Experienced professional with a strong background in prior authorizations and data entry. Skilled in managing high-volume documentation, verifying insurance requirements, and ensuring accuracy in processing approvals. Seeking a role that utilizes my clinical office experience and proficiency in data management
Overview
2
2
years of professional experience
Work History
Medical Authorization Specialist
El Paso Pulmonary Association
08.2023 - Current
Accurately and efficiently obtained prior authorizations for a wide range of medical procedures, including surgeries, diagnostic tests, and medications, from various insurance providers
Navigated complex insurance guidelines and medical necessity criteria to ensure timely approval for patient care
Built and maintained strong relationships with insurance representatives to resolve denials and expedite authorization requests
Effectively communicated with patients, physicians, and other healthcare professionals regarding authorization status and any necessary documentation
Maintained detailed records of authorization requests, including dates, status, and communication with insurance providers
Contributed to improving office workflow and streamlining authorization processes
Handling patient inquiries regarding insurance coverage and benefits
Assisting with patient scheduling and registration
Collecting patient co-pays and deductibles
Education
Medical Billing and Coding -
Western Technical
El Paso, TX
12.2023
Skills
CPT
ICD-10
HCPCS
Insurance authorizations
Verifying coverage
Electronic Health Records (EHR)
Billing software
HIPAA compliance
Patient confidentiality regulations
Attention to detail
Timeline
Medical Authorization Specialist
El Paso Pulmonary Association
08.2023 - Current
Medical Billing and Coding -
Western Technical
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