Professional in healthcare administration with strong background in managing authorization processes. Adept at ensuring compliance, streamlining workflows, and mitigating risks. Consistent track record of fostering team collaboration and achieving results in dynamic environments. Skilled in navigating complex systems, prioritizing tasks, and maintaining high standards of accuracy and efficiency.
Organized professional knowledgeable in regulatory standards and compliance requirements. Confident Prior Authorization Specialist with a background spent working in medical offices, communicating effectively orally and through writing and developing prior authorization workflows.
Pursuing full-time role that presents professional challenges and leverages interpersonal skills, effective time management, and problem-solving expertise.
Strong Verbal Communication
Data entry
Insurance procedures
Medical terminology
Billing procedures
CPT Code Proficiency
Claim research
Authorizations
Medical billing procedures
Claims processing experience
Prior authorization process
Medical appeals handling
Insurance verification
I have expertise in using EHR systems like Meditech, Epic, and Athena, as well as provider portals such as Availity, Aetna, BCBS, Cigna, Optum, UMR, and UHR.