Macy
Prior Authorization Specialist | Healthcare Administration | Insurance Verificat
Verified
Overview
Looking for full-time work (8 hours/day)
at $5.67/hour ($1,090.91/month)
Bachelors degree
Last Active
June 24th, 2026 (2 days ago)
Member Since
August 4th, 2019
Profile Description
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
Top Skills
Customer Support » Insurance » Prior Authorization
Experience: 2 - 5 years
Customer Support » Healthcare » Electronic Health Record
Experience: 2 - 5 years
Customer Support » Insurance » Insurance Verification
Experience: 2 - 5 years
Other Skills
Customer Support
Experience: 2 - 5 years
Office and Administration » Email Management
Experience: 2 - 5 years
Office and Administration » Attention to Detail
Experience: 2 - 5 years
Accounting » Claims Processing
Experience: 2 - 5 years
Basic Information
- Age
- 27
- Gender
- Female
- Website
- Sign Up with Pro Account to View
- Address
- San Pedro City, Laguna
- Tests Taken
- IQ
- Score: 135
- English
- C1(Advanced)
- Government ID
- Sign Up with Pro Account to View
“They are definitely a valuable part of your business for all kinds of reasons.”
- Steven Rapposelli
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