I have extensive experience in handling prior authorizations, having worked with various insurance companies and healthcare providers. My role involved understanding the criteria for coverage, submitting requests, and following up to ensure timely approvals. I am proficient in navigating different insurance company portals and am adept at resolving issues that may arise during the authorization process.

I prioritize tasks based on urgency and the impact on patient care. I use a task management system to track requests, ensuring that time-sensitive cases are addressed first. I also collaborate with the healthcare team to understand the clinical urgency of each case, which helps in prioritizing effectively and maintaining a smooth workflow.

I ensure accuracy by thoroughly reviewing each case against the insurance company's guidelines and clinical criteria. I double-check all submitted information and documentation to avoid errors. Additionally, I stay updated with any policy changes and attend training sessions to maintain compliance and improve my knowledge of the industry standards.

Effective communication is key in my approach. I maintain clear and concise communication with both healthcare providers and insurance companies, ensuring that all parties are informed about the status of authorizations. I am patient and persistent, following up regularly to address any queries or concerns promptly, which helps in building strong working relationships.

One challenging case involved a complex medication that required extensive documentation. I worked closely with the healthcare provider to gather all necessary information and communicated directly with the insurance company to clarify their requirements. Through persistence and detailed follow-up, I was able to secure the authorization, ensuring the patient received the necessary treatment on time.