Toneka Watkins
Dacula,GA
Summary
Experienced prior authorization specialist with a background in insurance verification, claims processing, and accurate data management. Known for attention to detail, issue resolution, and strong customer service in fast-paced healthcare settings.
Overview
14
14
years of professional experience
Work History
Prior Authorization Specialist
SimonMed Imaging
orlando, FL
10.2020 - Current
- Facilitated prior authorization processing for diagnostic imaging across SimonMed Imaging locations, ensuring timely approvals.
- Collaborated with payers, providers, and clinic staff to obtain authorization approval.
- Documented authorization data in electronic medical records and scheduling systems to maintain accurate patient records.
- Addressed denials, clarified missing details, and answered coverage questions with care teams to streamline authorization processes.
- Followed payer guidelines and imaging protocols for prior authorization submission.
Manager's Assistant
7 Eleven Gas Station
Orlando, Florida
10.2012 - 02.2024
- Supported the store manager with daily convenience store and fuel station operations.
- Assisted customers with inquiries, purchases, fuel questions, and store concerns to enhance customer satisfaction.
- Monitored cash drawers, receipts, and POS transactions for accuracy.
- Monitored inventory levels and reported shortages to management to ensure stock availability.
- Prepared schedules, shift notes, and task updates for store staff.
- Reviewed sales data to identify trends and inform adjustments to store strategies.
- Restocked beverages, snacks, tobacco, and automotive merchandise on the sales floor.
- Received vendor deliveries and organized backroom storage for merchandise.
Education
GED -
Orlando Technical College
Orlando, FL06-2008
Skills
- Prior authorization
- Insurance verification
- Claims processing
- Scheduling systems
- Data management
- Attention to detail
- Customer service
- Issue resolution
- Problem solving
- Customer education
- Call management
- Conflict resolution
- Cross-functional collaboration
- Office equipment proficiency
- Attention to detail
Timeline
Prior Authorization Specialist
SimonMed Imaging
10.2020 - Current
Manager's Assistant
7 Eleven Gas Station
10.2012 - 02.2024
GED -
Orlando Technical College