Prior Authorization Specialist
DME Service Solutions
May 2023 - Aug 2025 (2 years 4 months)
• Coordinated with 833 insurance payers across 50 states, ensuring accurate pricing and HIPAA-compliant submissions
• Verified and validated medical codes prior to submission to minimize errors and denials
• Retrieved medical records and service orders from facilities to support authorization requests
• Submitted prior authorizations via fax, provider portals, and phone, ensuring timely processing and approvals