Sheryl Brooke Cubra
East Sparta,OH
Summary
Accomplished Prior Authorization Specialist with successful background working closely with insurance company representatives to gain preapproval for procedures, durable medical equipment and high cost specialty medications. Detail-oriented performer with over six years of managing prior authorizations. Considered team player with exemplary multitasking skills.
Overview
5
5
years of professional experience
Work History
Authorization Specialist
Vitreo Retinal Consultants
06.2022 - Current
- Managed specialty pharmacy authorizations for patients across 6+ office locations.
- Interpreted clinical notes to facilitate authorization submissions.
- Utilized payer portals to secure necessary authorizations.
- Verified insurance benefits for accurate coverage.
- Provide occasional claim follow-up and medical billing support when required.
Authorization Specialist
Cleveland Clinic
11.2021 - 06.2022
- Obtained authorizations for radiology orders focusing on MRI/CT scans.
- Verified insurance eligibility and benefits for patients.
- Utilized insurance portals to secure authorizations.
Authorization Specialist
Ancillary Advantage
08.2019 - 11.2021
- Worked with workers' compensation case managers to obtain authorizations for durable medical equipment.
- Interpreted medical notes related to orthopedic injuries.
- Negotiated payable rates for durable medical equipment.
Education
Vocational - Medical Tech Prep
Perry High School
Massillon05-2014
Skills
- Claims management
- Data entry proficiency
- HIPAA compliance
- Medical terminology expertise
- Insurance verification
- ICD-10 coding
- Medicare and medicaid process
- Commercial Insurance
Timeline
Authorization Specialist
Vitreo Retinal Consultants
06.2022 - Current
Authorization Specialist
Cleveland Clinic
11.2021 - 06.2022
Authorization Specialist
Ancillary Advantage
08.2019 - 11.2021
Vocational - Medical Tech Prep
Perry High School
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