Aiseka Proctor
@aisekaproctor
Certified Pharmacy Technician specializing in prior authorization, utilization management, and high-accuracy insurance workflows.
What I'm looking for
I’m a Certified Pharmacy Technician with 8+ years of healthcare and customer service experience, specializing in prior authorization processing and utilization management. I review, process, and document requests in compliance with clinical guidelines and NCQA standards, while keeping accuracy, timeliness, and quality high.
In my current remote pharmacy role at CenterWell (Humana), I verify and process 75+ prescriptions daily with 100% accuracy. I collaborate with pharmacists and healthcare teams to resolve prescription and insurance-related issues, update patient profiles, verify insurance benefits, and support medication-related inquiries.
Previously, as a Utilization Management Coordinator I, I processed prior authorization requests via phone, fax, and electronic systems, reviewed cases for approval/denial/escalation, and ensured accurate documentation. I’m also trained to maintain productivity and turnaround time in high-volume environments, while communicating status clearly to providers, pharmacies, and internal teams.
Experience
Work history, roles, and key accomplishments
Verified and processed 75+ prescriptions daily with 100% accuracy in a remote pharmacy setting. Updated patient profiles and supported prior authorization workflows by verifying medication requests and assisting with insurance-related processes.
Processed prior authorization requests via phone, fax, and electronic systems in compliance with clinical guidelines. Reviewed cases for approval, denial, or escalation, documented decisions accurately, and communicated authorization status to providers and pharmacies.
Managed high-volume inbound calls while meeting performance metrics for speed, accuracy, and quality. Assisted customers with account inquiries, payments, transfers, and updates, resolving complex issues and de-escalating concerns.
Education
Degrees, certifications, and relevant coursework
Everest University
Diploma, Pharmacy Technician
Completed a Diploma in the Pharmacy Technician Program at Everest University.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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