Experienced healthcare professional with a strong background in prior authorization and insurance verification, combined with 10 years of customer service experience. Skilled in reviewing patient eligibility, benefits, and coverage across various insurance plans, while accurately preparing and submitting prior authorization requests with complete clinical documentation. Proficient in coordinating with providers and insurance companies to ensure timely approvals, handling denials and appeals, and maintaining compliance with payer guidelines. Demonstrates excellent communication, problem-solving, and interpersonal skills, effectively assisting patients, resolving concerns, and ensuring a smooth, efficient healthcare process.
Verified
