TAVARIS A. BELL
FL
Summary
Detail-oriented Prior Authorization and Utilization Management Professional with extensive experience processing 120-150+ prior authorizations weekly across commercial, Medicare, Medicaid, and VA sectors. Demonstrated expertise in insurance verification, clinical documentation review, and medical necessity assessments utilizing systems such as EPIC and Availity. Committed to optimizing healthcare operations in high-volume remote and hybrid environments.
Overview
10
10
years of professional experience
3
3
years of post-secondary education
Work History
Prior Authorization Specialist
Lakeland Regional Health
Lakeland, FL
01.2022 - Current
- Process 120-150+ medical prior authorizations weekly for inpatient, outpatient, and ancillary services with accuracy and efficiency.
- Review clinical documentation and validate medical necessity according to payer guidelines and policy criteria.
- Utilize EPIC, Availity, eviCore, EQ Suite, VA (Veterans Affairs), and BayCare systems to submit, track, and follow up on authorization requests.
- Collaborate with providers, clinical teams, and insurance representatives to obtain timely authorization decisions and prevent denials.
- Verify patient benefits and eligibility to ensure accurate coverage, reduce delays, and maintain high productivity.
Independent Contractor - Logistics & Operations
USA TODAY MEDIA
Florida
01.2019 - Current
- Manage logistics operations including route planning, delivery coordination, and customer communication.
- Oversee scheduling, inventory tracking, and documentation to ensure efficient and timely completion of services.
- Provide reliable, results-driven support to clients with a focus on accuracy, professionalism, and on-time delivery.
- Maintain strong organizational systems to manage multiple priorities and deadlines.
Pharmacy Technician/Prior Authorization Specialist
Welldyne Rx
Remote
01.2016 - 01.2022
- Managed pharmacy prior authorization requests for medications, facilitating step therapy, quantity limits, and formulary exceptions to ensure patient access.
- Reviewed patient profiles, diagnosis, and medication history to compile accurate documentation for payer submission.
- Coordinated communication with prescribers, patients, and insurance carriers to gather information and expedite authorization determinations.
- Worked within Availity, eviCore, and other payer portals to obtain approvals and resolve coverage issues.
- Maintained precise records of authorizations, communications, and outcomes, ensuring compliance with HIPAA regulations.
Education
HIGH SCHOOL DIPLOMA -
Lakeland Senior High School
FL 08.2004 - 01.2008
Skills
- Prior Authorization
- Utilization Management
- Insurance Verification
- Necessity review
- Documentation review
- Referral Management
- Payer Policy Interpretation
- Eligibility verification
- HIPAA Compliance
- EPIC
- Availity
- EviCore
- EQ Suite
- BayCare
- VA (Veterans Affairs)
- Multi-Payer Portals
- Analytical
- Strong Problem Solver
- Effective Communicator
Websites
Systems And Platforms
- EPIC
- Availity
- EviCore
- EQ Suite
- BayCare
- VA (Veterans Affairs)
- Multi-Payer Portals
Professional Snapshot
9+, 120-150+, Provider, Pharmacy, Payer, Commercial, Medicare, Medicaid, VA (Veterans Affairs), EPIC, Availity, eviCore, EQ Suite, BayCare, VA (Veterans Affairs), Multi-Payer Portals, High-Volume Remote & Hybrid Healthcare Operations
Timeline
Prior Authorization Specialist
Lakeland Regional Health
01.2022 - Current
Independent Contractor - Logistics & Operations
USA TODAY MEDIA
01.2019 - Current
Pharmacy Technician/Prior Authorization Specialist
Welldyne Rx
01.2016 - 01.2022
HIGH SCHOOL DIPLOMA -
Lakeland Senior High School
08.2004 - 01.2008