Years of experience: 14
Document ProcessorUnited StatesData EntryAssistantAdministrative AssistantPersonal Assistant
Trust Score
Exceptionally trusted; proven professional excellence.
Kelly's Career Path
Jan. 2023 -Present
Molina HealthcareCertified Pharmacy Technician
RemotePerform initial receipt and review of non-formulary or prior authorization requests against plan approved criteria. Requests additional information from providers as needed to properly evaluate the request. Accurately enter online approvals or denials of requests. Authorized to make and carry out simple prior authorization requests within established policies and procedures. Participate in th...
Nov. 2018 -Dec. 2022
Alignment HealthcareCertified Pharmacy Technician
Orange, CaliforniaConduct high volume of outbound calls to members, prescribers, and pharmacies in regard to the Adherence program; Assist members in refilling their medications, and reach out to the prescriber’s office if a member requires additional refills on their maintenance medications; Conduct outbound calls to pharmacies and prescribers to resolve prescription issues such as medication requiring Prior ...
Jul. 2017 -Nov. 2018
OSO Home Care, Inc.Reimbursement Specialist (Billing) / Pharmacy Tech
Irvine, CaliforniaMaintain accurate daily billing and collection call logs; Audit claims for accurate billing procedures according to payer contracts; Effectively identify predictable claim problems and provide updates to supervisor; Maintain accurate notes and timely write-offs and consistently follows established protocols for the administration of patients account write-offs; Keep updates on client contract...