I am an experienced health insurance claims, insurance verification, prior authorization, and pre-certification specialist with a combined total of 2 years of experience in the field. My expertise includes extensive knowledge of insurance policies, including private insurance, Medicare, and Medicaid, and I am skilled in interpreting insurance coverage details. I excel in performing insurance verifications, obtaining prior authorizations requirements, and utilizing EHR systems and insurance verification platforms to streamline processes. My meticulous attention to detail ensures accurate and complete authorization requests, and I have excellent communication skills when interacting with patients, healthcare providers, and insurance companies. I have a proven ability to collaborate with stakeholders to resolve insurance-related issues promptly. I am responsible for explaining and managing medical insurance claims, ensuring the validity of patients' insurance coverage, and obtaining prior authorization requirement information for specific medical procedures or treatments. I am known for my strong communication skills in handling claim issues and resolving denials or delays by collaborating with healthcare providers, patients, and insurance companies. I am a problem-solver when navigating claim disputes and pay great attention to detail in reviewing claim documentation to prevent errors or fraud. Committed to maintaining confidentiality and adhering to privacy regulations.
- Pottery: I engage in the art of pottery, utilizing my creativity and craftsmanship to create unique ceramic pieces.
- Swimming: I maintain an active lifestyle through swimming, which not only promotes fitness but also provides relaxation and tranquility.
- Bowling: I enjoy bowling as a recreational activity, fostering friendly competition and socializing with my close friends.
- Karaoke: Singing karaoke is a favorite pastime of mine, allowing me to showcase my vocal talents and have a great time with my friends.
- Dancing: Dancing is a passion of mine that allows me to express myself creatively and enjoy the rhythm and movement.
- Shopping: Exploring shopping centers and finding unique items is an enjoyable activity for me, allowing me to keep up with trends and indulge in personal style.
- Netflix: I appreciate unwinding with Netflix, watching a variety of shows and movies to stay entertained and engaged.
- Brunches: Gathering with my close friends for brunch is a delightful way to enjoy good food, conversation, and quality time together.
As a young black woman of 22, my goal is to soon enroll in a CST program and become a Certified Surgical Technologist (CST) extraordinaire! With my passion for precision and my thirst for knowledge, I am excited to embark on this journey into the world of surgery. By mastering the art of setting up the operating room, preparing instruments, and anticipating the needs of the surgical team, I will ensure that every procedure runs like a well-oiled machine. With my passion for precision and my keen eye for detail, I aim to play a vital role in the operating room, ensuring that every procedure runs smoothly and efficiently. From assisting with surgical preparations to anticipating the needs of the surgical team, I'll bring my A-game and a touch of sweetness to create a supportive and harmonious environment.
Sincerely,
Nariah Pearsey