Prior Authorization Specialist and Pharmacy Technician

Alicia Moorman

Prior Authorization Specialist

Email: *********@*****.***

Phone: 816-***-****

Address: ***** *. **** ******* *****, Independence, MO, 64055 I am a dedicated and customer-focused professional with a solid background in administrative roles, particularly in the healthcare sector. My experience has equipped me with the skills to effectively coordinate workflows, manage medical records, and communicate clearly with patients, coworkers, and healthcare staff. I am committed to following established policies, procedures, and guidelines to ensure the highest quality of service. I prioritize patient privacy and confidentiality in all my interactions. As a team player, I thrive in fast-paced environments and consistently meet deadlines without compromising on quality. I take initiative, exercise sound judgment, and pay close attention to detail in all my tasks. I am proficient in Microsoft Office applications, including Excel, Word, PowerPoint, and Outlook, and I have a typing speed of 30 words per minute. Work Experience

Prior Authorization Specialist

United Healthcare Kansas City, KS

August 2025 - Present

In my current role as a Prior Authorization Specialist, I am responsible for reviewing and verifying medical records to ensure accuracy and compliance. I prepare and submit authorization requests along with all necessary documentation. I actively monitor the status of pending authorizations and manage any denials, including handling appeals when necessary. I meticulously document all communications, updates, and decisions in our system to maintain a clear record of interactions. I ensure compliance with payer- specific guidelines and policies to facilitate smooth operations. Pharmacy Technician

Walgreens Independence, MO

September 2023 - January 2025

As a Pharmacy Technician at Walgreens, I played a vital role in the pharmacy team. My responsibilities included counting and filling prescriptions accurately, affixing labels, and packing and shipping medications. I resolved third-party rejections and made outbound calls to customers to ensure their needs were met. I strictly enforced privacy laws and adhered to safety policies while verifying patient medications to ensure their safety and well-being.

Pharmacy Technician

Med4Home Pharmacy Kansas City, MO

June 2023 - August 2023

During my time at Med4Home Pharmacy, I was responsible for receiving incoming calls and making outbound calls to assist patients. I updated and verified patient information to ensure accuracy and helped complete medication refills efficiently. I also printed prescriptions as needed, contributing to the smooth operation of the pharmacy. Reception Technician

CSL Plasma Kansas City, MO

March 2022 - July 2022

In my role as a Reception Technician at CSL Plasma, I followed strict rules and regulations to ensure compliance. I greeted incoming and new customers warmly and practiced HIPAA laws diligently. I verified donor information and determined donor suitability by inputting and reading vital signs. I also read and verified all donor consent forms, ensuring a safe and compliant donation process.

Engagement Specialist

CareNet Health Kansas City, MO

June 2021 - January 2022

As an Engagement Specialist, I engaged with members to solve problems and answer inquiries effectively. I utilized CRM software to maintain, verify, and update members' personal health information. I assisted members in scheduling and rescheduling appointments and provided relevant information about rewarding programs and services to enhance their experience.

Core Skills

- Proficient in Microsoft Office Applications: MS Excel, MS Word, MS PowerPoint, MS Outlook

- Experienced with various healthcare software: 3M Coding and Reimbursement System, Meditech (EHR), EDCO SolCom EDMS, Nuance Clintegrity, ARGO Enterprise Master Patient Index, CIOX Health ROI – eSmartlog and SmartLink

- Key qualifications include Health Information Management (HIM), Medical Records Management, Release of Information (ROI), ICD and CPT Coding, Health Information Technology, HIPAA Compliance, Medical Terminology, Document Scanning, Imaging Record Technology, Data Quality, Data Management, Data Entry, Medical Administrative Support, Insurance Verification, and Medical Office Procedures. Education

Ultimate Medical Academy

HIPAA Essentials for Healthcare Professionals Certificate 2021

Ultimate Medical Academy

Associate of Science Degree in Health Information Technology Donnelly College

Certificate of Completion - Certified Nursing Assistant (CNA) / Nursing Program 2010

I am eager to leverage my skills and experience in a challenging new role where I can continue to provide exceptional service and support in the healthcare field. Thank you for considering my application.

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