Healthcare Administrative Professional with 2 years and 8 months of experience in insurance verification, benefits investigation, prior authorization, patient services, and ICD-10 diagnosis code review in a hospital setting. Skilled in working with major U.S. insurance plans, verifying eligibility, obtaining authorizations, resolving coverage issues, supporting revenue cycle operations, and ensuring accurate diagnosis code documentation.
Proficient in Cerner, Athenahealth, Availity, and Carelon, with a 98% authorization approval rate achieved through accurate documentation, effective payer communication, and proactive follow-up. Dedicated to improving patient access to care and supporting efficient healthcare operations.
Seeking opportunities as an Insurance Verification Specialist, Prior Authorization Specialist, Medical Billing/RCM Specialist, Healthcare Virtual Assistant, or Medical Coding Specialist.
