At Centene Corporation, I reviewed medication prior authorization requests for duplicates, errors, discrepancies, and existing authorizations. I processed requests from initiation through completion, gathering information and contacting providers, pharmacies, and patients when clarification was needed.
At Capital Rx, I processed pharmacy and medical prior authorizations, reviewed claim rejections and coverage criteria, and followed up on pending decisions. I documented authorization activity and patient interactions using pharmacy, insurance, and Microsoft Office systems.
At Pharmscript, I coordinated new and refill prescriptions through LTC EHR/EHS systems and input and verified medication orders. I also assisted with supervising data entry staff and used Framework, DocuTrack, Outlook, and Microsoft Office for prescription processing and record management.
