Insurance Verification and Prior Authorization Specialist with over 4 years of experience supporting U.S. healthcare providers across multiple specialties. Highly skilled in verifying patient eligibility and benefits, determining coverage, obtaining prior authorizations, and ensuring compliance with payer requirements to prevent delays in patient care. Experienced working with commercial insurance plans, Medicare, and Medicaid, with a strong understanding of deductibles, copays, coinsurance, referrals, and authorization guidelines.
In addition to insurance verification and prior authorization, I have extensive experience in claims processing, denial management, appeals, and medical records compliance. I am detail-oriented, HIPAA-compliant, and committed to delivering accurate, efficient, and reliable support that helps providers optimize reimbursement while ensuring a seamless patient experience.
