wasimsk2118

Reviewed, prepared, and submitted medical prior authorization requests through insurance platforms. Verified medical and insurance information for accuracy and completeness before submission. Coordinated with physicians and clinical teams to obtain supporting documentation and clinical justification. Followed up with insurance companies to expedite approvals and resolve rejected or returned requests. Verified patient eligibility, insurance coverage, and policy limitations per payer guidelines Maintained accurate authorization records and ensured CHI/CCHI and compliance standards. Prepared periodic reports on approval status, rejections, and turnaround times. Led daily workflow management for clinical records processing, meeting volume and quality targets. Trained and mentored staff on EHR tools, summarization guidelines, and medical terminology. Maintained 98%+ quality rating while meeting top-tier production goals. Ensured 100% HIPAA and data privacy compliance across all processed files. Audited EHR/EMR data and physician notes to identify discrepancies and clinical findings.