My name is Marge, and I have almost 6 years of experience working in the healthcare industry. For the past 3 years, I have worked as a Prior Authorization Specialist (VA) for a Pain Management office in Florida. My role includes making outbound calls to patients when authorizations or referrals are still pending, but about 80% of my responsibilities focus on processing prior authorizations and referrals.
My experience includes:
Processing authorizations and referrals for New Patients, Physical Therapy, EMG, DME (knee brace and back brace), and Imaging (MRI and CT scan)
Coordinating with insurance companies, PCP offices, and patients regarding authorization status
Managing documentation and uploading clinical notes and supporting documents
Using Excel to track and organize daily appointments for PT, EMG, new patients, DME, and imaging
Ensuring accuracy, meeting deadlines, and maintaining clear, professional communication
I am detail-oriented, reliable, and experienced in fast-paced medical administrative environments. I would be happy to support your team with efficient and accurate prior authorization services.