Prior Authorization Specialist

ROSE LANE

Nashville, TN ● 734-***-**** ● ***********@*****.***

HIGHLIGHTS OF QUALIFICATIONS

Proficient in Microsoft Office Suite

Effectively communicates written and verbally

Actively displayed dedication and reliability in past work experience

Positive attitude, organization skills, and eagerness to learn

EDUCATION

Western Kentucky University Bowling Green, KY May 2020

Bachelor of Science, Health Care Administration

Business Administration Minor

EXPERIENCE

Prior Authorization Specialist, Fresenius Medical Care Franklin, TN June 2020-Current

Demonstrated knowledge and understanding of insurance billing while using analytical thinking when complications occur

Ability to review multiple pharmacy management platforms simultaneously to complete daily tasks

Educates clinics and patients regarding requirements for insurance plans to complete prior authorizations

Pharmacy Technician, Medicine Arts Pharmacy Bowling Green, KY October 2018-May 2020

Displayed knowledge of pharmacy functions while constantly learning new processes

Assisted customers with refills and new prescriptions while counting medications with accuracy and precision

Communicated with insurance companies, doctor's offices, or other pharmacies to provide the best experience to customers

Case Manager Assistant, International Center of Kentucky Bowling Green, KY December 2019-March 2020

Assisted Case Manager with new arrivals and coordination of schedules ensuring a smooth arrival

Completed home visits with case manager guaranteeing clients necessities are met

Advocated for clients’ needs to doctor’s offices, insurance companies, landlords, etc

Cashier/Sales Clerk, Candle Makers on the Square Bowling Green, KY August 2017-May 2018

Organized inventory with computer using Word and Excel

Processed cash and credit card transactions at the register

Marketed local arts to customers while maintaining relationships with artists

Server/Hostess, Bar None Steak & Fish Brighton MI June 2015-August 2017

Multitasked between serving tables and fulfilled their needs in a timely fashion

Practiced customer service and developed relationships with customers

Collaborated with a team servers and kitchen staff to ensure the best dining experience

PROFESSIONAL DEVELOPMENT

Dynamic Leadership Institute, Western Kentucky University Spring 2018- May 2020

INVOLVEMENT

AHEC Scholars, Western Kentucky University Fall 2018-May 2020

WKU Health Care Association Fall 2018-May 2020

Alpha Omicron Pi Member, Western Kentucky University Fall 2016-May 2020

HONORS

Dean’s List, Western Kentucky University Fall 2017, Spring 2018, Fall 2018, Spring 2019, and Fall 2019

REFERENCES

Available upon request

Contact this candidate