Anastasia Torwal
Kings Mountain,NC
Summary
Healthcare professional skilled in delivering clinical and administrative support to physicians. Manages prior authorizations, appeals, and medication-related communications while coordinating with pharmacies on authorizations and denials. Communicates directly with patients by phone to address clinical and medication-related concerns, facilitates patient scheduling, and works with providers, pharmacies, and insurance companies to ensure medications are appropriately authorized and processed through the proper channels in a timely manner.
Overview
1
1
Certification
6
6
years of professional experience
Work History
Glaucoma Support Specialist
Horizon Eye Care
Charlotte, NC
03.2026 - Current
- Processed electronic prescriptions and communicated verbal prescription orders to pharmacies in accordance with provider instructions.
- Coordinated prior authorizations, tier exceptions, and appeals with insurance providers for patient treatments and medications through verbal communication, CoverMyMeds, and insurance payer portals.
- Utilized ICD-10 coding knowledge to assess insurance coverage requirements, identify formulary alternatives, and determine prior authorization criteria.
- Communicated with pharmacies and patients regarding prior authorization approvals and denials, coordinating next steps to facilitate timely and efficient patient care.
- Addressed patient clinical and medication-related inquiries, triaged concerns, and collaborated with providers to coordinate appropriate care and follow-up.
- Facilitated external referrals and secured insurance authorizations for diagnostic testing, including MRIs and CT scans.
- Schedule and reschedule patient appointments and conduct outreach to patients who miss or need to change appointments.
Certified Ophthalmic Assistant
Horizon Eye Care
Charlotte, NC
08.2020 - Current
- Assisted providers with comprehensive ophthalmic examinations, diagnostic testing, patient intake, and clinical documentation to enhance patient care
- Scribe for ophthalmologists, documenting patient histories, exam findings, assessments, and treatment plans while applying knowledge of ICD-10 coding and ophthalmic billing.
- Prepare patients for examinations and procedures while providing education regarding medications, treatment plans, and follow-up care.
- Obtained prior authorizations for medications and treatments by communicating with insurance providers and utilizing CoverMyMeds and payer portals.
- Addressed clinical questions, triage concerns, and medication-related inquiries by communicating directly with patients via phone and coordinating with providers as needed.
- Coordinated appointment scheduling, rescheduling, and missed-appointment outreach while managing communications via phone, text, and letters to improve patient engagement.
Education
Associate of Arts -
Central Piedmont Community College
Charlotte, NC05-2019
Skills
- Electronic prior authorizations
- Insurance coordination
- Clinical documentation
- Medication coordination
- Effective patient communication
- Patient advocacy
- Attention to detail
Certification
- Certified Ophthalmic Assistant, IJCAHPO, Oct 2020
Timeline
Glaucoma Support Specialist
Horizon Eye Care
03.2026 - Current
Certified Ophthalmic Assistant
Horizon Eye Care
08.2020 - Current
Associate of Arts -
Central Piedmont Community College