Havohej Andrews
Forney,TX
Summary
Detail-Oriented and highly organized professional with 8 years of experience in healthcare administration, specifically focused on prior authorizations. Proficient in navigating insurance guidelines, verifying patient information, and securing necessary approvals for medical procedures and medications. Excellent communication skills and a commitment to ensuring patients receive timely and appropriate care.
Overview
10
10
years of professional experience
Work History
Prior Authorization Assistant
Cigna
03.2021 - 11.2025
- Managed and processed an average of 40 prior authorization requests daily, ensuring accuracy and compliance with payer requirements.
- Verified patient insurance coverage and eligibility, resolving discrepancies to prevent claim denials.
- Communicated with insurance companies, healthcare providers and patients to gather necessary documentation and information for prior authorizations.
- Utilized Epic and Athena Health to track authorization statuses, update patient records, and generate reports.
- Collaborated with the clinical team to ensure appropriate documentation supported the medical necessity of requested services.
- Reduced prior authorization turnaround time by 92% through efficient processing and follow-up procedures.
- Maintained a comprehensive understanding of insurance policies and guidelines, including Medicare, Medicaid, and commercial plans.
Pre-Certification Specialist
Sana Benefits
08.2018 - 02.2021
- Processed 50 new Radiology, Cardiology, Physical, Speech and Occupational Therapy prior authorization requests efficiently, ensuring compliance with insurance guidelines.
- Collaborated with healthcare providers to gather necessary documentation for timely approvals.
- Provided exceptional customer service, addressing inquiries from both patients and healthcare providers promptly and professionally.
- Ensured compliance with HIPAA regulations by maintaining strict confidentiality in handling sensitive patient information.
- Reduced claim denials by thoroughly reviewing and analyzing medical necessity documentation before submitting for approval, ensuring all criteria were met.
- Streamlined workflow for faster approval turnaround times, handling high volume inbound calls, averaging 80+ daily, while maintaining a 5-minute Average Handle Time (AHT).
Medical Assistant
Delta Dallas
04.2016 - 08.2018
- Assisted physicians and nurses in providing patient care, including taking vital signs, administering medication, and preparing examination rooms.
- Managed patient records, ensuring accuracy and confidentiality in compliance with HIPPA regulations.
- Scheduled appointments, coordinated referrals, and verified insurance information for patients.
- Provided exceptional customer service, addressing patient inquiries and resolving concerns in a professional and timely manner.
- Assisted in patient education regarding treatment plans, medications, and follow-up care.
- Managed approximately 30 incoming calls, emails and faxes per day from customers.
Education
Bachelor of Science - Nursing
The University of Texas At Arlington
Arlington, TX05-2028
High School Diploma -
North Mesquite High School
Mesquite, TX05-2012
Skills
- Prior Authorization Processing
- Insurance Verification
- Medical Terminology
- CPT/ICD-10 Coding
- Data Entry
- HIPPA Compliance
- Customer Service
- Communication(Written and Verbal)
- Problem Solving
- Microsoft Office Suite
- EHR Systems(Epic, Athenahealth)
- Computer skills
Timeline
Prior Authorization Assistant
Cigna
03.2021 - 11.2025
Pre-Certification Specialist
Sana Benefits
08.2018 - 02.2021
Medical Assistant
Delta Dallas
04.2016 - 08.2018
Bachelor of Science - Nursing
The University of Texas At Arlington
High School Diploma -
North Mesquite High School