Prior Authorization Specialist

Overview

Looking for any work (8 hours/day)

at $5.67/hour ($1,090.91/month)

Bachelors degree

Last Active

June 25th, 2026 (yesterday)

Member Since

July 29th, 2022

Profile Description

Greetings! Thanks for visiting my profile.
I will provide you efficient and great quality work.

Professional Summary
Detail-oriented Prior Authorization Specialist with 2+ years experience supporting US healthcare providers. Expert in insurance verification, HIPPA-Compliant, appeals and referrals, medica records retrieval, case determination of medical services. Knowledgeable in CPT codes, ICD-10, HCPC codes, and EHR systems.
Known for finishing tasks in order to reduce authorization turnaround time. Prompt in follow-ups of medical records preventing authorizations denials while maintaining strict HIPAA compliance

SKILLS
· Prior Authorization (Specializes in Routine, Genetics, and ICHMO)
· Adheres to confidentiality, State and Federal Law, HIPPA compliance
· Proficient communication with healthcare providers, medical records department, and health information management
· Precise Insurance Verification and Eligibility
· CPT, ICD-10, HCPC Codes
· Medical Records Follow-Ups and Verification
· Evaluate member’s benefit plan
· Referral management, Appeals, and Peer-to-peer Coordination

Key Achievements
-Maintained 90-100% in Quality Assurance
-Handles an average of 30-35 cases daily
-Reduced authorization turnaround time by 30-50%
-Prevented delayed or denials through pro-active medical records follow-up



Looking forward to working with you!

Best Regards!