Detail-oriented Prior Authorization Specialist with experience managing insurance authorizations, verifying patient benefits, and coordinating with healthcare providers and insurance companies. Skilled in reviewing medical documentation, ensuring compliance with payer guidelines, and maintaining accurate patient records. Strong knowledge of commercial insurance, Medicare, Medicaid, and electronic health record (EHR) systems. Recognized for excellent communication, problem-solving, and the ability to meet productivity and quality goals in fast-paced healthcare environments.
Experience: 5 - 10 years
Maintained a high authorization approval rate by ensuring complete and accurate submissions. Reduced authorization turnaround times through proactive follow-up with payers. Consistently met productivity and quality performance metrics. Improved communication between providers, patients, and insurance companies to minimize treatment delays.
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Samori Coles
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