RCM Specialist | Prior Authorization & Insurance Verification

Processed and tracked prior authorizations through Availity and payer portals by submitting clinical documentation via fax and email, conducting follow-ups by phone, and coordinating with providers and insurance representatives to support timely approvals.

Handled confidential patient records and protected health information while following HIPAA-compliant procedures and maintaining data privacy standards.

Experienced in supporting U.S. healthcare providers with administrative and patient coordination tasks, including scheduling, insurance verification, prior authorizations, and EMR documentation while maintaining HIPAA compliance.

Performed accurate data entry for patient demographics, insurance details, authorizations, and medical documentation while maintaining strong attention to detail.

Supported billing-related processes by reviewing patient information, insurance coverage, and claims documentation to help minimize billing discrepancies and claim delays.

Hands-on experience supporting revenue cycle workflows through eligibility verification, authorization processing, claims coordination, and accurate documentation to help reduce reimbursement delays.

Verified patient insurance eligibility, benefits, and coverage details using Availity, payer portals, Athenahealth, and eClinicalWorks while accurately managing high-volume patient accounts in fast-paced healthcare environments.

Delivered professional customer service by assisting patients, providers, and insurance representatives through phone, email, and administrative support.