Experienced Medical and Behavioral Health Benefits, Prior Authorization, Referral and Claims Specialist with experience at United Health Care and Optum Global Solutions. Skilled in educating members on their health benefits - including copays, coinsurance, and deductibles. I managed patients' referrals, process provider prior authorization requests, and explaining claim decisions to both members and providers. I excel at resolving claim issues, guiding reimbursement processes, and ensuring all parties understand their coverage. I am known for my patience, accuracy, communication skills, and commitment to helping people navigate their healthcare with confidence