmacy

Broward College
Shericka Morris