As a Prior Authorization Specialist, I excel at navigating insurance requirements, verifying coverage, and securing timely approvals for medical services, procedures, and medications. Skilled in collaborating with insurance representatives to simplify the authorization process and reduce delays in patient care. Skilled in interpreting medical documentation, ICD-10/CPT coding, and payer guidelines to ensure accurate and compliant submissions. Known for excellent communication and a patient-focused approach that enhances service quality and operational efficiency. Thrives in fast-paced healthcare environments while consistently meeting productivity and accuracy standards.
