Prior Authorization Specialist & Pharmacy Technician

Patrice Mixon

New Castle, DE *****

***********@*****.*** 302-***-**** linkedin.com/in/patrice-nichols-78462171

Prior Authorization Specialist

Enthusiastic individual with skills in both team-based and independent capacities. An agile learner who embraces change with a strong work ethic and excellent organizational skills. I am excited to begin new challenges with a successful team. I am interested in a medical position to further my knowledge and experience, with certifications in Pharmacy Technician, Medical Assistant and Phlebotomy Technician. Core competencies include:

Patient Care Prior Authorizations ICD 10 Coding Payer Acumen MS Office Suite

Retail Pharmacy Process Streamlining Office Supervisor Time Management Analytics

Experience

Kirkwood Dental Dental Assistant

January 2026- Current

- Prepare treatment rooms, sterilize instruments, and ensure all necessary equipment is ready for procedures. Take X-rays, assist with cosmetic and hygienic procedures under supervision.

Delaware Medical Assoc Prior Auth Specialist

August 2025- January 2026

- Manage and process prior authorization requests for medications, procedures, and treatments, ensuring timely approval from insurance providers.

- Communicate with healthcare providers, insurance companies, and patients to gather necessary documentation and follow up on pending requests.

- Verify patient insurance benefits and coverage details related to prior authorizations.

- Support clinical staff with administrative tasks such as scheduling appointments, managing patient flow, and handling medical documentation.

- Maintain accurate records of prior authorization statuses and patient interactions.

- Stay updated on insurance policies and prior authorization requirements to optimize the approval process.

This combined role requires strong organizational skills, attention to detail, and the ability to multitask in a fast-paced medical environment.

Walgreens Senior Tech

Mar 2025 – Current

Oversee pharmacy operations, ensuring compliance and efficiency. Reduce waiting times by implementing streamlined processes. Manage inventory, optimizing stock levels and reducing waste. Collaborate with healthcare professionals to enhance patient care. Analyze data to improve service quality and operational performance. Streamlining pharmacy workflows, enhancing prescription processing times and improving customer satisfaction through efficient team coordination.

Delaware Center Maternal Fetal Medicine Medical Assistant

Apr 2023 – March 2025

Assist with prenatal care, enhancing patient satisfaction and safety. Coordinate patient schedules, improving clinic efficiency. Support physicians in procedures, ensuring compliance with protocols. Maintain accurate medical records, contributing to data integrity. Coordinate prior authorizations, improving approval rates and reducing delays through efficient processes. Facilitating timely patient insurance authorizations, reducing processing delays and enhancing patient satisfaction. Facilitate communication among staff, fostering a collaborative environment.

West Cecil Health Center Medical Receptionist Feb 2022 – Mar 2023

Greeting all people and directing them to appropriate locations in a courteous, polite and helpful manner. Provide efficient and professional telephone and FAX services, processing messages promptly, while always respecting and maintaining privacy and patient confidentiality. Registering patients according to WCHC protocol, i.e., copying insurance cards and information. Determining financial status of patients and collecting any fees, deductibles or co-insurance as required. Provide assistance with WCHC official correspondence. Input encounters, confirm appointments, and maintain reception desk supply inventory. Perform other duties as assigned.

Christiana Care Supply Chain Pharmacy Technician Dec 2015 – Jan 2022

Supporting internal and external satellites by supplying, stocking, assembling, and distributing medications. Managing inventory and date checking. Delivering medications to all units inside the hospital facility. Receive and process stock into the inventory management system including stocking both ProManager and Robot Inventory.

CVS Lead Certified Pharmacy Technician Oct 2012 – Nov 2015

Supervisory role of 6 pharmacy technicians coordinating day-to-day assignments. Stocking, labeling and inventory management. Following standard procedures of counting, measuring and compounding medications. Pharmacy liaison and consultant with insurance company representatives to complete claims processing. Clear problematic prescriptions to ensure pharmacy efficiency.

Resolve non-routine issues like third-party billing, computer systems and customer service issues.

Phone reception including addressing questions of both customers and healthcare professionals to verify medication dosages, refill authorizations and patient information.

Walgreens Senior Certified Pharmacy Technician Jun 2005 – Aug 2012

Supervisory role of 5 pharmacy technicians coordinating day-to-day assignments. Maintained proper drug storage procedures, registries, and records for controlled drugs. Counted, measured, and compounded medications following standard procedures. Restocked pharmacy shelves with current merchandise to drive consistent peripheral sales. Stocked, labeled and inventoried medication to maintain accurate records. Provide solutions for problematic prescriptions, third-party billing concerns, incomplete insurance claims and navigate medication vouchers and co-pay cards.

Certifications

CPhT Certified Pharmacy Technician June, 2025

CMA Certified Medical Assistant Feb 2023 - Feb 2026

CPT Certified Phlebotomy Technician Feb 2023 - Feb 2026

Basic Life Support Apr 2025 - 2027

Education

Bachelor of Science in Nursing Cecil Community College Present

Diploma John Dickinson High School Wilmington, DE 2006

References

Available Upon Request

Contact this candidate