Taylar Easley
New Athens
Summary
Reliable and detail-oriented Prior Authorization Representative with advanced expertise in coordinating with insurance companies, patients, and healthcare providers to verify prescription benefit coverage eligibility and process authorization requests. Highly organized, with a strong ability to manage complex tasks efficiently while maintaining a focus on accuracy. Known for delivering excellent customer service and ensuring smooth communication across all parties to expedite authorization processes and resolve issues promptly.
Overview
10
10
years of professional experience
Work History
Prior Authorization Representative
Express Scripts
09.2023 - Current
- Exceptional Customer Service: Delivers prompt, professional responses to inquiries from patients and healthcare providers, ensuring a positive and efficient experience.
- HIPAA Compliance: Strictly adheres to HIPAA regulations, safeguarding sensitive patient information and maintaining confidentiality at all times.
- Eligibility and Authorization Verification: Verifies patient eligibility and ensures compliance with authorization requirements.
- Efficient Medication Management: Processes new medication and refill authorization requests swiftly, contributing to improved patient satisfaction and timely treatment.
- Performance Excellence: Consistently meets or exceeds key performance metrics, including accuracy, productivity, and quality standards, contributing to the overall success of the department.
- Prior Authorization Quality Checks: Conducts thorough quality assessments on prior authorization submissions to uphold high standards and ensure accuracy.
- Medicare Authorization Review: Performs detailed quality assessments on Medicare prior authorizations to verify correct procedures were followed, ensuring accuracy, efficiency, and regulatory compliance for both patients and healthcare providers.
Material Management
United States Air Force, USAF
02.2018 - 12.2020
- Efficient Material Management: Demonstrated meticulous attention to detail in managing, storing, and disposing of materials, ensuring smooth workflow and safety compliance.
- Inventory Control: Accurately tracked inventory levels and proactively placed orders to maintain optimal stock levels, reducing downtime and material shortages.
- Documentation and Compliance: Maintained comprehensive documentation of all material management activities, ensuring easy access for audits, regulatory inspections, and internal reviews.
- Discrepancy Reporting: Regularly monitored inventory records and promptly reported discrepancies, allowing for swift resolution and accurate tracking.
- Employee Training: Trained new employees on company-specific material management software, facilitating a seamless transition into existing workflows and improving overall team efficiency.
Sales Associate
Old Navy
07.2016 - 02.2018
- Store Organization: Organized racks and shelves to enhance store visual appeal, engage customers, and effectively promote targeted merchandise.
- Cash Handling: Managed cash transactions with precision, adhering to company policies to ensure accurate and secure financial exchanges.
- Customer Relationship Building: Cultivated strong relationships with customers, encouraging repeat business and fostering customer loyalty.
- Returns and Exchanges: Processed returns, exchanges, and refunds in alignment with store policy, ensuring customer satisfaction and compliance.
- Merchandise Preparation: Prepared merchandise for the sales floor by accurately pricing or tagging items, ensuring a well-organized and appealing display.
- Customer Assistance: Assisted customers in locating products, and checking inventory across multiple store locations to fulfill requests and enhance the shopping experience.
Cashier/ Cook/Waitress
Cowboy Chicken
05.2016 - 09.2017
- Customer Interaction: Warmly greeted customers upon entering the restaurant and responded promptly to their needs, ensuring a positive and welcoming experience.
- Transaction Handling: Operated the cash register efficiently, processing cash, checks, and credit card transactions with high accuracy and attention to detail.
- Sanitary Compliance: Ensured workspace cleanliness and compliance with health and safety regulations, contributing to a safe environment for both staff and customers.
- Stress Management: Handled high-pressure situations with composure, maintaining service excellence even during peak times or busy shifts.
- Multitasking Proficiency: Demonstrated strong multitasking skills by efficiently managing multiple orders while providing prompt and attentive service to all customers.
Cashier/ Cook
Dairy Queen
09.2014 - 05.2016
- Customer Engagement: Greeted customers upon entry and responded promptly to their needs, fostering a welcoming and positive shopping experience.
- Flexible Availability: Worked a flexible schedule, including extra shifts, to meet business needs and ensure smooth store operations during peak hours.
- Cash Register Operation: Accurately operated the cash register, processing cash, check, and credit card transactions with attention to detail and precision.
- Staff Mentorship: Mentored new employees on cashier duties and best practices, contributing to improved staff performance and a more efficient team environment.
- Workplace Cleanliness and Safety: Maintained clean, organized, and sanitary work areas at all times, ensuring safety and quality during food preparation and customer service.
Education
Associate of Arts - General Studies
Kentucky Wesleyan College
Owensboro, KY06-2026
High School Diploma -
Sherman High School
Sherman, TX06-2017
Skills
- Adaptability and flexibility
- Cover determination requests
- Workflow management
- Issue research
- Teamwork and collaboration
- Customer service
- Problem-solving
- Time management
- Attention to detail
- Multitasking
- HIPAA compliance
- Quality assurance
Superior Performer of the month
Selected as Superior Performer of the Month by Air Force supervisors and leadership, recognizing outstanding performance and dedication during my first six months stationed at Mountain Home Air Force Base, Idaho.
Timeline
Prior Authorization Representative
Express Scripts
09.2023 - Current
Material Management
United States Air Force, USAF
02.2018 - 12.2020
Sales Associate
Old Navy
07.2016 - 02.2018
Cashier/ Cook/Waitress
Cowboy Chicken
05.2016 - 09.2017
Cashier/ Cook
Dairy Queen
09.2014 - 05.2016
Associate of Arts - General Studies
Kentucky Wesleyan College
High School Diploma -
Sherman High School
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