Detail-oriented Prior Authorization Specialist with a strong background in insurance verification and medical terminology. Proven ability to enhance processing efficiency and collaborate effectively with healthcare providers.
Overview
25
25
years of professional experience
Work History
Prior Authorization Specialist
Great Falls Clinic
Great Falls, MT
11.2012 - 06.2026
Reviewed and processed prior authorization requests to ensure compliance with insurance guidelines.
Collaborated with healthcare providers to gather necessary documentation for approval.
Assisted in training new staff on authorization processes and system navigation.
Implemented workflow improvements to enhance processing efficiency and reduce turnaround times.
Data Entry Clerk
Blue Cross Blue Shield MT
Great Falls, MT
01.2001 - 12.2011
Processed high volumes of data entries with accuracy and efficiency, reducing processing time.
Trained new staff on data entry procedures and best practices, enhancing overall team productivity.
Conducted regular audits of data entries to ensure integrity and adherence to quality standards.
Prior Authorization Specialist at Molina Healthcare-Part time Weekend Skeleton CrewPrior Authorization Specialist at Molina Healthcare-Part time Weekend Skeleton Crew