
Healthcare support professional with experience in prior authorizations, benefits verification, CPT/ICD-10 coding, and EHR documentation. Supports providers, patients, and insurance carriers to reduce delays, resolve authorization issues, and keep scheduling and records accurate and on time.
• Identified appropriate CPT/ICD-10 codes and obtained insurance prior authorizations for interventional radiology, CT, and MRI procedures.
• Communicated with physicians, clinical staff, and insurance representatives to resolve authorization issues, ensuring uninterrupted patient care.
• Submitted clinical documentation for pending or denied authorizations and coordinated peer-to-peer reviews, facilitating timely resolution of authorization issues.
• Assisted providers with medical necessity letters and supporting records for authorization appeals.
• Protected patient confidentiality by following HIPAA guidelines.
• Monitored daily workflow queues within department and completed all tasks accurately and on time.
• Supported team workflow by managing various responsibilities, enhancing overall departmental efficiency.