Behavioral Prior Authorization Specialist & Intake Coordinator|

I have extensive experience in medical insurance processes, including verifying patient benefits, processing claims, and securing prior authorizations for procedures and medications. My familiarity with a wide range of insurance plans—such as HMO, PPO, Medicare, and Medicaid—has enabled me to assist patients and providers effectively while ensuring compliance with HIPAA regulations. I am proficient in using electronic health records and insurance portals, and skilled in interpreting medical codes (ICD-10, CPT) to support accurate billing and timely reimbursements. My strong problem-solving skills and attention to detail have been key in resolving claim discrepancies and managing appeals.

As a Prior Authorization Specialist, I bring a strong attention to detail, a deep understanding of insurance policies and medical terminology, and proven expertise in securing timely authorizations for medical procedures and medications. My ability to navigate complex healthcare systems, communicate effectively with providers and insurance representatives, and resolve authorization challenges has consistently supported efficient patient care and minimized delays in treatment. I am proficient in using electronic health record systems and insurance portals, and I remain committed to ensuring compliance with all regulatory standards, including HIPAA.

I am highly proficient in using Electronic Health Record (EHR) systems to manage patient information, streamline clinical workflows, and ensure accurate documentation. My experience includes entering and updating patient data, tracking authorizations, and coordinating care through EHR platforms like Athenahealth. I prioritize accuracy, confidentiality, and efficiency, ensuring compliance with HIPAA standards while supporting seamless communication between clinical and administrative teams.

Skilled Intake Coordinator with strong communication and organizational abilities, experienced in handling client inquiries, collecting accurate information, and coordinating schedules efficiently. Known for maintaining confidentiality, providing excellent customer service, and ensuring a smooth and professional intake process.