Sanaa Everett
Greenville,NC
Summary
Customer service professional with a strong background in processing prior authorization requests and ensuring HIPAA compliance. Demonstrates effective communication and problem-solving skills while collaborating with healthcare providers to resolve authorization issues efficiently.
Overview
5
5
years of professional experience
Work History
Remote Prior Authorization Specialist
MCI
12.2023 - 07.2026
- Processed prior authorization requests, ensuring compliance with regulatory guidelines.
- Reviewed clinical documentation to evaluate medical necessity for services.
- Collaborated with healthcare providers to promptly resolve authorization issues.
- Utilized electronic health record systems to effectively track and manage authorization workflows.
Remote Tier 1 Technical Support Representative
OnBrand24
09.2021 - 11.2023
- Reduced call resolution time by effectively troubleshooting software and hardware problems.
- Conducted diagnostic tests to identify root causes of reported issues, improving resolution accuracy.
- Managed multiple priorities while delivering exceptional customer service, ensuring customer satisfaction.
- Collaborated with teammates to identify recurring issues and create long-term solutions, enhancing support processes.
Education
High School Diploma -
Tarboro High School
Tarboro, NC6 2021
Bachelor of Science - Social Work
East Carolina University
Greenville, NC05-2026
Master of Science - Social Work
East Carolina University
Greenville, NC08-2026
Skills
- Authorization Workflow Management
- Authorization Process Optimization
- Insurance Coverage Verification
- Eligibility Determination
- Coverage authorizations
- Electronic health records
- Clinical Decision Support
- Documentation review
- Documentation improvement
- Patient confidentiality
- HIPAA Compliance
- Healthcare Customer Support
- Account Management
- Interdepartmental Collaboration
- Relationship management
- Interdepartmental Collaboration
Skills
- Communication and Interpersonal Skills
- Medicaid knowledge
- Coverage and Authorizations
- Customer Relationship Management
Timeline
Remote Prior Authorization Specialist
MCI
12.2023 - 07.2026
Remote Tier 1 Technical Support Representative
OnBrand24
09.2021 - 11.2023
High School Diploma -
Tarboro High School
Bachelor of Science - Social Work
East Carolina University
Master of Science - Social Work
East Carolina University