Experienced prior authorization specialist with 18+ years in cardiology support, insurance verification, and payer communication. Skilled in HIPAA compliance, EHR updates, and resolving coverage issues to keep authorizations moving efficiently.
Overview
19
19
years of professional experience
Work History
Prior Authorization Specialist
Southwest Cardiovascular Associates
Bullhead City, Arizona
09.2007 - 07.2026
Reviewed prior authorization requests for cardiology procedures at Southwest Cardiovascular Associates.
Verified physician orders, clinical notes, and supporting medical records to ensure submission accuracy and compliance.
Monitored authorization status and coordinated follow-up with insurance representatives to expedite processing.
Coordinated authorization details with cardiologists, nurses, and front office staff.
Delivered authorization decisions, including approvals and denials, to healthcare providers and patients, ensuring clarity and understanding.
Explained authorization requirements to patients with clear, professional communication.
Resolved coverage issues for tests, referrals, and specialty services.
Updated electronic health records with approval details and payer responses.
Participated in multidisciplinary team meetings to discuss complex cases requiring prior authorization.
CUSTOMER/Delivery Driver
DOOR DASH
Bullhead City, Arizona
10.2025 - 05.2026
Navigated DoorDash app routes for efficient home deliveries.
Picked up orders from merchants using DoorDash procedures.
Verified order details before leaving pickup locations.
Delivered meals using contactless handoff practices.
Communicated with customers about delivery updates and instructions.
Education
CURRENTLY STUDENT /CERTIFIED MEDICAL CODER - MEDICAL CODING
AAPC MEDICAL CODING
UTAH
01-2027
Skills
Prior authorization
Insurance verification
Authorizations
Electronic health records proficiency
HIPAA compliance
Medical coding
ICD-10 coding
CPT coding
HCPCS coding
Medical terminology knowledge
Post-authorization review
Insurance policies
Timeline
CUSTOMER/Delivery Driver
DOOR DASH
10.2025 - 05.2026
Prior Authorization Specialist
Southwest Cardiovascular Associates
09.2007 - 07.2026
CURRENTLY STUDENT /CERTIFIED MEDICAL CODER - MEDICAL CODING