Allyson Wolfinger
Crown Point
Summary
Knowledgeable pharmacy professional skilled at helping pharmacists complete accurate prescriptions in fast-paced settings. Prior authorization specialist and experienced in coordinating between providers, insurance companies and customers to resolve problems. Strong interpersonal and multitasking abilities
Overview
6
6
years of professional experience
1
1
Certification
Work History
Prior authorization specialist
OptumRx
07.2023 - 02.2025
- Managed incoming phone calls from patients and healthcare providers seeking information about authorizations
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
- Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
Pharmacy Technician
Summit Pharmacy
04.2022 - 05.2023
- Prior Authorization specialist
- Following up with providers and insurance companies, obtaining any additional information needed to approve specialty medications
- Researched customer health insurance plans to provide prescription authorization and efficient patient care
- Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
- Stocked, labeled, and inventoried medication to keep accurate records.
- Developed and maintained productive working relationships with healthcare providers.
Pharmacy Technician
CVS
04.2019 - 12.2021
- Established and updated patient profiles, including lists of medications and insurance details
- Received and verified daily incoming drug inventories, reported discrepancies and logged items into inventory system
- Created new customer profiles and updated information in pharmacy computer systems
- Consulted with customers via telephone or in-person to assist with navigating pharmacy systems and completing requests
Education
Highschool Diploma -
Littleton Highschool
Crown Point, IN12.2015
Skills
- Critical thinking
- Effective communication skills
- Benefit coverage
- ICD-10 coding
Certification
- Licensed Pharmacy Technician CPhT 30207684 - 08/21/2022 to 08/31/2026
Timeline
Prior authorization specialist
OptumRx
07.2023 - 02.2025
Pharmacy Technician
Summit Pharmacy
04.2022 - 05.2023
Pharmacy Technician
CVS
04.2019 - 12.2021
Highschool Diploma -
Littleton Highschool
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