Pharmacy Operations & Prior Authorization Specialist

William Harris

Newnan, GA 678-***-**** ******.********@*****.***

Certified Pharmacy Technician (CPhT) Prior Authorization & Healthcare Operations Specialist

Professional Summary

Certified Pharmacy Technician (CPhT) with 3+ years of experience in high-volume pharmacy operations, specializing in prior authorization support, insurance coordination, and healthcare data management. Proven ability to manage high-volume workflows independently while maintaining accuracy in claims processing and patient records. Experienced with Epic, RxConnect, and EMR systems. Strong background in resolving insurance issues, supporting medication access, and maintaining HIPAA compliance. Seeking a remote role in prior authorization, pharmacy operations, or healthcare support.

Core Skills

Prior Authorization Support • Insurance Verification • Pharmacy Claims Processing • Medication Data Entry • Prescription Processing • EMR/EHR Systems (Epic) • HIPAA Compliance • Healthcare Records Management • Workflow Coordination • Inventory Management • Documentation Accuracy • Problem Solving • Microsoft Office Suite

Remote & Technical Skills

Remote Workflow Management • High-Volume Data Processing • Independent Task Execution • Time Management • Cross-Functional Communication • Queue-Based Work Environments • Data Accuracy

& Quality Control

Professional Experience

Lead Pharmacy Technician (Pharmacy Operations & Prior Authorization Support) CVS Pharmacy – Newnan, GA February 2022 – Present

• Process 200+ prescriptions daily using Epic, RxConnect, and RxOS while maintaining accuracy and compliance standards

• Coordinate daily pharmacy workflow in a high-volume environment to support timely prescription fulfillment

• Assist with prior authorization requests by communicating with providers and insurance companies to help secure approvals

• Handle insurance claim processing and resolve coverage issues to reduce delays in patient medication access

• Support and guide pharmacy technicians by delegating tasks and maintaining workflow efficiency

• Maintain HIPAA compliance while handling sensitive patient data and documentation

• Manage inventory including ordering, stock monitoring, and reconciliation

• Resolve patient and insurance-related issues while maintaining professionalism in a fast-paced setting

Senior Sales Associate

GameStop – Newnan, GA Aug 2021 – Feb 2022

• Delivered high-volume customer service while managing transactions and maintaining accurate records

• Assisted with inventory tracking and day-to-day store operations Certifications

Certified Pharmacy Technician (CPhT) – PTCB

Georgia Pharmacy Technician License

CPR Certification

Education

High School Diploma – Newnan High School

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