Open to opportunities

Sebastian Suriel

@sebastiansuriel

Pharmacy-trained healthcare professional focused on prior authorization, insurance claims, and patient-focused coverage resolutions.

United States

Message

What I'm looking for

I’m looking for a Prior Authorization Technician role where I can apply insurance expertise and clinical knowledge to resolve coverage issues quickly, coordinate effectively with patients/providers/payers, and support patient access with HIPAA-compliant accuracy.

I’m a pharmacy-trained healthcare professional with 3+ years of experience in insurance processing, clinical documentation, and regulatory compliance. I’m hands-on with reviewing prescription claims, validating insurance eligibility, and navigating state and federal pharmacy regulations.

In my current role as a Pharmacy Technician, I process and verify insurance claims for 100+ daily prescriptions, identifying coverage gaps, denials, and eligibility issues and resolving them with payers and providers. I investigate and adjudicate insurance rejections, initiate override requests, and coordinate with prescribers to secure the documentation needed for resubmission.

I bring strong clinical familiarity and HIPAA-aware documentation habits from my work in rehabilitation care, plus a detail-oriented compliance mindset built as a Security Officer. I’m seeking a Prior Authorization Technician role to apply my clinical knowledge and insurance expertise in a patient-focused setting.

Experience

Work history, roles, and key accomplishments

Current

Pharmacy Technician

Current

Walgreens

Mar 2026 - Present (4 months)

Process and verify insurance claims for 100+ daily prescriptions, resolving coverage gaps, denials, and eligibility issues with payers and providers. Enter and validate patient demographics and prescription data in pharmacy management systems with HIPAA-aligned compliance.

Insurance Claims Processing Insurance Verification Prescription processing Medical Terminology HIPAA compliance Pharmacy Management Systems Data Entry Records Management Word Outlook

Security Officer

Allied Universal

Dec 2024 - Apr 2026 (1 year 4 months)

Maintained incident logs, access records, and compliance documentation according to organizational policies and SOPs. Verified credentials and cross-referenced authorization records while ensuring accuracy and confidentiality.

Compliance Documentation Verifiable Credentials Confidentiality

Nursing Assistant

Good Shepherd Rehabilitation Network

Jan 2024 - Jul 2024 (6 months)

Documented patient clinical data including vital signs, intake/output, and progress notes in electronic health records while maintaining HIPAA compliance. Coordinated patient care workflows and collaborated with nurses, therapists, and care teams.

Electronic Health Records (EHR)HIPAA compliance Intake Output Tracking Progress Notes

Education

Degrees, certifications, and relevant coursework

Temple University

Bachelor of Science, Public Health

Activities and societies: Relevant coursework: Health policy; Health informatics; Epidemiology; Biostatistics; Healthcare systems & administration.

Earned a B.S. in Public Health from Temple University in 2023. Coursework included health policy, health informatics, epidemiology, biostatistics, and healthcare systems & administration.