· Performed Benefit Investigations via Phone Calls and utilization of Online Provider portals
· Conducted initial and ongoing prior authorization requests
· Submitted Out of Network and Single Case Agreement requests
· Assisted with follow-up on pending approvals via phone or Provider Portals
· Reviewed medical records for required supporting documentation
· Streamlined the Benefit Investigation process on the Medicare Advantage and Managed Medicaid team by creating resource and job aid for frequent payers
Proficient in the following applications:
Awards: