Summary
Experienced authorization specialist leading teams in insurance authorization and prior authorization processes. Expert in medical terminology, complex claims, and cross-department coordination. Proven record of improving clean claims submission rates and training junior staff.
Experience
- Led a team of 6 authorization specialists, increasing department approval rate to 99%.
- Oversaw 100+ prior authorization requests daily, reducing denials by 25% through process improvements.
- Developed training materials and mentored 10+ new hires on HIPAA compliance and insurance verification.
- Collaborated with clinical and billing teams to resolve complex claims, securing $250,000 in reimbursements annually.
- Processed 60+ authorization requests per day with a 96% approval rate.
- Implemented new tracking system, reducing turnaround time by 35%.
Education
Courses
- Medical Assistant Certification, Arizona Western College