Natrese Richburg
Sumter
Summary
Dynamic and results-oriented professional with extensive experience at Prisma Health Richland and CVS Pharmacy, excelling in prior authorization processes and effective communication. Demonstrated ability to enhance patient care through meticulous records maintenance and teamwork. Proven track record in improving authorization efficiency and mastering pharmacy benefit management, underpinned by a strong foundation in HIPAA compliance and ethics.
Overview
20
20
years of professional experience
Work History
Prior Authorization Specialist
Prisma Health Richland
08.2016 - Current
- Conducted follow-up calls to ensure timely processing of authorization requests, minimizing delays in patient care.
- Prepared comprehensive reports on authorization trends to assist in identifying areas for improvement.
- Maintained accurate records of authorization requests by organizing documentation and tracking status updates.
- Communicated authorization requirements for smooth collaboration with medical staff and insurance representatives.
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
Pharmacy Technician
CVS Pharmacy
06.2005 - 08.2015
- Utilized pharmacy management software to maintain up-to-date patient records and inventory levels.
- Prepared and labeled medication orders, including oral, IV, and topical prescriptions, to meet patient needs.
- Performed inventory management tasks, including stock rotation and expiration date checks, to ensure medication availability.
- Applied barcode scanning technology to verify medication accuracy and prevent dispensing errors.
Education
Certificate - Applied Science Health
Central Carolina Technical College
Sumter, SCSkills
- Prior authorization process
- Medical appeals handling
- Insurance verification
- Authorizations
- Effective communication skills
- Professionalism and ethics
- Records maintenance
- Pharmacy benefit management
- HIPAA compliance
- Precertification requirements
- Multitasking
- Telephone etiquette
- Teamwork and collaboration
- Customer service
- Problem-solving abilities
- Reliability
Timeline
Prior Authorization Specialist
Prisma Health Richland
08.2016 - Current
Pharmacy Technician
CVS Pharmacy
06.2005 - 08.2015
Certificate - Applied Science Health
Central Carolina Technical College
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