Skip to main content
HimalayasHimalayas logo
LR
Open to opportunities

Lilian Rodriguez

@lilianrodriguez

Senior pharmacy technician focused on prior authorizations, appeals, and insurance processing with strong HIPAA-compliant, high-volume workflow skills.

United States
Message

What I'm looking for

I’m looking for a HIPAA-compliant role supporting high-volume prior authorizations and appeals, collaborating with provider/pharmacy teams, and improving claim outcomes through accurate EHR work and insurance expertise.

I’m a senior pharmacy technician who thrives in high-volume, detail-driven workflows that improve patient care outcomes. I bring “excellent filing, charting, documenting and organizational skills,” strong communication, and the ability to multitask effectively “even in high pressure situations,” while maintaining strict HIPAA compliance.

In my remote roles, I work daily in EHRs and handle end-to-end prior authorization processes—“completing prior authorizations with MDO,” taking provider/pharmacy/member calls, and updating PA status through approvals, denials, and appeals. At Optum Rx, I supported “a high rate of prior authorizations via phone, fax and ePA,” assisted with claim rejections and PA status updates, and was part of “two dedicated teams.”

My medical operations background also includes Kaiser medical billing in high volume, claims and insurance processing, and earlier pharmacy experience with prescription workflows using tools like e-Scribe, CMM, and SPRx (EHR). I’m also trained in health information technology (A.A.S., Health Information Technology) and Pharmacy Technician credentials, combining CPT/ICD-9 coding knowledge, medical terminology expertise, and strong administrative support—along with a proven track record of maintaining accuracy and throughput (including an average of “over 125 accounts daily”).

Experience

Work history, roles, and key accomplishments

GI
Current

Payroll Specialist & Medical Biller

Genesis Behavior Center, Inc

Sep 2013 - Present (12 years 9 months)

Processed prior authorizations and verified insurance coverage, entering and maintaining medical records and student attendance/registration. Completed bi-weekly payroll manually, audited timecards, and ensured HIPAA-compliant handling of patient confidentiality.

Education

Degrees, certifications, and relevant coursework

AC

Abrams College

Registered Pharmacy Technician Certificate, Pharmacy Technician

Completed a Registered Pharmacy Technician Certificate program.

Pharmacy Technician Certification Board (PTCB) logoPP

Pharmacy Technician Certification Board (PTCB)

National Pharmacy Technician Certification, Pharmacy Technician

2008 -

Held National Pharmacy Technician certification through the PTCB, starting in 2008. Certification is listed as ongoing.

Rasmussen College (Online) logoRO

Rasmussen College (Online)

Associate of Applied Science, Health Information Technology

2012 -

Activities and societies: Dean’s List – Academic Achievement Award

Earned an A.A.S. in Health Information Technology. Dean’s List – Academic Achievement Award.

Tech stack

Software and tools used professionally

Find your dream job

Sign up now and join over 250,000+ remote workers who receive personalized job alerts, curated job matches, and more for free!

Sign up
Himalayas profile for an example user named Frankie Sullivan