I have extensive experience in managing insurance pre-certification and authorization processes, having worked with various insurance providers to ensure timely approvals for medical procedures. My role involved verifying patient eligibility, gathering necessary documentation, and communicating with healthcare providers to facilitate smooth and efficient authorization.

In high-pressure situations, I prioritize urgent requests by immediately contacting the insurance company and healthcare providers. I maintain clear communication and follow up diligently to ensure timely resolution. My experience has taught me to stay calm, organized, and focused under pressure.

I have utilized various tools and software such as electronic health record (EHR) systems, insurance portals, and practice management software. These tools have been essential for tracking patient data, submitting authorization requests, and monitoring the status of approvals.

I ensure accuracy by meticulously reviewing all documentation and following established protocols. I stay updated on insurance regulations and compliance requirements, attending training sessions and reviewing industry guidelines to maintain a high standard of work.

In one instance, a patient required an urgent procedure with a complex authorization process. I worked closely with the insurance company, provided all necessary documentation, and escalated the issue when needed. Ultimately, I secured the authorization within the required timeframe, ensuring the patient received timely care.