Accurately entered Prior Authorizations in Claims System to ensure appropriate claims will adjudicate
Respond to completed requests by creating written communication of the clinical outcome to the member and the member's physician within client specific turnaround times.
Performed outreach to pharmacies and physician's offices related to the department process across multiple clients to obtain all necessary information related to UM requests, including occasional member assistance.
Provided all relevant clinical information specific to UM request to Pharmacist and the Physician departments
Managed work queue and volumes to meet client specific turnaround times
Collaborated with team members, leads and Pharmacists to promote consistency of review completion across the research team.
Assisted in training and development of new student staff. Enforced policies and procedures. Reviewed and ensure all room set ups are complete and in accordance with clients' needs. Communicated with clients prior to events, aiding and resolving issues. Responsible for handling monetary transactions; recorded cash handling.Maintained multiple storage rooms and ensure proper organization of equipment. Performed and manage the process of opening and closing the building. Performed regular inspections of facility and documented all inspection information in reports.
Lead the shift in the absence of the Building Manager
Reported facility or equipment problems to Building Manager and/or other parties. Provided event management and customer service.Ensured safety of students, staff and clients of the Student Union.Assessed operating conditions and adjusted settings to maximize performance and equipment longevity. Executed tasks within time and budget constraints. Optimized work readiness with effective gathering of parts and supplies in alignment with specifications. Reviewed technical documentation to complete equipment maintenance and repair.
Performed event set-up and facility management. Reported and address any issues that may impede the safety or security of facility, furnishings, or equipment. Provided customer service to students, faculty, staff and clients of the Student Union. Continuously adhered to strict regulations as well as detailed instructions, guidelines and specifications. Completed daily, weekly and monthly checklists on building equipment to maintain records of scheduled maintenance procedures. Loaded, unloaded and moved material to and from storage and production areas.
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