Avatar

Mhelben Patrick

  • Skiils
  • La Trinidad, Philippines
  • 10 hours ago
Time Management Attention to detail and accuracy

Candidates About

 I have been responsible for managing prior authorization and referral processes, including submitting authorization requests for office visits, diagnostic testing, imaging, and ultrasounds. I have worked directly with insurance companies to verify patient information, follow up on authorization requests, resolve issues, and ensure that patients receive timely access to the care they need.

 

I also have experience handling prior authorization denials, submitting appeals, and coordinating peer-to-peer reviews between healthcare providers and insurance companies. My ability to carefully review documentation, communicate effectively with insurance representatives and providers, and follow cases through to resolution has helped support efficient workflows and minimize delays in patient care.

 

In addition, I have experience working with claims and billing, following up with insurance companies, processing referrals, and coordinating care between patients, providers, and payers. I understand the importance of accuracy and confidentiality when handling patient information, insurance requirements, medical documentation, and financial matters.

 

Experience History

prior authorization manager

10/2026

PRIME HEART AND VASCULAR, PLLC

  • I have been responsible for managing prior authorization and referral processes, including submitting authorization requests for office visits, diagnostic testing, imaging, and ultrasounds. I have worked directly with insurance companies to verify patient information, follow up on authorization requests, resolve issues, and ensure that patients receive timely access to the care they need. I also have experience handling prior authorization denials, submitting appeals, and coordinating peer-to-peer reviews between healthcare providers and insurance companies. My ability to carefully review documentation, communicate effectively with insurance representatives and providers, and follow cases through to resolution has helped support efficient workflows and minimize delays in patient care. In addition, I have experience working with claims and billing, following up with insurance companies, processing referrals, and coordinating care between patients, providers, and payers. I understand the importance of accura

Awards or Professional Achievements

  • HIPAA COMPLIANCE

Education History

Ateneo De Naga

08/2019

Degree

References