Briana Harden

Dudley

Summary

Experienced healthcare professional specializing in prior authorizations, prescription processing, and team coordination. Proven ability to manage high-volume workflows (60+ daily requests), oversee multi-site operations, and train staff in complex insurance and medication processes. Skilled in resolving escalations, coordinating care across providers and pharmacies, and ensuring compliance and patient satisfaction.

Overview

years of professional experience

Certification

Work History

Lead Pharmacy Navigator / Prescription Specialist

Reliant Medical Group

MetroWest Boston

06.2021 - 12.2024

Processed 60+ prescription requests daily, ensuring accuracy, compliance, and timely provider approval.
Specialized in prior authorizations and appeals, including complex and non-covered medications.
Oversaw workflow for multi-site prescription team across MetroWest Boston region.
Delegated workload across team members to manage high-volume demands including patient, pharmacy, and insurance issues.
Handled escalated, time-sensitive calls and ensured urgent needs were addressed promptly.
Reviewed patient charts, lab results, and medication histories to support safe prescribing.
Trained and onboarded new employees as a preceptor, including PA processes and workflows.
Provided coaching and performance support to maintain productivity and accuracy.
Coordinated between providers, pharmacies, insurance companies, and patients.
Managed drug agreements and ensured proper documentation within EHR systems.
Scheduled follow-up appointments to maintain treatment compliance.

Licensed Pharmacy Technician

Rite Aid / Walgreens

10.2017 - 05.2021

Entered and processed prescription data including patient profiles, drug selection, and insurance billing.
Coordinated refill authorizations with provider offices.
Assisted customers with medication-related questions and resolved insurance issues.
Prepared and labeled prescriptions with accuracy.
Managed inventory including restocking, returns, and order review.

Sales Associate

Motherhood Maternity

06.2017 - 02.2018

Provided customer service and assisted clients with purchases.
Managed POS transactions and cash handling.
Maintained store organization and inventory.

Education

Certified Health Coach -

Institute for Integrative Nutrition

High School -

Shepherd Hill Regional High School

Pharmacy Technician - Pharmacy

Pharmacy Technition University

Skills

Prior Authorizations & Appeals
Insurance Verification & Billing
EHR Systems (EPIC)
Prescription Processing
Patient Communication & Outreach
Medication Management
Team Training & Coaching
Data Entry & Documentation Accuracy
Time Management
Problem Resolution & Escalation Handling
Workflow optimization

Prescription processing
Customer relationship management
Medication management
Inventory control
Team leadership
Quality assurance
Team coordination experience
Interpersonal skills
EHR management
Drug utilization review
Patient coordination