Prior Authorization Specialist | Healthcare Administration | Insurance Verification

With 4+ years of dedicated experience in US healthcare administration, I specialize in the critical workflows that keep healthcare operations moving smoothly and financially sound. From validating active coverage to securing complex home health prior authorizations, my focus is always on accuracy, speed, and denial prevention.
What I bring to the table:
* Prior Authorization & Utilization Management: Ensuring alignment with medical necessity guidelines to protect patient care and organizational revenue.
* Claims & Billing Problem-Solving: Deep experience in resolving COB issues, validating CPT codes, and troubleshooting denied or unbilled claims.
* Remote Operational Excellence: Proven ability to manage high-volume case data, train tea-----------mbers, and stay highly organized using Excel, Trello, and EMR/EHR systems.