Aileen

Prior Authorization Specialist/ Pharmacy Technician

55 ID PROOF
contact
mark as hired

Overview

Looking for any work (8 hours/day)

at $4.15/hour ($800.00/month)

Bachelor's degree

Last Active

July 7th, 2026 (3 days ago)

Member Since

September 5th, 2024

Profile Description

Detail-oriented Prior Authorization Specialist offering 3+ years of experience managing fast-paced medication utilization reviews. Expert in high-volume administrative environments, processing large queues of faxed clinical documentation with high accuracy. Skilled in initiating PAs directly over the phone with payers and leveraging Cover ---------- ds to generate key codes and accelerate approvals. A strong coordinator who manages the entire pipeline—from checking real-time status updates to calling members directly with final determinations—to minimize delays in patient care.

Top Skills

Experience: 1 - 2 years

​Customer-focused Technical Support Professional specializing in diagnosing and resolving hardware, software, and operating system issues for Microsoft Surface and Windows laptops. ​✓ Skilled at troubleshooting device startup failures, battery/power issues, touchscreen malfunctions, and Windows OS stability errors. ​✓ Proficient in using native utilities like the Surface Diagnostic Toolkit, UEFI environment testing. ​✓ Experienced in guiding customers through structured, step-by-step troubleshooting over phone or chat, translating technical terminology into clear instructions.

Experience: 2 - 5 years

✓ Handled inbound and outbound calls related to medication prior authorizations. ✓ Created and processed prior authorization requests for prescription medications. ✓ Assisted healthcare providers, members, and pharmacies with prior authorization inquiries and requirements. ✓ Documented all interactions accurately in the system while maintaining HIPAA compliance and confidentiality. ✓ Explained authorization decisions, coverage determinations, and next steps to members and healthcare professionals. ✓ Maintained productivity and quality standards while delivering excellent customer service. ✓ Conducted outbound calls to members to provide status updates.

Other Skills

Basic Information

Age
31
Gender
Female
Website
Sign Up with Pro Account to View
Address
Isabel, Leyte
Tests Taken
IQ
Score:  89
DISC
Dominance: 44
Influence: 17
Steadiness: 34
Compliance: 5
English
B1(Intermediate)
Government ID
Sign Up with Pro Account to View

“It definitely helped transform my business and take a significant load off for me.”

Samori Coles

SEE MORE REAL RESULTS

“That has been a game changer for me”

- Jason Tonioli

Onlinejobs.ph "ID Proof" indicates if "they are who they say they are".

It DOES NOT indicate skill level.

ID Proof scores are 0 - 99 with 99 being the best. It is calculated based on dozens of data points.

It's intended to help employers know who they're talking to is real, and not a fake identity.

Read More »