Dedicated healthcare administrative professional with over three years of experience specializing in prior authorization, insurance coordination, and specialty pharmacy operations. Proven ability to process high-volume authorization requests with accuracy while collaborating with providers and insurance carriers to secure timely approvals. Strong background in customer service, data encoding, healthcare documentation, and data management, with excellent attention to detail and the ability to work efficiently in remote environments. Known for reliability, adaptability, and clear communication
Professional Experience
Buwelo (An Exacstar Company) | Customer Service Representative & Prior Authorization Specialist (-----------)
Senderra Specialty Pharmacy (3 years)
• Processed and submitted high-volume prior authorization requests for specialty medications in compliance with insurance guidelines
• Coordinated with healthcare providers, pharmacies, and insurance carriers to obtain timely approvals
• Reviewed clinical documentation to ensure completeness and accuracy
• Followed up on pending requests, reducing approval delays
• Maintained detailed patient records while adhering to HIPAA and data privacy standards
Lexington Law Firm (1 year)
• Assisted clients in disputing inaccurate credit report information and offered tailored solutions. Handled customer communications across phone, email, and live chat, maintaining a high satisfaction rate
Exela Technologies Philippines | Data Encoder (-----------)
• Accurately entered and verified sensitive data across company databases.
• Maintained strict confidentiality and adherence to data privacy regulations
