Alaena Griffin
San Diego
Summary
Motivated professional seeking a position in a well-established company that provides opportunity for education and advancement.
Overview
2
2
years of professional experience
Work History
Prior Authorization Specialist
Blink Health Pharmacy
Pittsburgh
11.2024 - Current
- Communicated authorization decisions, including approvals and denials, to healthcare providers and patients
- Advised provider offices on proper coding practices that are necessary for successful claim submission.
- Verified patient insurance coverage, including eligibility, benefits and authorizations for medical services.
- Contacted insurance companies to obtain necessary preauthorizations needed for upcoming tests and procedures.
- Coordinated resolutions for issues and appealed denied authorizations.
- Provided customer service to patients and healthcare providers, answering questions related to prior authorization and insurance coverage.
- Facilitated communication between providers, payers and health plans regarding prior authorization processes.
- Utilized various software and tools to streamline processes and optimize performance.
Pharmacy Technician
Walgreens
Bethel Park
07.2023 - 10.2024
- Assisted pharmacist with clearing high volume of prescriptions and responded to customer questions.
- Created new customer profiles and updated demographics, allergies and new medications in pharmacy computer systems.
- Maintained pharmacological practices by checking drug inventory, stocking medications and monitoring supplies.
- Interpreted and processed medication orders under supervision of pharmacist.
- Performed data entry for patient profiles, billing information and prescription orders into the pharmacy software system.
- Assisted pharmacists in compounding sterile products according to state regulations.
Licensed Security Guard
Elite Security and Staffing
San Diego
02.2023 - 05.2023
- Maintained knowledge of security practices.
- Checked and secured building areas during off-hours to prevent entry by unauthorized individuals.
- Adhered to daily patrol schedules to support consistent security presence throughout property.
- Provided friendly and professional assistance to employees, visitors and customers.
- Maintained high levels of alertness throughout shifts.
- Guarded restricted areas to prevent unauthorized entry.
Education
High School Diploma -
Insight PA Cyber Charter School
Exton, PA06.2023
Some College (No Degree) -
Mansfield University of Pennsylvania
Mansfield, PAPharmacy Technician Certification
Security Guard License
Medical Terminology Certification
Anatomy And Physiology
Nursing Assistant And Exam Prep
Skills
- Experience in Leadership
- Team Management
- Verbal and Written Communication
- Detail-Oriented
- Customer Service Excellence
- De-escalation Techniques
- Security Regulation Enforcement
- Cash Handling
- Compassion and Empathy
- Patience
- Listening Skills
- Critical Thinking
- Data entry
- Pharmaceutical knowledge
- Medical billing procedures
- Analytical skills
- Manual and automated medication dispensing
- HIPAA compliance
- Recordkeeping and documentation
Timeline
Prior Authorization Specialist
Blink Health Pharmacy
11.2024 - Current
Pharmacy Technician
Walgreens
07.2023 - 10.2024
Licensed Security Guard
Elite Security and Staffing
02.2023 - 05.2023
High School Diploma -
Insight PA Cyber Charter School
Some College (No Degree) -
Mansfield University of Pennsylvania
Pharmacy Technician Certification
Security Guard License
Medical Terminology Certification
Anatomy And Physiology
Nursing Assistant And Exam Prep