Insurance Verification/Prior Authorization Specialist

Verified

$7/hr

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Outline

Looking for Full-Time work (8 hours/day) at $7/hour

Associate Degree

English proficiency Fluent

Professional Summary

I’m a compassionate and detail-oriented professional with experience in the healthcare field, where I’ve developed strong skills in patient communication, problem-solving, and navigating complex insurance or care systems. I thrive in fast-paced environments, especially when helping patients or members feel informed and supported. Whether assisting with claims, scheduling, or resolving issues, I bring empathy, efficiency, and commitment to service excellence in every interaction.

Skills & Experience

Skills

Customer Support > Insurance verification > Prior Authorization > Data Entry 5-10 Years

Experience highlights

Virtual Pharmacy CSR

CF Outsourcing · May/2024 – January/1990

Managed patient calls and processed medication orders
Tracked deliveries, verified pricing, and coordinated refills
Advised patients on medication delivery options.
Assists in filing authorization through the insurance portal
Managing patients’ profiles and documenting information accurately
Managing voicemails and responding to emails on time

Patient Support Coordinator

MicroSourcing · February/2023 – Present

Coordinated in-clinic and virtual appointments
Verified insurance, managed referrals, and rescheduled visits
Ensured HIPAA compliance in all patient interactions
Supported Therapy Department operations and ensured timely email responses
Submitting Pre-authorization on the patient’s behalf
Verifying the patient’s eligibility and coverage using insurance portals and coordinating their benefits

Pharmacy Helpdesk Specialist / QAA

Teleperformance, Philippines · August/2017 – Present

Assisted patients/providers with prior authorizations and claim issues
Collaborated with providers/payors to expedite PA approvals and appeals
Provide alternatives at a lesser costs
Coordinated Medicare/Medicaid benefits and explained coverage
Maintained strict HIPAA compliance and ensured accurate documentation in all interactions
Monitored and evaluated customer service interactions
Reported team performance and process updates

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