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Detail-oriented Medical Billing and Insurance Verification Specialist with 8+ years supporting outpatient and specialty practices in remote settings. Professional, organized, and calm under pressure; known for resourceful, independent problem solving and clear communication. Broad revenue-cycle expertise—charge entry, benefits and eligibility verification, ICD-10 and CPT/HCPCS validation, claim submission, clearinghouse edit resolution, denial management and appeals, payment posting, and A/R follow-up. Skilled at navigating commercial and government payer portals to fix rejections, resolve underpayments, and close documentation gaps so claims get paid right the first time. Consistently maintains HIPAA-compliant, audit-ready records while improving accuracy, turnaround, and resolution rates in high-volume workflows. Brings an analytical mindset and a dependable, get-it-done approach to working with providers, coders, and payers.

Organized professional knowledgeable in regulatory standards and compliance requirements. Confident Prior Authorization Specialist with a background spent working in medical offices, communicating effectively orally and through writing and developing prior authorization workflows. Hardworking Prior Authorization Specialist with successful background working closely with insurance company representatives to gain preapproval for procedures and testing. Detail-oriented performer with over 12 years of managing documentation. Considered team player with exemplary multitasking skills. Detailed Medical Assisting and Prior Authorization Specialist committed to never letting vital requests or documents go unprocessed. Diligent tracker of patient outcomes and caretaker feedback. Incorporates empathetic communications with professional best practices to satisfy plan members and business goals alike. Amiable Prior Authorization Representative with 12 years of connecting patients and healthcare providers to vital resources. Dedicated to executing on prescribed medical funding guidelines and policies. Maintains compassionate and sympathetic relations with consumers. Adept at balancing business interests with human-centric service models. Reliable Prior Authorization Specialist with over 12 years of experience working in fast-paced, office clinical environments. Bilingual professional with skill in prior authorization for patients, finding solutions to issues and tackling work tasks in busy office. Accommodating Works Advisor with 12 years of experience providing guidance to job seekers by recommending training activities, identifying skill gaps and discussing career and education options. Responsive and reliable professional proficient in job interview techniques and Epic, Webcharts, WebMD, Allscripts. Dedicated to increasing job opportunities by cultivating strong relationships with employers and job seekers. Supportive Eligibility Specialist with extensive application engagement and dedicated service skills. Bilingual professional with skill to maintain accurate records, schedule appointments and handle various administrative responsibilities. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level Medical Assisting and Prior Authorization Specialist position. Ready to help team achieve company goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.

A seasoned Medication Prior Authorization Specialist, I leveraged my expertise in ICD-10 coding and exceptional communication skills at Restore Health and Pain Treatment Group to significantly enhance patient satisfaction. My proactive approach and dedication to process improvement strategies led to a notable increase in authorization approval rates, demonstrating my commitment to excellence and teamwork in a high-stakes environment.

Dedicated administrative professional well-versed in communication and team building. Knowledgeable in medical terminology and scheduling. Ready to bring 5 years of relevant work experience to your team. Versatile professional serves as first point of contact for patients by verifying insurance, handling paperwork and preparing records. Patient-oriented and helpful candidate familiar with MS Office and EHR systems coupled with thorough knowledge of medical terminology. Committed to providing personalized service and quality patient care.

Kelly Johnson

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