Dynamic individual with experience in authorization and talent for navigating challenges. Brings strong problem-solving skills and proactive approach to new tasks. Known for adaptability, creativity, and results-oriented mindset. Committed to making meaningful contributions and advancing organizational goals.
Overview
5
5
years of professional experience
Work History
Authorization Representative
Cigna- Evernoth Services Inc.
09.2024 - Current
Process patient authorization requests, ensuring adherence to insurance guidelines and regulations.
Evaluated complex cases, collaborating with healthcare providers to secure necessary approvals.
Improved patient satisfaction by efficiently handling authorization requests and promptly addressing inquiries.
Worked closely with other teams to gather needed information in a timely manner, supporting optimal patient care delivery.
Enhance productivity by consistently meeting or exceeding monthly goals for completed authorizations.
Demonstrated adaptability by quickly learning new systems and processes as they were introduced within the department.
Provided exceptional customer service by answering questions, resolving issues, and guiding patients through the authorization process.
Consistently provided prompt follow-up on pending authorizations, ensuring minimal delay in receiving essential medical services.
Consistently met meticulous KPI standards for multiple consecutive months by successfully completing 1,000+ progress notes to track authorization progress
Onboarding Specialist
CarePathRx
09.2021 - 09.2024
Developed rapport with customers through active listening skills, leading to positive feedback from clients.
Resolved escalated issues with professionalism and empathy, earning trust from both colleagues and clientele alike.
Exceeded performance metrics regularly, demonstrating consistent dedication to quality work and customer satisfaction.
Communicated with referral sources and associated staff to check documentation for proper information.
Provided coaching and mentoring to new hires, contributing to their successful integration into the team.