Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level Prior Authorization Specialist position. Ready to help team achieve company goals.
Coordinated with healthcare providers, insurance companies, and patients to obtain prior authorization for diabetes supplies.
Reviewed patient medical records, treatment plans, and insurance policies to determine authorization requirements.
Ensured accurate completion of prior authorization forms and submission of required documentation within specified time frames.
Communicated with insurance representatives to advocate for timely approval of authorizations and resolve any issues or discrepancies.
Maintained detailed records of authorization requests, approvals, denials, and appeals.
Collaborated with healthcare providers to educate them on prior authorization requirements and facilitate the authorization process.
Stayed updated on changes in insurance policies, billing regulations, and industry standards related to prior authorization.
Proficient in medical terminology and ICD-10-CM
Strong understanding of insurance verification and prior authorization process
Excellent communication and interpersonal skills, with the ability to effectively interact with healthcare professionals, insurance representatives, and patients
Detail oriented and highly organized with the ability to manage multiple tasks simultaneously and meet deadlines
Proficient in using electronic health records (EHR) systems, Bright Tree, QS1, PremierView, DocuTrack, Zingle, beginner Microsoft Word, Excel, and Teams
Knowledgeable about healthcare laws, regulations, and compliance standards, including HIPPA
Certified Pharmacy Technician
Licensed Pharmacy Technician in GA
Certified Pharmacy Technician
Licensed Pharmacy Technician in GA