Elizabeth Rodriguez
@elizabethrodriguez1
I streamline prior authorizations, insurance verification, and patient support across healthcare operations.
United StatesWhat I'm looking for
At PhilRx, I verify insurance coverage, submit prior authorizations, troubleshoot prescription processing, and help providers navigate appeals so patients can access medications without unnecessary delays.
I've also supported patients, providers, and sales brokers at CVS Caremark PBM, UnitedHealthcare, and Equity Staffing Group through Medicare and Medicaid eligibility, enrollment, case documentation, and high-volume service requests. Earlier, I advanced from customer service representative to quality assurance analyst at World Connection, where I trained representatives and improved service quality.
Experience
Work history, roles, and key accomplishments
Prior Authorization Specialist
PhilRx
Aug 2024 - Present (2 years 1 month)
Verified patient insurance coverage and submitted prior authorizations via electronic portals, troubleshooting submissions and assisting providers with appeals. Documented activities in process notes and collaborated with customer support to ensure patient success.
Education
Degrees, certifications, and relevant coursework
Morton West High School
High School Diploma, General Studies
2010 - 2013
Completed high school education at Morton West High School from 2010 to 2013.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Job categories
Skills
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