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Data Entry Prior Authorization

Location:
Atlanta, GA
Salary:
21
Posted:
June 15, 2024

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Resume:

Ashley Johnson

***********@*****.*** - Cell: 443-***-****

Highly organized and detail-oriented customer service specialists with 8 years of experience providing support to customers. Demonstrated a successful track record of managing small to large projects from start to finish. Self-taught with hands-on experience in communications, meeting quality standards for services, and nurturing strong interpersonal relationships.

SKILLS

●Time management

●Coordination

●Complex problem solving

●Judgement and Decision making

●Physical labor

●Clerical

●Active Listening

●Service Orientation

Certifications: Forklift, pacer, electric pallet jack, order picker and reach truck

EXPERIENCE

Home Depot/ Amazon Warehouse / Data entry clerk for Apple/ Prior Authorization Rep

Cashier, Call Center, Receiving Associate, Service desk and Paint Department Associate

●Responsible for unloading packages and checking content to ensure they match various customer orders

●Handle customer inquiries over the phone or direct them to the appropriate persons.

●Operated office equipment, such as computers, fax machines, copiers, and phone system.

●Paint mixing and operating paint tinting machines.

●Operate forklift machines and pallet jacks.

●Assisted with prior authorization request

●Data entry

●Organized important documentation regarding customers and patients.

Prior Authorization Representative 2020-Current

3 Years of experience [Cigna/Express scripts] - Coordinated with healthcare providers and insurance companies to obtain prior authorizations for medical procedures, tests, and medications.

● Reviewed medical documentation and patient records to determine eligibility and medical necessity for authorization requests.

●Demonstrated strong knowledge of insurance plans, guidelines, and policies to effectively advocate for patients and providers during the authorization process.

●Maintained accurate and up-to-date records of all authorization requests and their outcomes.

●Collaborated with healthcare professionals and insurance representatives to resolve any authorization-related issues or appeals.

Skills:

● In-depth understanding of medical insurance policies, procedures, medications and prior authorization processes.

●Proficient in medical terminology and documentation, facilitating accurate review of authorization requests.

●Strong communication skills, enabling effective interaction with patients, healthcare providers, and insurance representatives.

●Exceptional problem-solving abilities, leading to successful resolution of authorization-related issues.

●Detail-oriented and highly organized, ensuring meticulous record-keeping and adherence to deadlines.

●Ability to adapt to changing guidelines and regulations in the healthcare industry.

SEO Outreach Representative, Amazon

July 2018- August 2020

As an SEO Outreach Representative at Amazon, I executed strategic outreach campaigns to enhance the company's online presence and drive organic traffic. Leveraging my comprehensive understanding of search engine optimization (SEO) principles, I identified key opportunities for link building and content promotion. Through effective communication and relationship-building, I successfully secured partnerships with authoritative websites, amplifying our brand's visibility and authority in the digital landscape.

Key Achievements:

- Developed and executed outreach strategies that increased inbound organic traffic.

- Collaborated cross-functionally with content creators and SEO analysts to identify high-potential link-building prospects and align outreach efforts with broader SEO objectives.

- Cultivated strong relationships with industry influencers, webmasters, and bloggers, resulting in a consistent flow of high-quality backlinks to our website.

- Conducted thorough analysis of competitor backlink profiles, identifying gaps and opportunities for improvement.

- Monitored and reported on outreach campaign performance using data-driven metrics, adapting strategies for continuous improvement based on performance insights.

- Contributed to the development of SEO best practices and guidelines for outreach, ensuring consistency and quality across the team's efforts.

- Participated in regular SEO team meetings, sharing insights and collaborating on innovative strategies to adapt to evolving search engine algorithms.

My role as an SEO Outreach Representative at Amazon allowed me to combine my passion for digital marketing with a data-driven approach, resulting in tangible improvements to the company's online visibility and search engine rankings.

Data Entry Specialist/ Technical support Rep Home Depot - 2013-2018

● Entered and verified data accurately and efficiently into company databases.

● Collaborated with team members to ensure data consistency and integrity.

● Assisted in creating and maintaining spreadsheets for tracking various projects.

● Conducted regular data audits to identify and rectify errors, ensuring high-quality output.

● Managed a high volume of data with meticulous attention to detail and precision.

● Utilized software tools such as Microsoft Excel and data management systems.

●Worked in back room receiving area, receiving trucks

●Daily routine equipment checks

Office Depot Atlanta, GA 2011-2013

Cashier, Sales Associate, Stock Associate

●Greeted visitors or callers and handled inquiries.

●Answered telephones and give information to callers, take messages, or transfer to appropriate individual

●Assisted customers on the sales floor with in store items.

●Clean up the back room receiving area, and receive delivery trucks.

●Order Fulfillment

●Moving inbound products from delivery trucks to the sales floor.

●Operating equipment and checking for maintenance.

EDUCATION

High School Diploma Franklin High School

May 2011

CCBC Catonsville Maryland



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