HIPAA Certified.
Healthcare professional with over 5 years of experience in customer service and prior authorization support. Began career as a Healthcare Customer Service Representative, assisting patients with insurance coverage verification, benefits explanation, and out-of-pocket cost estimates to ensure clarity and informed decision-making.
Currently working as a Prior Authorization Representative, specializing in determining authorization requirements, submitting and processing authorization requests, and closely monitoring cases through to approval. Experienced in coordinating with healthcare providers for peer-to-peer reviews, ensuring timely communication between insurance companies and physician offices, and supporting patients by providing appointment reminders and status updates.
Demonstrates strong attention to detail, effective communication skills, and a commitment to delivering efficient, patient-centered support within complex healthcare systems.
